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Can Botox Be Used to Correct Marionette Lines? Is That Possible?
asked 1 year ago by Rosie51 in UK
Latest answer by Lawrence Kass, MD
Question viewed 1,578 times
Tags: marionette lines, female
What's best for marionette lines? botox or fillers? I've heard a small amount of botox can be injected to correct marionette lines, is that true? If so, how about the tight feel it leaves? Is it safe? I had botox in between my eyebrows and crow's feet.I even like that tight feel it brings, but around the mouth area I feel it might be a different story. My doctor said I dont' need any correction to marionette lines, but suggested a small amount of botox there if I really insisted.
33 answers to Can Botox Be Used to Correct Marionette Lines? Is That Possible?
+3
Botox is usually worthless for marionette lines.
You usually need fillers for marionette lines. Radiesse for $630/ syr or Restylane/juvederm $550/ syr is the usual choice. Don't waste your money on botox in this area.
+2
Is Botox Suggested for Marionette Lines?
Hi Rosie. We do at times use Botox in the chin area, but not specifically for marionette lines. We use Botox to relax the mentalis, which is the chin muscle that can cause a condition called "pebble chin". This constant flexing of the chin muscle can cause the chin to look mottled or bumpy almost as if acne scars are present when they are not. But I digress....
We use Restylane, Juvederm, Perlane or Radiesse in the lower face. We do not use Botox fo
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+2
Botox for marionette lines
Very good question. It depends on the severity of volume loss. If you are extremely mild and have a strong pull downward from the DAO muscle, then I would recommend injecting a small amount to each DAO muscle. A consultation would be your best bet. I do on occasion use botox in conjunction with fillers. The purpose of fillers is to replace volume so if you have significant volume loss, botox is not your best option at this time.
David V. Poole, MD
Orlando Plastic Surgeon
Orlando Plastic Surgeon
+2
Botox can be used to soften Marionette lines
Botox can be used to soften Marionette lines around the mouth. The danger is that if not properly injected it can alter the shape of one's lips and one's smile.
Edward Lack, MD
Chicago Dermatologist
Chicago Dermatologist
+2
Marionette lines: Botox vs Filler
Your best bet would be to use a filler since Botox only block muscle movement.
Depending on how significant your marionette lines are, a Hyaluronidase acid filler (Juvederm or Restylane), fat or more long acting filler (ArteFill) could be used.
Karol A. Gutowski, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+2
Botox can be part of the fix for marionette lines.
Botox can help some of the downward pull on the corners of the mouth, but it will not really soften very deep folds in that area. This is a very individual placement issue that has more to do with how you hold your face at rest and during expression. Sometimes the best treatment is a combination of some Botox with the proper amount of filler also placed in the area to soften the folds and lift a downward turn on the corners of the mouth.
+2
Botox for marionette lines
Typically, we use fillers (Restylane, Perlane, Juvederm, Radiesse) to correct or improve the marionette lines but in some patients it can also be a benefit to inject the DAO (depressor anguli oris) muscles and the chin. When the DAO muscles are working to much it can draw the corners of the mouth down, making patients look unhappy. So, for some, the combination is actually the best approach.
+2
Alternatives to Botox Treatment for Marionette Lines
Thanks for the question.
Marionette lines are best treated with injectable fillers such as Juvederm Ultra or Radiesse. While Botox Cosmetic is commonly injected in the DAO (depressor anguli oris) to help raise the corners of the mouth (commisural ptosis), volume is needed to correct the actual marionette line.
Warmest Regards,
Glenn Vallecillos, M.D., F.A.C.S.
+2
Combination Therapy - Dermal Filler and Botox
Marionette lines are facial lines that extend down from the corners of the mouth. As they deepen, they can start to form a grimacing expression, even though you are not intentionally producing it. They are caused by a loss of soft tissue and support structures under the skin (which occurs naturally with age), and thereby causes the overlying skin to sag and accentuate the lines. As this is an issue primarily of volume loss, the recommended treatment is dermal fillers (such as Juvederm or...
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Frances Jang, MD
Vancouver Dermatologic Surgeon
Vancouver Dermatologic Surgeon
+2
Botox is not the best treatment for marionette lines
Botox is used to relax the muscles that "fold" the skin, creating a "dynamic wrinkle" over time. The muscles that are partly responsible for causing the marionette lines are the "smile" muscles, and paralyzing those would not be a desirable look. If the corners of the mouth "turn down" when smiling, then a small amount of Botox at the jawline area, (in the Depressor Anguli Oris muscle), can decrease this effect. The other contributing factor to...
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Debra Irizarry, MD
Crestone Plastic Surgeon
Crestone Plastic Surgeon
+2
Botox for marionnette lines
Botox is very effective for wrinkles on the upper part of the face, forehead, frown lines (between the brows) and crow's feet. These lines are due to repeated muscular movement and are known as dynamic wrinkles. The lower face wrinkles, such as the marionnette lines (lines radiating from the lateral corners of the mouth towards the chin) are better treated with fillers to replace volume. Occasionally, a tiny amount of botox can be used in the depressor angularis oris...
