How do I get rid of these nasolabial folds? (Photo)

One technique I use is a lip lift. As you can see, your lips are asymmetrical, one corner is lower than the other and both corners are down. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This also helps eliminate the appearance of the nasal labial folds.

Best Wishes,

Gary Horndeski, M.D.

I'm not sure if the photo you provided is before or after the filler that you had. Based on the photo, it does appear to me that there is some volume loss in the cheeks. Normally, adding volume in the cheeks would improve the nasolabial folds. The only other treatment I can think of that you haven't tried that potentially could help would be direct excision of the nasolabial folds. It's difficult to tell if you might be a good candidate for this procedure, just based on the photo.

Your nasolabial folds do not look too bad; however, if you are truly bothered by them, most likely you need more volume restoration. I'm not sure how many syringes you had, but I would consider doing filler to the cheeks and then also deep in the piriform/maxilla region. Probably 2-4 syringes at least to start. Agree with no threads!! And the microneedling will only do so much unless you are also doing it with radiofrequency for skin tightening, but the main thing you need is building up volume.

You can consider FaceTite to help tighten skin without general anesthesia. It can be combined with Morpheus8 treatments to improve overall skin tone and texture. Fillers would still be useful for you. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day. See my website or a provider near you to learn more.

Usually when clients have nasolabial folds, I combine lifting the cheeks along with filler directly into the nasolabial fold. Sometimes multiple fillers in the nasolabial fold are required. For example, if you require 3 syringes in your nasolabial fold to achieve a result and you complete just one, then you can expect an approximate improvement of 33%. In some cases the nasolabial fold requires a filler that will add volume, well as a thinner filler that can be used to "clean up/soften" fine lines that are present in some cases. It is difficult to create a specific suggestion here based on the photo you have submitted which does not show the details we usually see in a real life assessment.

The best treatment for nasolabial folds is filler directly in the folded itself fill it in.If you’re not getting the results then perhaps you’re not being treated by the right provider?
To get an idea of what can be accomplished using only fillers I suggest you check out the website of Dr. David Mabrie MD in San Francisco. his work using fillers in some of the best I’ve ever seen. It can give you an idea of what can be achieved using volume restoration alone.A mid facelift is not a good treatment for nasal labial folds.
Best,
Mats Hagstrom, MD