How to fill Nasolabial Folds and avoid ARTERIAL injection of filler 

Hope you got something out of this video. Didn't want it to be too scary, but I think it is good to be honest and open with all the good and bad things that can happen with dermal fillers. Tell us what you think. Would you have nasolabial fold filler?

If only every doctor was as compassionate as you and truly cared about humans well being, the world would be so much safer and less corrupt

I had no idea. Thank you for sharing this information.

Oh my when i wss young i was hit in the face with a flash light at full force..I was squirting blood everywhere and could not stop the bleeding.. When i got to hospital i got 6 stiches right in the crevice. But Dr. Had said if it would of been just a hair over A Hair , I could have DIED!! 😱 wow now i have better understanding!!

I use the perpendicular technique also. Your videos are awesome and very insightful!

Is there still a risk after months that the filler is already in ? So let’s say I had this kind of filler twice and the last time was in February is there months later still a risk that the filler goes in to an artery that leads to the eyes or else?

Where does the smile line fillers move by time?

Do you recommend fat transfer to the face?

Is a hyaluron pen safer for this? I heard they don't go as deep?

This is an incredibly important video for Filler patients to watch. I can't believe injectors aren't using microcannulas.

Was considering this procedure. Have just decided against it. Thank you!

I love how honest this doctor is 💗

Doc im Sooo torn im extremely insecure about my smile lines. I never had them untill now in my late 30's and it makes me feel old and unattractive. My face isnt full and youthful looking and even in photos they are very noticeable. However im petrified of needles and dont have the best finances. Society judges us based on our appearance and when your used to getting compliments on your appearance then get in your 30's and start 2feel invisible and not worthy in the eyes of society its a tough pill to swallow. Your video is very informative yet scary when i think about the negative consequences. Decisions, decisions 🤔...

I have had laugh lines/nasolabial folds since high school and I am now in my 30's.. I never saw them as an issue until society started becoming so plastic obsessed. I still don't see them as a problem but I do not enjoy anyone drawing attention to them as though I should "fix" them.

WOW, this is CRITICAL INFO bravo Doctor!!! Thank you for the facial mapping!

I wish you were in the USA! I would make an appointment ASAP! Thank you for the information.

how come they aren't using "vein finder" light to see where the artery is?

I had mine done last week, never knew any of this. It did go well however. I also made a video about my experience on my channel.

Thank you doctor, I was considering getting nasolabial injections until you pointed out that they are especially dangerous and don't make a huge difference aesthetically. Think I'll spend money on veneers instead. 👍

OMG u scared me esp. with those pics around 2:39 i was gonna fill out my laugh lines,

Dr. Chan all of your videos are amazing- honest, informative, and very well thought out. This information is helpful for both patients and providers. Thank you for taking the time to make these

I felt extreme pain when the needle went in the practionioner proceedered , on my drive home i notied a huge white circle above the entry point in mid cheeck. Messeged the practioner about the blanching she said it still has blood flow not to worry. I developed a head ache fell aslerp at 8pm, woke up at 1am with one blood shot eye on the side of the trauma , blurry vission, was in a total panic, rang the practionor went to ger house by 2am had my whole face disdolved . My face was all bruised and i had a hard lump for week at the initional injection point

Now I'm scared

I am a fan and now watch your videos before I do anything

thanks for the info, I will probably never do this now

What about aspiration. Does this eliminate or reduce the risk. Filling the cheeks in a fan formation can help reduce NL folds. It takes more filler and hence costs more.

This guys videos are just clickbait, why not explain how best to avoid vessel occlusion instead of waffling for 10 minutes.

Wow, this is scary, especially since I've had many fillers in my nasal labial folds and this was never mentioned. If it goes in an artery would I know about it by now or can it just block it or clog it up????

I call them, "Parenthesis."

I've had these lines at the nasal labial folds area. Even when I was in my early 30's. I hate these particular lines, they interfere with my makeup looking smooth.

Any topical seloution even for temporary time for this area?

Listening to you makes want to age naturally, Jesus sounds scary .

The most honest Doctor I have ever heard. We need more of these teachings. To make an informed decision

Very informative! Always love watching bc he Is very knowledgeable without rambling👍

I almost did this treatment 2 days ago!!! Thank you❤️

I know ultrasound is used for injections of hips or to guide IV's into arteries... could a similar device be used to guide filler in the face? As a means to avoid arteries of the face.

