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In my opinion, the best treatment for nasal labial folds is with fillers. Fillers are precise, predictable, and quite forgiving. Fat transfer is not particularly good. Forgiving volume in very small, precise areas. It works better for giving diffuse overall volume. Facelift is not a good treatment for just nasal label folds and can make your folds deeper. This is particularly true if someone has a SMAS type facelift.I suggest finding one of the most talented filler providers in your community and try that.Best,Mats Hagstrom, MD
Have you had any radiofrequency? That can sometimes melt fat and make one look older. Yes, fat transfer can restore faces to an earlier age. Do be sure to see someone with a lot of experience, since FFG is more of an art than science.
It has been our experience in over 25 years of use of fat grafts for periorbital rejuvenation that graft take is around 30% in average. This means also that fat grafts do not take equally in all areas. Secondary grafting is done in probably 20-30% of patients 8-12 months after first procedure....
I'm not sure imaging would help in this case. This is extremely thin skin and you likely have some fat which has become scarred. It could be removed if it bothers you.