26yo male with pronounced nasolabial folds, is excision the solution?

Thank you for your question.Nasolabial folds excision is rarely required for improvement of nasolabial folds. A variety of Face Lift procedures can achieve a very good and natural looking improvement of this area. It is difficult to say without seeing your pictures, but you can most likely be helped by these procedures without having to do a direct excision of the nasolabial folds. Please discuss your concerns with a Board Certified Plastic Surgeon near you who can examine you and offer you different choices. All The Best !

Thank you for this most interesting question.  I have been in the practice of cosmetic plastic surgery for over 30 years, and have been fortunate enough to see the cosmetic facial and body surgery done by some of the most famous plastic surgeons from all over the world.  The quality of their work, including excision of deep nasolabial folds, is truly impressive.  Unfortunately, although the excision is done beautifully and the scars are often imperceptible, the result never ever looks natural.  Also, and unfortunately again, as these patients age, the nasolabial folds become less and even less natural in appearance, and at times, give the face a strange look.Mid facelifts decrease the depth and drapery effect of nasolabial folds, and do this in a very natural appearing fashion.  In the meantime, before you need a mid facelift and if you were my patient, I would recommend long lasting fillers or collagen stimulating substances to modulate any undesirable appearance created by significant nasolabial folds.

It’s difficult to give you a thorough assessment without seeing your pictures. When it comes to the face there are no permanent solutions other than rhinoplasty, otoplasty, and orthognathic bone surgery, as soft tissues will age and descend. A facelift will treat the midface and improve the nasolabial folds. My preference is collagen stimulating fillers in the folds and the midface to give the best semipermanent results.