Aging nasolabial fold and treatment by direct excision

The anatomy, terminology, and management of the aging nasolabial fold represent a subject of some controversy in the plastic surgery literature. A variety of rhytidectomy techniques and adjuncts, and directed surgical procedures, have been designed to improve the aesthetics of the aging nasolabial region. Experience with direct excision of the nasolabial fold in more than 30 patients is presented, and the anatomy and terminology of the nasolabial region are discussed. Direct excision has proven to be an effective therapy for the management of the aging nasolabial fold in selected patients, primarily men with sun-damaged skin.