What is the best way to remove nasolabial folds? (Photo)

The other doctors who have answered so far have covered the topic very well. I believe there is one further option not discussed.This involves cutting the deep attachments of the fold with cutting wire or string. After the skin is detached, filler or fat is used to fill the area.The problems with using fillers alone when your fold is so deep is that the product can go on either side of the fold, and you might not get a good result.One doctor recommended cutting the fold out. This actually works really well, and I have had a lot of success with it. However, I would recommend you try other choices first.1- Try a common filler like Juvederm or Restylane. If they work then we can be happy. If they don't give you what you want then you can try something else. Rarely do you get a result that is worse than starting. Sometimes it is just not as good as you hope. It can always be dissolved if it works out poorly.2- Try my recommendation of cutting the attachments. This is done under local with needle and string-like devices. Fat is then used and is best. Since detaching the skin is done first, the fat can be placed more precisely and will have less of a risk of going on both sides of the fold.3- As discussed, a third choice is fold excision. Overall it will work very well but sounds scary. The incision is actual right where the deep fold is.4- Finally, face lifting techniques work really well too. This also should be added to the choices. It's more extensive and will rejuvenate other parts of your face. If you have and don't like your jowls or neck excess, consider this too.I hope this helps!Dr Chris Saunders

The presence of the nasolabial fold is a normal process that occurs with aging beginning in the fourth to fifth decade of life. When you look at the nasolabial fold you have to look at it as a process of cause and effect. The cause is loss of support in the cheek region that are keeping the fold from folding over upon itself. The second cause is loss  of volume medial to the fold or closer to the nose. The effect is loss of volume with ensuing hollowing and depth to the region.  This can be treated by supporting the cheek by lifting or volume replacement or by filling the hollow with either autologous or synthetic products. I hope this helps.