What should you know about CO2 laser for nasolabial folds?

Nasolabial folds are the creases running from the sides of the nose toward the corners of the mouth. Their appearance can be influenced by facial movement, skin texture, reduced elasticity, and changes in the soft tissue beneath the skin. CO2 resurfacing targets the skin surface and can improve texture or fine etched lines; deeper shadowing or volume loss may need a different discussion.

Facial Volume Loss can be assessed alongside the fold itself. A fold is not automatically a sign that one treatment is required, and the most suitable plan may involve observation, resurfacing, volume support, or a combination chosen by a qualified clinician.

Ask the clinician to examine the folds at rest and while smiling, then explain whether the main feature is etched texture, laxity, shadowing, or volume change. Mention previous fillers, threads, cold sores, active acne, eczema, medicines affecting healing, and any tendency toward raised scars or pigment changes.

If resurfacing is selected, discuss treatment depth, expected redness and peeling, sun protection, and the time needed away from work or social events. Depending on the assessment, the clinician may also discuss Dermal Fillers, Collagen Biostimulator Injection, or Thread Lift; these are different approaches with different trade-offs.

After treatment, contact the clinic for worsening pain, spreading redness, pus, fever, marked swelling, blistering, or an unexpected change in skin color. Following an injectable or thread procedure, urgent review is needed for severe pain, pale or dusky skin, sudden visual symptoms, or unusual weakness. Seek emergency help for breathing difficulty or severe facial swelling.

What is driving my folds: texture, volume, movement, or laxity? How much improvement can resurfacing address? Would another approach suit the underlying feature? How will you protect the area around my mouth and manage pigment risk?