Can nasolabial folds be removed if my skin is thick?

Naso-labial folds are not removed during a facelift but the fold can be improved.  Trying to aggressively remove 100% of the naso-labial fold during a facelift would require substantial tension across the face and create a very pulled and distorted result; moreover, the result would not last.Naso-labial folds are best treated conservatively with fat augmentation or fillers.  But it should be realized that some amount of naso-labial fold is important to maintain, because the true absence of a naso-labial fold would create a very un-natural appearance in most patients. I hope this helps.

Nasolabial folds rarely have meaningful lasting improvement from the lift alone. Typically either filler or even direct excision will be necessary for the most change. Surgeons need to be careful not to "overpromise" on the amount of change expected in the NLF with facelift alone.

Nasolabial folds can be directly excised however the scarring is very visible and most surgeons have abandoned this technique.The fold was created by the action of normal facial muscles when you smile and a facelift can never totally remove the nasolabial folds.If the patient's specific complaint is nasolabial folds today many plastic surgeons attempt to improve the fold by increasing mid face volume with dermal fillers placed in the cheek and the fold.  However you had fat grafting which was done to increase the volume in the mid face and should improve the folds.I am impressed that even with good improvement of nasolabial folds after a facelift with extensive cheek dissection the folds soon return after the action of the facial muscles begins.I'm very sorry you're having this difficulty but I would avoid directly excising the folds but I would ask the surgeon to provide dermal fillers in the cheek and fold.