Mild nasolabial folds can be treated by many methods. But overall it's best to treat any problem with something that will fix the problem on a more permanent basis. Fat transfer has come a long way. Our knowledge of what allows that fat to survive once it has been grafted has increased substantially. Grafted fat needs blood supply. So if a large amount of fat is placed in an area in the same plane of tissue it is impossible for the center most fat to get new blood vessels before it dies. Previously this was how fat grafting was done. Put in a large amount and hopefully enough will survive.
Today, through the work of others I use much smaller cannulas and thus much smaller particles of fat. The fat is injected into many planes thus allowing a much better infiltration of blood vessels and a much higher survivability of the fat.
So fat is better but the surgeon must understand these new principles and have the appropriate equipment.
