What is best for deep accordion wrinkles? Mini Facelift? (Photo)

Your solution is a facelift and not a mini. These are deep muscle lines which will be lessened but not eliminated. The grooves are set in your skin over the years. Because your skin appears to have a rugged texture and may be thick, your best bet is a deep plane lift for the best pull. Even after the lines are lessened, a skin treatment might help more using intradermal fillers, microneedling, or RF microneedling after the facelift is done.

Thank you for your question and photos. You may be a candidate for a mini facelift to reduce the appearance of the accordion wrinkles you describe. This procedure can rejuvenate the face by tightening the underlying facial muscles and repositioning them as an anchor to support the skin.
The refreshed and youthful results of this procedure can last for up to 8 years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can conduct a thorough physical exam and suggest the best treatment option.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

A mini facelift is an excellent way to treat these lines that typically do not respond well to fillers. You get the added benefit of a cheek lift and neck tightening as well.

Minilifts can be extremely powerful forms of lower facial lifting. It has to do with the actual technique the surgeon uses. I personally do a deep plane minilift. Deep planes are extremely powerful ways to give patients a natural but very rejuvenated appearance. We call it a minilift simply because its performed in the office setting. You look like a great candidate.

Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa

Because your level of the accordion deformity is rather over moderate, only full face lift would improve the results. Not a mini FL. Fee $15,000.