These Folds Are Aging You Faster Than You Think !

Dr. Anil Rajani

Dr. Anil Rajani

94,714 views

Nasolabial folds — also called smile lines or laugh lines — are one of the most common concerns people ask about as the face ages. But here’s the problem: most people are told they’re “just normal,” or they’re immediately sold filler in every area except the fold they actually came in asking about.
In this video, Dr. Rajani breaks down why nasolabial folds happen, why some people develop deep smile lines earlier than others, and why the answer is not always “just fill the cheeks.” After 25 years of evaluating and treating faces, Dr. Rajani explains the real anatomy behind smile lines, facial volume loss, cheek descent, collagen loss, GLP-1 face, runner’s face, and why treating the fold alone can sometimes make the face look worse.
You’ll learn the difference between a mild fold, a structural support problem, and a true facial descent problem — because each stage needs a different solution.
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Why nasolabial folds are not always “normal aging”
Why overfilling the cheeks can create a puffy or unnatural face
Why filler can migrate, especially in dynamic areas like smile lines
The risks of cheap filler, fake filler, and backfilled syringes
Why Botox around the smile lines can make some people look worse
Whether face tape, facial exercises, gua sha, and massage actually help
Why deep massage after filler can be a problem
How GLP-1 weight loss, Ozempic face, runner’s face, and collagen loss affect smile lines
When conservative filler makes sense
Why biostimulators like Sculptra can reduce the need for filler
When a facelift or neck lift may be the better answer

Not every line needs a needle. But when nasolabial folds are treated, they need to be treated with strategy — not panic, not overfilling, and not a one-size-fits-all answer from social media.
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Swift A, et al. The Facial Aging Process From the “Inside Out.” Aesthetic Surgery Journal Open Forum. 2020.
Master M. Hyaluronic Acid Filler Longevity in the Mid-face: MRI Evidence. Plastic and Reconstructive Surgery Global Open. 2024.
Wunsch A, Matuschka K. A Controlled Trial of Red and Near-Infrared Light for Skin Rejuvenation. Photomedicine and Laser Surgery. 2014.
Sitohang IBS, et al. Topical Tretinoin for Treating Photoaging: A Systematic Review. Dermatologic Therapy. 2022.
Christen MO, Vercesi F. Poly-L-Lactic Acid Collagen Stimulators in Aesthetic Medicine. Journal of Clinical and Aesthetic Dermatology. 2022.
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FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored. DISCLAIMER: This video does not contain any medical or health related diagnosis or treatment advice. Content provided on this YouTube Channel is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this video are not to diagnose, treat, cure or prevent disease.
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00:00 Nasolabial Folds: The Biggest Lie in Aesthetic Medicine
01:00 The 3-Stage Solution for Smile Lines
01:20 The “Money Grab” Problem: 5 Syringes Everywhere But the Fold
02:00 Should You Fill the Cheeks Instead?
03:00 When Smile Lines Are More Than Normal Aging
03:28 GLP-1 Face, Runner’s Face & Volume Loss
03:52 Do Face Exercises Really Help Nasolabial Folds?
04:08 The Leaking Roof Problem: Why the Fold Isn’t Always the Cause
04:31 Why Botox Around Smile Lines Can Backfire
05:27 Face Exercises, Gua Sha & Blood Flow
06:42 The Filler MRI That Changed Everything
08:05 Why Filler Can Make the Whole Face Look Bloated
08:43 Why Some People Age Faster in This Area
09:20 Face Tape for Smile Lines: Does It Work?
10:09 Filler Migration: When Smile Line Filler Makes It Worse
10:48 Cheap Filler, Fake Filler & Backfilled Syringes
11:33 Deep Massage After Filler: What Not to Do
12:03 Sleeping, Dehydration & Structural Support
12:31 Red Light, Home RF, Retinoids & At-Home Support
12:50 Cheek Filler: Helpful or Overfilled?
13:44 Is Nasolabial Fold Filler Dangerous?
14:19 Facial Artery Risk & Vascular Occlusion
15:08 Stage 1: Acceptance and Prevention
16:03 Stage 2: Restoring Structural Support
16:36 When Conservative Filler Makes Sense
17:07 Biostimulators, Sculptra & Collagen Support
17:38 Supporting the Nose Area and Maxilla
18:27 Stage 3: When Surgery Becomes the Better Answer
19:10 The Biggest Mistake People Make Treating Smile Lines
19:31 What to Watch Next