Fat Transfer for Marionette Lines?

I have deep marionette lines and am considering Fat Transfer. What is the cost range?

Doctor Answers (5)

Fat not the best choice for lines



Fat can be injected into folds but it won’t last very long.  If you are interested in a long-term filer option you may want to consider ArteFill

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Fat transfer


Physicians may peform fat injections by harvesting fat each session and performing this a few times in a year. Others harvest and store the fat and use thawed fat on repeat visits. The costs per treatment vary because of this. Each physician charges differently.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Fat transfer for marionette lines


 Please watch Dr. Lam's nice video discussion from a scientific meeting.  Realize that fat grafting is not for fine line correction but for deeper volume enhancemnt.  As such, some of the injectable fillers may really work better in this area.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

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Marionette Lines, a Difficult Area to Correct


Hi Anonx,

I fully agree with Dr. Lam, a true pioneer and excellent fat transfer facial plastic surgeon. I have been recently very impressed with the results of Sculptra (when properly used) in the lower lateral chin area. Again, the filler is used as a volume contouring agent, not as a line filler.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Fat Transfer for Lines won't Work in my opinion



thanks for the question. i do a fat transfer about every other day and have written 2 books on the subject. i know a ton of surgeons do fat for marionette lines but they fail consistently in my opinion. fat is intended to cover bone and soften facial transitions so that people look a ton better but fat is too soft to augment lines with any certainty of a durable result. i know my answer goes against the grain but i truly believe that fat is not the best option for those lines. plus if you overfill those lines, you can have a bulgy result. fat actually is a real graft and can grow and shape over time. that is why when i do fat, i blend it into all the facial zones that require it so that the long-term result is safe.

here is a video on the subject that i just gave 2 weeks ago in San Diego at the annual American Academy of Facial Plastic Surgery. I gave 2 lectures on fat transfer and was course director for a fat course there too.



Samuel Lam, MD
Dallas Facial Plastic Surgeon
4.5 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.