Can Botox Get Rid of Marionette Lines, Mouth and Chin Lines, and Wrinkles?

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.

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.

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).... more

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.

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... more

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.

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.

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... more

Botox will relax muscles and thereby smooth the active wrinkles they cause. Small doses of Botox may be placed along the upper and lower lip to smooth the "Smoker's lines" - larger doses may be placed in the muscles that pull the corners of the mouth down and raise them to a more attractive position. But - the mainstay of cosmetic correction here would be fillers, especially the thicker kind (such as Perlane) placed deeper and either Juvederm or Restylane placed more... more

As a general rule, Botox works best for lines in the upper face while fillers are best for lines in the lower face. Botox relaxes muscles and this can cause problems when treating around the mouth such asymmetry when smiling. Fillers such as Restylane, Perlane, Evolence, Radiesse are injected directly into wrinkles to minimize their depth. Depending on the filler that is used, improvement can be seen for 6 to 12 months. The procedure has minimal discomfort and can be performed in about... more