Direct skin excision fat reshaping and repositioning for correction of prominent nasolabial fold.

In addition to all the consequences mentioned elsewhere in the literature, the aging process causes the most dramatic changes in the midface and nasolabial complex. Genetic predisposition also plays a role in the final appearance of this area. The nasolabial complex in the aged face generally is accepted as a "hard-to-treat area" for which many different techniques have been described.