Respectfully I know your information is right, I know you’re scaring some people from getting this done lol but There are risks for any procedure or any surgery done. It’s a risk you take. Go to someone experienced and hope for the best. I gotten fillers for my nasolabial folds from a very experienced person, no complications and love the results 😊

God bless (although I am not religious) doctors like you, who actually raise awareness about the potential danger of certain procedures and educate people. Please, never stop doing this!

Thanks for this info, as I never knew the potential complication of having this procedure.👍

Great video. I am convinced. Also lots of kids have nasolabial folds naturally and they are young and cute. Funny how as adults some people don't like them. Do you use a cannula for the forehead too?

Great video but you did not give an alternative to make this area look better. What’d be your recommendation ?

omg this is so scary

Thank you for explaining everything in such great details! ❤️

Wow thank you for this video. This procedure has been something I’ve wanted but not with this much risk!

I just decided to not get fillers! Thank you Dr.😃

Educate us on Marionette lines. Think most aging folds on face. Mine are deep. No facelift wanted so what do you suggest.

Why not also suggest that practitioners also use a "Accuvein" type tool that can help see, map veins not only for nasolabial but also temporal and orbital areas as well?

I embrace this area because of You! Smiling My thanks Dr.!

I am not a fan of filling NL folds, as a primary strategy. It creates a of the face in that region, which looks odd. I'd rather fill my cheeks and undereye, as a way to lift things.

I had bellafill in Nasolabial Folds two years ago and nothing bad happened, after watching this vid I was concerned that would it be an issue for the future? I would only use hydraulic filler from now on

Omgosh I'm so bummed out this is the only procedure I've been contemplating😞... I do really need this area addressed (in my 50's). I have fine lines right above my lip. I'm fine with the way the rest of my face is ageing... So far😂!! Thank you so much for this information 🙂

I have nasal labial folds that I inherited from my beautiful mum who also had the natural cheekbone structure I lack. At the age of 64 should I dive in and have one more go at being vain, I'd have actual surgery; drooping upper eyelids and a small chin implant and the rest just good skin care -- totally anecdotal, but I commented because we're all so subjective about what actually will enhance our looks. This video was really helpful for this reason. And sometimes a professional will objectively demystify our minor obsessions and pun intended, keep them in focus. Many thanks.

Thank you so much, Doc! Your precaution is very much appreciated!!! You are a great doctor!👍💖🤗

Where are actual cases of deformities? I just saw pictures but I would rather have case history with those photos! I’m going to look up case deformities or disfigurement because I don’t believe everything I hear. I especially don’t like scare tactics!

Over 10 years ago, a nurse hit my artery when injecting the nasolabial folds. She made a real mess of it but fortunately the filler didn't get into the artery. The needle irritated it and has seemed to bring the artery to the surface so I see a pulse under the skin in 2 places which is much more prominent when it is hot. Dr Chan, is there anything that can be done about this or anyway it can look less noticeable? Thank you, L

Thank you for sharing your knowledge Doctor.

I had mine done by a derm and I love it !

I find this man so attractive 😍

Interesting and helpful! Wondered if aspirating before injecting filler is enough to avoid injecting into facial artery? I have watched many videos but have not come across anyone answering this question.

Thank you for this video. I will learn to love my lines and wrinkles.. My lines tell you my story…

another great video aside from not realising how potentially dangerous it can be, mine are part of my face furniture 🤣 part of my natural facial landscape, as you mentioned i get botox for my tramlines on my forehead, another natural feature of my face that i have had since i was very young, from constantly raising my eyebrows - botox has really improved my appearance (incidentally i never suffered from the classic 11s from knitting my brows together. i don’t and never have had that issue i have had practitioners suggest filler for my nasoblasial folds, but i never really felt the need you can usually tell if someone has had it done, very flat faced. it’s like some injectors don’t appreciate that some people's faces are made that way

And this is why I would never ever get filler on my face. Thank you

Around 10 years ago, I did try this procedure, after a few pricks, we had to stop, I was about to pass out. Since then....I have never walked back into face altering. Now age with Grace. Thanks for your information.

I'm no longer want fillers !!! Thanks

I was seriously considering to get fillers in this area. After watching this video, I decided not to. Thank you for this informative video....

Thank you dr! For warning people!

