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

My first response to your question is that everyone has some
degree of nasolabial folds and they are a natural part of our face. When
the folds extend below the corners of the mouth the area looks drawn.
This area becomes more pronounced with aging due to changes in facial volume,
laxity and cheek descent. It would be ideal to see a full picture of your
face and have you come in for a consultation to give you the most comprehensive
evaluation. However, if you are more inclined to doing something that is
non-invasive to begin with and you had a consultation and were deemed a
suitable candidate, then I might recommend adding volume to your midface with either Sculptra or
Voluma and then adding fillers to the nasolabial folds with hyaluronic acid
fillers and Radiesse. If you wanted a surgical approach with longer
lasting results, then a midface lift or facelift with fat injections may be
recommended, again after a comprehensive consultation and if you were deemed a
surgical candidate.

Generally speaking complete removal of nasolabial folds is impossible and not recommended. Lessening, reducing and contouring are beneficial. Step 1 is a facelift- in your case, which will improve them somewhere between 50-80%, depending on the technique utilized. Step 2--- at the same time i would recommend reversible fillers or autologous fat to further improve the nasolabial folds.This combination of techniques will optimally treat this problem,  restoring a more youthful face.

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