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Pyriform Aperture Filler at Gangnam Station: Deep Nasolabial Fold Correction with Bone-Level HA Injection at Rappoel Seoul






Pyriform Aperture Filler at Gangnam Station: Deep Nasolabial Fold Correction with Bone-Level HA Injection at Rappoel Seoul



Many people mistakenly believe nasolabial folds are simply surface wrinkles. In reality, most moderate-to-severe nasolabial folds originate from skeletal “pyriform aperture deficiency” – insufficient bone support around the nasal base that causes midface soft tissue to descend, creating deep nasolabial grooves. Rappoel Dermatology near Gangnam Station, Seoul, uses deep HA injection technique to precisely place filler in the supraperiosteal plane, rebuilding the nasal base support structure and correcting nasolabial folds from the root cause, with results more durable and natural than superficial injection.

The Relationship Between Pyriform Aperture and Nasolabial Folds

  • Pyriform aperture: The bony opening at the front of the nasal cavity, located at the sides of the alar base
  • Congenital deficiency: Some people have underdeveloped bone around the pyriform aperture, showing nasolabial folds from a young age
  • Age-related resorption: Facial bone gradually resorbs after 40, weakening pyriform aperture support
  • Soft tissue descent: Insufficient skeletal support causes perinasal fat pads and soft tissue to descend, deepening the nasolabial groove
  • Superficial filler limitations: Injecting only in the superficial wrinkle cannot address the skeletal-level deficiency

Deep Nasal Base Filler Technique Essentials

  • Injection depth: Supraperiosteal plane (above the periosteum), not superficial dermis
  • Filler choice: High G-prime (high cohesivity) large-molecule HA for skeletal-level support
  • Injection technique: Blunt cannula or retrograde injection, precisely targeting pyriform aperture margin
  • Volume per side: 0.5-1.0ml per side, 1-2ml total for both sides
  • Layered approach: Deep bone-level support first, then superficial dermal refinement

Deep vs. Superficial Nasolabial Filler Comparison

Comparison Deep Nasal Base Filler Superficial Wrinkle Filler
Injection layer Supraperiosteal Superficial dermis
Mechanism Rebuilds skeletal support Fills surface wrinkle
Duration 12-18 months 6-9 months
Indication Moderate-severe folds Mild fine lines
Volume 0.5-1.0ml per side 0.3-0.5ml per side
Naturalness High (supports from within) Moderate (surface fill)

Nasal Base Filler Combination Options

  1. Nasal base + apple cheek: Pyriform filler combined with apple cheek filler for comprehensive midface volume restoration
  2. Nasal base + superficial fold: Deep support first, then superficial refinement for complete correction
  3. Nasal base + Thermage: Filler restores volume, Thermage tightens skin, addressing laxity + depression
  4. Nasal base + thread lift: Filler addresses depression, thread lift addresses overall descent, combined anti-aging

Rappoel Dermatology is located 3 minutes from Gangnam Station Exit 10. Our physicians have extensive facial anatomy expertise, precisely locating pyriform aperture landmarks to ensure safe and effective deep injection. We use KFDA-certified premium HA products with immediate results, minimal swelling, and natural appearance within 3-7 days.

Frequently Asked Questions

What is the difference between nasal base filler and regular nasolabial fold filler?
Regular nasolabial filler is injected in the superficial dermis at the wrinkle groove, only filling surface depression. Nasal base filler is injected deep at the supraperiosteal plane, rebuilding skeletal support to address soft tissue descent from the root. Deep filler is more durable (12-18 months vs 6-9 months), more natural (supporting from within), and ideal for moderate-severe folds. Rappoel physicians assess your fold type and recommend the most suitable approach.
Is nasal base filler painful?
The injection area uses ultra-fine needles (30G) with topical anesthetic, with minimal pain. Deep injection uses blunt cannula to reduce vessel and nerve injury risk. The physician uses gentle technique with light molding after each point. Mild swelling and bruising may occur, resolving in 3-7 days. Rappoel physicians have extensive facial anatomy experience for precise and safe injection.
How much filler is needed? Is the cost reasonable?
Typically 0.5-1.0ml per side, 1-2ml total of high G-prime large-molecule HA. Exact volume depends on deficiency severity assessed by the physician. Korea as a leading medical aesthetics destination offers transparent and reasonable filler costs. Rappoel uses KFDA-certified premium products. Consult via WeChat (rappoelkr) or Line (rappoelkr) for specific plans.
How long do nasal base filler results last?
Deep injection using large-molecule high-cohesivity HA metabolizes slowly, lasting 12-18 months. The deep injection plane (supraperiosteal) is less affected by muscle movement than superficial injection, making it more durable. A 2-week follow-up is recommended to check results and refine if needed. Daily sun protection and moisturizing help extend results.
Will nasal base filler make my face look wider?
No. Nasal base filler injects a small amount of HA (0.5-1.0ml per side) deep at the alar base, rebuilding skeletal support to reposition descended midface soft tissue, without increasing facial width. The midface lift actually makes the face appear more contoured and youthful. Precise control of injection depth and volume is key – Rappoel physicians sculpt according to facial proportions.

Correct nasolabial folds from the root: Deep nasal base HA filler

📍 77, Seocho-daero, Seocho-gu, Seoul, South Korea

🕐 Mon–Fri 10:00–19:00 · Sat 10:00–17:00

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