the skin folds between the corners of the nose & mouth. The current methods of treating nasolabial folds include free fat grafts, placement of human collagen sheets (Alloderm), placement of Softform goretex tube, Radiesse injection & mid-face lifting. Each has its own advantages & disadvantages. With Alloderm or free fat grafts there is a very short recovery time with little or no bruising or swelling & only antibiotics are required should an infection arise. Fat grafts have variable & unpredictable amounts of resorption so that as many as 3 to 6 injections may be required to achieve a desired result. The disadvantages of Alloderm are cost & permanence cannot be guaranteed. So far we know Alloderm lasts at least 2 or 3 years. The Softform only affects mild to moderate depth folds because the tube is only 3mm in diameter. For more severe folds this 3mm does not have a very visible affect. Additionally, should an infection arise the Softform must be removed & antibiotics taken. Despite these minor disadvantages I have had many happy patients who have had Softform placed in the nasolabial folds. Mid-face lifting is a more involved approach which treats the cause of the folds rather than just trying to cover them up. The cause is loosening of some skin attachments to the underlying tissues & downward shifting of cheek fat which then hangs over the crease (another attachment that does not loosen) creating a deeper fold. This approach not only decreases fold depth but also resuspends the cheek fat. The disadvantages are the need for general anesthesia, a longer downtime/recovery time & cost.