Nasolabial Folds - Best Way to Remove Them?

It is often not a good idea to remove nasolabial folds completely, by any method.  It is usually better to soften them.  If the nasolabial folds are "build up" to the level of the ptotic cheekpad above them, or the lip below them, this can result in an overaugmented appearance, as though the patient had something in their mouth.

If the nasolabial area is augmented, the cheek area (malar, possibly submalar) regions may benefit from volume augmentation as well, in order to prevent a disproportion from occurring.

For mild nasolabial folds, hyaluronic acid fillers are usually adequate.

For deeper lines, the patient may want to address what is causing the folds.  Sometimes, this means a volume adjusting facelift, a cheeklift, or both.  Volume alone can't overcome drooping plus volume loss.

Large volume augmentation of the face is possible.  The" liquid facelift", large amounts of temporary filler, offers a quick recovery, but expensive and temporary, fix.

Fat injection is a popular option as well to multiple areas of the face.

In our practice, we prefer autologous fat fascial grafts for this purpose (LiveFill).

In rare patients, excision of the nasolabial folds is an option.

So in deciding which option to choose, it is nice if your doctor is familiar and skilled with all of the options above, and understands the proportions of the face.

Hi @8083anon. I would suggest you consider hyaluronic acid dermal fillers like Restylane Defyne for your nasolabial folds/laugh lines. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Thank you for your question. In my opinion, fillers work very well for improving nasolabial folds. Nasolabial folds can be secondary to cheek descent and by adding volume to the cheeks the folds will improve and then any residual folds can be improved with fillers. For natural results, I would recommend to soften the folds and not fully remove them.
I hope this helps. Best wishes. Dr. Salameh (Plastic surgeon - Bowling Green, KY)