Treatment options: One of the most common methods of reducing the appearance of nasolabial folds is the use of injectables. Radiesse, Perlane, Juvederm, Restylane, Sculptra and Artefill are all popular with dermatologists and surgeons seeking to reduce the appearance of these mouth-bracketing wrinkles.
Fillers work in two distinct ways. Perlane, Juvederm and Restylane manually fill wrinkles with hyaluronic gel, a water-attracting acid naturally found in the skin. Radiesse, Artefill and Sculptra work by stimulating collagen production deep beneath the skin's surface. The extra collagen plumps the skin, thus filling in wrinkles from the bottom up.
There are some other types of fillers as well. One option is fat injection, which using the patient's own fat reserves to fill in the nasolabial folds. Fat injections last a widely varying amount of time, from a few weeks to over a year, depending on how much fat is used and on the patient's genetic background.
Some doctors use silicone oil off-label, as a sort of permanent collagen attractor. When it works, it's great - but remember that when fillers are permanent, so are any problems they cause.
Surgical treatments: Several varieties of face lifts, such as the midface lift, can improve nasolabial folds. For very mature patients, a nasolabial fold excision - essentially punching out the fold surgically - may be performed, though this surgery causes facial scarring and is typically only performed if other measures fail.