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...
The effects of Botox are temporary, typically lasting three to four months. Consistent Botox use may lead to muscle atrophy so you may get more longevity long term. Many patients use Botox for years, even decades because they are so satisfied with the results.
Thank you for including a photo along with your question. Based on the photo provided, you may benefit from masseter Botox. Botox to the masseter muscle will soften your jawline and create a slimming effect. I recommend scheduling an in-person consultation with a reputable board-certified facial...