It would be interesting to see your face in repose- with no facial expression- to get a sense of the depth of your Marionette lines, and to see if you have a pre-jowl sulcus.
A fine marionette line can be filled with virtually any filler. I'm favoring Evolence for this application because of its ease of injection and longevity.
If you do have a pre-jowl sulcus- this tends to deepen the appearance of a marionette line, in my opinion. In patients with both problems- I will treat the pre-jowl sulcus with Juvederm or Evolence (about the same price, roughly), and then treat the marionette line with whatever product the patient is interested in. I think the sulcus needs to be treated with something more substantial than just Restylane.
Most Kindly,
Scott Sattler MD FACS
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