Folds & Creases

Softening Nasolabial Folds and Marionette Lines

Easing the Creases That Frame the Mouth

The Biological Cause
The folds that run from the nose to the mouth (nasolabial folds) and from the mouth’s corners downward (marionette lines) are less about the skin itself and more about what sits beneath it. As the mid-face ages, the deep fat pads of the cheek shrink and slide downward. Poor skin tone will worsen the problem.

That descending volume bunches against the smile line and settles into the lower face, deepening the grooves. Because the true cause is lost support higher up, treating only the crease itself rarely holds for long.

Our Clinical Approach
At Kootenay Cosmetic Clinic we rebuild the support the fold has lost. Using the resilient Teoxane RHA collection, we restore cheek structure above the fold and integrate filler smoothly into the groove itself — softening the crease at its source rather than simply masking it.

If the skin is thin and tone is poor, improving the skin quality will also help soften these folds.