50 y/o male who sought correction of deep nasolabial folds. This degree of fold will not respond well to fillers alone, due to the severe adherence of the underside of the skin fold to the deep tissues. Instead, the folds were released using a Surgiwire performed through a needle hole in the skin. No incisions were made. The folds were then filled with one syringe of Juvederm Ultra-Plus on each side. Results shown two years after treatment.