Could you use a thread lift instead of filler to get rid of the nasolabial folds? Do thread lifts cause sagging down the road?

Very sobering. Reconsidering having filler here.

Thank you so much for your honesty. I now subscribed. 👍 ☺

Excellent info in your videos, thank you. Totally agree. I once had the naso lines filled at the strong suggestion of my dr, an eye surgeon. Lines were not deep and didn't bother me, but there was left over restylane from doing the under-eye tear troughs and wanted to use it up. So the dr filled the naso area; it had an odd pushing-down effect on my mouth that was not good at all. Beforehand, I had a normal looking mouth area; slight uplift at the corners, short upper lip, a natural pout you coud say. After the naso injections, my mouth went horizontal/straight eg., a letterbox mouth. Ugh! I've seen this look on reality TV celebs. Not a good look and even worse, it lasted for a year!

Truly great insight thank you, I am researching before I take the plunge your information is so helpful.

So how about threadlift to reduce that nasolabial ?

Thank u Dr!! It is much better to know all the benefits and risks of a procedure. Also ur videos are such a great help for patients and fellow drs. Very educational thank u! Is it possible when doing fillers ti aspire a bit first with the syringe in order to see if blood comes out? Would it be an indication of hitting an artery? I pass all ur videos to a friend who is a dr. Cheers!!

I’m trying to educate myself on procedures! Thanks for this information!

I wanna know about the focal length choice used for his close-up

Thank you for a very informative video! I am saving some money to have some minor work done later this year, and your videos are giving me lots of knowledge that I will use when choosing a practitioner, and also choosing specific procedures to have done. Thank you!

Wow... thank u for the honesty. Better do face yoga

what about needles pen injections? are they also dangerous?

Really worth watching. It was very informative and you were very honest. Thank you for that.

What is your opinion about the "hyaluropen"? Greetings and great info.

Does lip injections are dangerous too? And what filler is the best for lips?

Is there another procedure that will take the lines away?

How much does it cost to fill outer corners of receding sockets, please let know!

Wow just wow thank you for this incrediable video, we’ve just think it’s a filler but it’s a real science. I’ve just think it’s not worth the risk

Thank God I saw this video!🙏🏾 Looks like I’ll just keep taking my collagen supplement. 🤷🏾‍♀️💕💕💕

Ok did I miss something? This was informative but do you suggest fillers in the cheek to reduce the nasiobal folds and smile lines? As I age I am losing volume in my cheeks which is the reason for the lines. Also, what do you think of collagen powder? Does it help add volume to.your face? Thanks doc

I completely understand that facial artery is danger zone however as long as one doesn't inject close to the bone, it should work out?

I got my nasolabial folds filled 3 years ago and they still look puffy. Any idea why that might be? Counterfit product maybe? Encapsulation? Location of the injection?

dr how about when i go deep into the bone, negative aspiration. but the patient dont feel comfortable then when inpull out the needle the blood comes out from the skin but not the needle. did i touch the artery? its on NL-1 injection point

what about retrograde injection? wouldn't it also diminish the risk of intravascular problems since you're only injecting as you pull out?

Would you know of any doctors in Southern California who are as knowledgeable as you are that you could recommend for people like me who cannot travel all the way to Australia for these procedures a few times a year?

How about aspirating the needle first? And aren't nasolabial folds injected very superficial. Under the skin? Would that make it safer?

I have had one autologus fat transplant and one filler injection in this area and although I would not do the fat transplant again , I feel very lucky I have had zero side effects. This is scary to watch but it is important we understand the risks

Absolutely love your way of teaching I like the new way you've gone about it ur humor is the best!! Thanks a million

Would you still see blanching if an artery is nicked? And is there less damage when an artery is nicked vs injected with filler?

Do you think microcannula can actually puncture facial artery during insertion? I have watched several videos and read many articles and some of them suggest that the risk arterial damage of using needle vs microcannula is the same. I personaly dont agree but would love to know what you think. I can see you mainly use canniulas. Regards

Hi, I would like to know if I use a Hyaluron pen for the nasolabial, still danger? Thanks

Injecting into a vessel with botox - can similar complications arise?

Can I please share this doctor? I always avoid this area and believe that your video highlights all the reasons so well. Thank you!

I have this line on side of my mOuth since I was 18 (24 nOw) it mainly stayed the same can't really see it and I always want to get it filled cos it bothers me but hmm