What’s the best long term solution to my deep nasolabial folds? (Photo)

For a more permanent solution to deep nasolabial folds I would recommend a "lift" procedure with Microaire midface endotines. Your cheek can be elevated without changing the shape or size and the folds will be markedly diminished. The procedure can be accomplished in the office with IV sedation. Recovery takes about 3-5 days. This is an excellent procedure for lifting the midface.   

Hi @lacybunny! I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer