Introduction
Nasolabial folds, often referred to as “smile lines,” are the creases that run from the bottom of the nose to the corners of the mouth. While these lines can be a sign of a life full of laughter, many people in New York City are seeking ways to reduce their prominence. In 2025, the city offers a wide range of cosmetic plastic surgeries and non - surgical treatments to address nasolabial folds. This article will provide a comprehensive ranking list of these options, including in - depth information on the procedures, top surgeons, and their associated costs.
What are Nasolabial Folds?
Nasolabial folds are a natural part of the facial structure. They support the buccal fat pad and separate the cheeks from the upper lip. Everyone has nasolabial folds to some degree, but factors such as age, sun damage, smoking, significant weight changes, side - sleeping, and genetics can cause them to become more pronounced. As we age, the collagen and elastin fibers in the skin break down, the cheekbones flatten, and the skin loses its elasticity, leading to deeper nasolabial folds.
Preventing Nasolabial Folds
Although it's impossible to completely prevent nasolabial folds, there are some steps you can take to slow down their development. Abstaining from smoking is crucial, as tobacco use accelerates the breakdown of collagen and elastin. Using sunscreen regularly helps protect the skin from harmful UV rays, which can damage the skin's structure. Moisturizing skin care products containing vitamin C and retinol can also keep the skin supple and smooth, reducing the visibility of nasolabial folds.
Options for Treating Nasolabial Folds
Non - Surgical Treatments
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Dermal Fillers
Dermal fillers are one of the most popular non - surgical options for treating nasolabial folds. They work by injecting hyaluronic acid - based gels into the deep skin folds, adding volume and smoothing out wrinkles. Brands like Restylane, Juvederm Ultra Plus XC, Juvederm Vollure XC, and Belotero are commonly used.
- Belotero: Offered by Rothaus Plastic Surgery led by Dr. Kenneth Rothaus. It restores the hyaluronic acid that the skin is missing. The treatment takes about 15 to 30 minutes, requires no downtime, and results can last up to six months. It can also be used for vertical lines around the mouth, wrinkles on the chin, and lines at the corners of the mouth.
- Juvederm and Restylane: Skinly Aesthetics MedSpa, where Dr. Schwarzburg specializes in nasolabial fold filler treatments, uses these fillers. Juvederm Vollure has a smooth consistency, balanced elasticity, and longevity up to 18 months. Restylane Refyne offers firmness and flexibility, moving naturally with facial expressions. The procedure at Skinly Aesthetics takes about 30 - 40 minutes, has minimal downtime (3 - 5 days of mild swelling or bruising), and results are visible immediately, with final results appearing within a week. The cost ranges from $800 to $1,500 per syringe, and new patients can get a 20% discount on their first procedure.
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Laser Skin Resurfacing
This treatment uses lasers to remove the outer layer of skin, stimulating collagen production and reducing the appearance of nasolabial folds. It can improve skin texture and tone, but may require some downtime for the skin to heal. However, information from the top Google search results didn't provide detailed providers and ranking for laser skin resurfacing in the context of nasolabial folds, but it's still a common option available at many cosmetic clinics in New York City.
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Microdermabrasion
Microdermabrasion is a non - invasive procedure that exfoliates the outer layer of skin. It can help improve the appearance of nasolabial folds by removing dead skin cells and promoting cell turnover. Similar to laser skin resurfacing, it didn't have in - depth provider information from the references, but it's a well - known treatment offered at many medspas.
Surgical Treatments
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Nasolabial Fold Excision
Recommended for people with severe or heavy nasolabial folds that do not respond well to fillers. Dr. Thomas W. Loeb, a renowned New York plastic surgeon, performs this procedure. Under local anesthesia, it takes about an hour, and the stitches are removed within five to seven days. It may take several weeks for full recovery. This procedure is generally 50 - 75% cheaper than a facelift and less invasive. However, it is not covered by health insurance, but Dr. Loeb's office staff can discuss payment plans and financing options.
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Facelift
- Deep Plane Facelift
Dr. Andrew Jacono is widely regarded as an expert in deep plane facelifts. His deep - plane technique goes deeper than traditional facelifts, lifting the drooping muscles in the cheeks, jowls, and neck without separating the skin from underlying musculature, resulting in a more natural look. He has published scientific studies and lectured around the world. His patients have reported significant improvements in the appearance of nasolabial folds, along with other signs of facial aging. For example, many of his patients have had their fallen cheeks, jowls, and nasolabial folds lifted and smoothed, looking 15 - 20 years younger after the procedure.
- Mid - Facelift and Full Facelift
Dr. William Lao at his boutique practice on 5th Avenue in NYC is experienced in performing these procedures. A mid - facelift or full facelift can improve the soft tissue contour in the midface and cheek areas, and when combined with other procedures, it can address multiple signs of aging, including nasolabial folds. However, it should be noted that a facelift has its limitations in completely eliminating severe nasolabial folds, and sometimes direct incision (like nasolabial fold excision) may also be necessary. The surgery time for a facelift is usually 3 - 6 hours, the cost ranges from $10,000 to $30,000, and most patients return to normal social activities within a month, but it can take up to a year for minor swelling, bruising, tightness, and numbness to subside.
- Deep Plane Facelift
Ranking of Wrinkle - Removing Cosmetic Plastic Surgery for Nasolabial Folds in New York City
Top Non - Surgical Options
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Skinly Aesthetics MedSpa - Dr. Schwarzburg
Dr. Schwarzburg has over a decade of experience and has performed thousands of successful nasolabial fold filler procedures. He uses advanced injection techniques and offers a variety of high - quality fillers like Juvederm and Restylane. His practice also provides complementary treatments for a holistic approach to anti - aging. The personalized care, quick procedure time, minimal downtime, and long - lasting results make it a top choice for non - surgical nasolabial fold treatments. The 20% discount for new patients also adds to its appeal.
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Rothaus Plastic Surgery - Dr. Kenneth Rothaus (Belotero Treatment)
Dr. Rothaus offers Belotero injections for nasolabial fold reduction. The non - surgical nature, no downtime, and long - lasting results (up to six months) of Belotero are attractive features. His practice also provides financing options, making it accessible to a wider range of patients.
Top Surgical Options
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Dr. Andrew Jacono
Dr. Jacono is a pioneer in facial plastic surgery, especially known for his deep plane facelift technique. His innovative approach, artistic vision, and exceptional results have earned him a reputation as one of the best facelift surgeons in New York City and even the world. Many of his patients have had dramatic and natural - looking improvements in their nasolabial folds and overall facial appearance, as evidenced by numerous before - and - after photos.
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Dr. Thomas W. Loeb
Dr. Loeb is an expert in nasolabial fold excision. His skillful technique and careful incision placement within the natural crease line ensure excellent healing of the incisions. He provides personalized consultations, showing patients before - and - after photos to set realistic expectations. His procedure is a cost - effective and less invasive option for those with severe nasolabial folds.
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Dr. William Lao
Dr. Lao has over a decade of experience performing facial plastic surgeries, including facelifts. He has won multiple top doctor awards and is a member of several professional organizations. His understanding of both eastern and western aesthetic ideals allows him to customize procedures for patients from diverse backgrounds. While his facelift has some limitations in completely eradicating severe nasolabial folds, it is still an effective option for overall facial rejuvenation and improvement of nasolabial fold appearance.
Cost Comparison
Treatment | Cost Range | Notes |
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Dermal Fillers (Skinly Aesthetics) | $800 - $1,500 per syringe (20% discount for new patients) | Results last 9 - 18 months |
Belotero (Rothaus Plastic Surgery) | Discussed based on amount of product needed after consultation, financing available | Results last up to 6 months |
Nasolabial Fold Excision (Dr. Thomas W. Loeb) | Varies (50 - 75% cheaper than a facelift), no insurance coverage, payment plans available | Long - lasting results |
Facelift (Dr. William Lao) | $10,000 - $30,000 | Results last 5 - 10 years |
Conclusion
In 2025, New York City offers a wide array of options for wrinkle - removing cosmetic plastic surgery for nasolabial folds. Non - surgical treatments like dermal fillers provide quick and minimally invasive solutions, while surgical procedures such as nasolabial fold excision and facelifts offer more long - lasting and dramatic results. When choosing a treatment, it's important to consider factors such as the severity of your nasolabial folds, your budget, the recovery time, and your desired outcome. By consulting with a qualified and experienced plastic surgeon, you can make an informed decision and achieve the youthful appearance you desire.
Take the first step towards reducing your nasolabial folds by scheduling a consultation with one of the top surgeons mentioned in this article. Whether you choose a non - surgical or surgical option, you'll be on your way to a more confident and rejuvenated self.