Nasolabial fold filler: treatment for smile lines and facial folds

KEIT Day Hospital i kushton vëmendje të veçantë transparencës së informacionit dhe dokumentimit të trajtimeve. Përpara trajtimit PRP për flokët, pacienti merr shpjegime mbi mënyrën e marrjes së gjakut dhe përgatitjes së plazmës, zonat që do të trajtohen, numrin e përafërt të seancave, përfitimet e pritshme, kohën e shfaqjes së rezultateve dhe rreziqet e mundshme.
Dokumentacioni klinik regjistron informacionin lidhur me marrjen e gjakut, përgatitjen e PRP-së, zonat e trajtuara të skalpit dhe metodat e aplikimit, duke garantuar gjurmueshmërinë e procedurës. Kur është e përshtatshme dhe me pëlqimin e pacientit, realizohet dokumentimi fotografik për të krahasuar gjendjen fillestare me rezultatet e vërejtura gjatë dhe pas trajtimit. Formulari i pëlqimit të informuar, preventivi dhe dokumentacioni administrativ i mundësojnë gjithashtu pacientit të njihet me karakteristikat klinike dhe ekonomike të procesit përpara fillimit të trajtimit.

KEIT Day Hospital works with medical professionals experienced in aesthetic medicine, facial anatomy and hyaluronic acid injection techniques. In the treatment of nasolabial folds, knowledge of the distribution of facial fat compartments and the course of blood vessels, particularly the facial artery and its branches, is essential for planning injections and reducing the risk of complications.
The procedure is personalised according to the depth of the fold, loss of cheek volume and facial proportions. In some patients, treating the fold directly may be appropriate, while in others, the doctor may consider supportive treatment in the midface region to achieve a more balanced result.
An additional advantage is the presence of a multidisciplinary medical team within KEIT Day Hospital, allowing specialists in anaesthesia and intensive care or other medical disciplines to be involved when additional assessments or specific medical assistance are required.

Before nasolabial fold filler treatment, the doctor carries out an individual assessment of the depth of the folds, skin quality, facial volume distribution and the patient's expectations. The consultation includes taking a medical history, with particular attention to allergies, medications being taken, previous filler treatments, active infections and possible contraindications.
Facial assessment, both at rest and while smiling, makes it possible to distinguish folds caused by volume loss from those related to anatomical structure or facial muscle movements. Treatment is not planned according to standard quantities of product but according to the depth of the fold, tissue support and overall facial balance. When fillers are not the most appropriate solution, the doctor assesses the available alternatives and discusses their limitations with the patient.

KEIT Day Hospital follows hygiene and infection prevention protocols that include disinfecting clinical areas, skin antisepsis and the use of sterile, single-use devices during injectable treatments. For nasolabial fold filler treatment, particular attention is paid to skin preparation, the handling of needles and microcannulas, and checking the packaging of the products used.
The choice of hyaluronic acid takes into account the rheological properties of the preparation, the intended injection depth and the degree of support required. The product must be appropriate for the selected indication and anatomical plane, with characteristics compatible with the mobility and aesthetic requirements of the nasolabial region.
Each preparation is identified by its brand name, batch number and traceability information, which are recorded in the patient's clinical documentation. These checks contribute to safety and the proper handling of the materials used.

Nasolabial fold filler treatment is a minimally invasive procedure, generally performed without general anaesthesia. To improve patient comfort, preparations containing lidocaine or a topical anaesthetic may be used when indicated.
In addition to temporary effects such as redness, swelling, tenderness or minor bruising, irregularities, asymmetry, nodules, infections or inflammatory reactions may occur. A rare but particularly serious complication is vascular occlusion caused by the accidental injection of filler into a blood vessel, which can lead to ischaemia and skin necrosis. In exceptional circumstances, embolisation of the material may cause eye damage and loss of vision.
Knowledge of vascular anatomy, appropriate technique selection and immediate recognition of signs of ischaemia are essential for reducing risks. If vascular occlusion caused by hyaluronic acid is suspected, the specific medical protocol must be activated promptly. This may include the use of hyaluronidase and, when indicated, urgent transfer to specialist services.
One of KEIT Day Hospital's distinguishing features is the availability of hospital infrastructure and a multidisciplinary medical team. The facility has three equipped operating theatres, specialists in anaesthesia and intensive care, equipment for monitoring vital signs, emergency management devices and a postoperative recovery room. These resources provide additional medical support, alongside the specific protocols required to manage complications associated with dermal fillers.

At KEIT Day Hospital, patient care continues after nasolabial fold filler treatment has been completed. Patients receive personalised instructions on precautions to follow, temporary effects that may occur and warning signs requiring immediate medical assessment.
Follow-up is determined according to the patient's individual response to treatment. A follow-up appointment after approximately 10–14 days, when indicated, allows the doctor to assess the results once the initial swelling has subsided, checking the symmetry of the nasolabial folds, volume distribution and the presence of any irregularities.
Patients are also informed of the need to seek immediate medical attention if they experience severe or increasing pain, abnormal changes in skin colour, visual disturbances or other suspicious symptoms, without waiting for the scheduled follow-up appointment.
For international patients, care may also continue remotely through communication with medical staff and guidance on necessary follow-up appointments. KEIT Day Hospital also provides an emergency contact number, available 24 hours a day, 7 days a week.

KEIT Day Hospital places particular emphasis on transparent information and treatment documentation. Before nasolabial fold filler treatment, patients receive explanations about the technique used, the areas to be treated, the approximate quantity of hyaluronic acid, expected benefits, the estimated duration of results and potential risks.
Clinical documentation records the filler's brand name, batch number, quantity administered, injection sites and any reactions observed, ensuring traceability of the procedure. When appropriate and with the patient's consent, photographic documentation is taken to compare the initial appearance with the treatment result. The informed consent form, treatment quotation and administrative documentation also allow patients to understand the clinical and financial aspects of the treatment process before starting treatment.