Botox: Q&A
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Can Botox Get Rid of Marionette Lines, Mouth and Chin Lines, and Wrinkles?
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12 Doctor Answers |
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laurasays
in 84737`
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Fillers are meant for the marionette lines
Fillers like Juvederm and Restylane are best for the marionette lines. These are hyaluronic acid fillers that can make the smile lines or lines of the mouth look much better. They "fill in" these lines so that the wrinkles and lines are smoother and much less pronounced. Botox is not meant for the marionette lines and would cause your face to droop.
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Botox for Marionette, Mouth, and Chin Lines and Wrinkles?
Botox placed in this area is an "off label" use. Having said some injectors will place Botox in these areas. Most often, patients may benefit from Botox placed in the DAO muscle. Usually we will use a filler in the areas that you are talking about. Please seek out an experienced and well trained injector.
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Botox for not good for marionette lines
Based on your photo, we would not be using any Botox for you. The only time we use Botox for the lower face is when we think it would benefit a patient for smoker's lines. We often use a combination of Restylane and a few units of Botox in the upper lip to get rid of smoker's lines, but it does not appear these are an issue for you.
It does appear that you have lost a little volume in the nasolabial (smile or laugh) lines on the sides of the nose and mouth and...
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Fillers are better for lower facial lines or wrinkles
Rule of thumb, any lines on the lower portion of the face should be filled with fillers such as Restylane, Juvederm, Radiesse, etc. Tiny doses of Botox can be used in those areas as well, but a filler will really give you the look you want. Botox relaxes the muscle, so is much more utilized for the upper portion of the face.
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Helps but Fillers Help More
Botox can be injected into the DAO (Depressor Anguli Oris) muscles to augment the response obtained by fillers. The number of units depends on the proclivity of your physician. I prefer 3-4 units. As stated by my colleagues answering this question, fillers are the mainstay of treatment in this area, while they play second fiddle on the upper face.
Botox can also be judiciously into the circumoral lines ( smoker's lines); 1-2 units in four areas (two upper llip and two lower lip)....
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Botox and Fillers
Botox works well by paralyzing the muscle of facial expression like the muscles that cause the lines in the forehead, the glabella (area between the eyebrows) and the lines around the eyes (crowsfeet).
Fillers like restylane and other HA work by filling in the area around the folds and filling in the furrows. These products work well in the nasolabial fold, the marionette and the jowl area.
Hope that helps.
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Botox for lower facial lines
Botox is most effective for the forehead and smile lines around the eyes. Botox works by weakening the muscles that cause those lines. For example, it can lessen your ability to scowl or frown. It can also make it when you smile that the crow's feet are less obvious. For the lower face, it can soften a marionette line by weakening the muscles that pull the lip downward. It can do the same for the chin lines. However, generally speaking the actual wrinkles are still there and usually require...
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Botox not the best option
I would prefer to use volume enhancing tools vis a vis Radiesse and Juvederm to treat fine lines, volume deficits, and deep creases in the area around the mouth. Botox can be used effectively to the DAO muscle which acts to pull down the corner of the mouth, but must be done with caution due to the potential for interference with oral function.
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It is one of several "tools"
I like Botox to complement the action of fillers in this area. Botox will help lift the mouth corners and decrease lipstick lines, but usually fillers are needed to hit the home run.
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Dynamic versus stationary lines
Botox relaxes the muscles and works very well on lines that appear in motion. Botox does not fill. The upper face is classic since most expression and fine musculature exist in that area. Botox however can be used in the lower face for the lines around the mouth, to lift the tip of the nose and to correct certain smiles.
Fillers do as they say and fill any given area and are especially useful in patients whose lines appear even at rest, such as the line that connect the side of the nose to...
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