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Radha Mikkilineni, MD
Washington Dermatologist
Washington Dermatologist
+2
Botox not the preferred treatment for marionette lines
Marionette lines refer to lines that are visible from the corners of the mouth, down towards the jaw line on either side of the chin. This is caused by a fold of cheek skin folding over around the mouth and usually this results from loss of fullness in the cheeks, or decreased skin elasticity, or both.
Botox can help turn up the corners of the mouth, but it will not get rid of marionette lines. If you just have a tiny line of a centimeter or so turning down from the corners of the mouth,...
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Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
Beverly Hills Oculoplastic Surgeon
+2
Marionette lines
In general, fillers are best used to treat Marionette lines and to turn up the corners of the mouth. Botox can turn the corners up as well, but without examining you, it's impossible to say what procedure or treatment would be recommended for you. However, if your doctor is telling you that you don't need any treatment of your marionette lines, you should take that into consideration. If what you are seeking is a "tight feeling" neither botox or...
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Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
Botox for Marionette Lines?
I have heard Botox used for this and have tried it in a handful of patients. I have not seen much improvement. Fillers are better here.
+1
Botox Cosmetic for marionette lines
Marionette lines are formed by a combination of a loss of facial volume, normal skin aging, and the presence of deep retaining ligaments attached to the skin. There are surgical and non-surgical methods of treatment. In regards to non-surgical methods, they are best treated with dermal fillers which can restore volume and also elevate deep folds. Botox Cosmetic can be useful when the corners of the mouth are downturned secondary to...
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+1
Botox for marionette lines
I would listen to your doctor's opinion and give the Botox a try if you like. As you're probably aware, Botox lasts on average 3 to 4 months so if you don't like it, it will resolve on its own over time. In many patients the Botox can create a nice upward tilt to the corner of the mouth which acts to diminish the look of an "angry" mouth and also marionette lines.
Deason Dunagan, MD
Huntsville Plastic Surgeon
Huntsville Plastic Surgeon
+1
Correction of marionette lines
To correct your marionette lines, you will likely benefit from fillers or fat micrografting (fat injections). Botox will not be the best option for that specific area.
+1
Correction of Marionette Lines
I would suggest a filler material for correction of marionette lines. These lines are "static" wrinkles, meaning they are caused by gravity and volume loss. "Static Wrinkles" require volume enhancement with a filler substance such as an artificial hyaluronic acid filler like Restylane or Juvederm, or a more permanent filler like fat. "Dynamic Wrinkles" those that are caused by muscle motion, such as the crow's feet or 11 lines between the...
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Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
Philadelphia Facial Plastic Surgeon
+1
Nice Correction of Puppet (Marionettem, Drool) Lines with Filler and Botox
Regarding: "Can Botox Be Used to Correct Marionette Lines? Is That Possible?
What's best for marionette lines? botox or fillers? I've heard a small amount of botox can be injected to correct marionette lines, is that true? If so, how about the tight feel it leaves? Is it safe? I had botox in between my eyebrows and crow's feet.I even like that tight feel it brings, but around the mouth area I feel it might be a different story. My doctor said I dont' need any...
more
+1
Botox is not for marionette lines, fillers work better
Fillers are used to replace volume and help improve the marionette lines between the corners of the mouth and chin. Botox doesn't help these lines, but does help lift up the corner of the mouth if it has started to droop. The Botox is injected in the vicinity of the depressor anguli oris (DAO) muscle near the jaw for that purpose. Injecting Botox near the marionette lines may give you a distortion of the mouth temporarily.
+1
Botox can reduce the appearance of marionette lines
In some patients, Botox can reduce the appearance of marionette lines. Fillers like Restylane, Perlane, or Juvederm can be used as well. Often times I will use Botox in combination with a filler to get the best result. Injecting Botox is this area is tricky and you can have complications which can be temporarily disfiguring so be sure to go to dermatologist or plastic surgeon that has a lot of experience with injectables. Take care, Dr. Groff
William Groff, DO
San Diego Dermatologist
San Diego Dermatologist
+1
Marrionette lines
Both fillers and botox can be used here to correct the down corners of the mouth and marrionette lines. The neurotoxin paralyses the muscles that are pulling the mouth down and the filler pushes the corners of the mouth back up. In the hands of your injecting physician you should get the results you seek.
Purvisha Patel, MD
Germantown Dermatologist
Germantown Dermatologist
+1
Marionette lines
Hello,
Filler is more common for the Marionette lines. Botulinum toxin paralyzes muscles and one small muscle doesn't cause the lines there. It is more an interface between gravity and the tissue there.
Best Regards,
John Di Saia MD
+1
Fillers not botox for marionette lines
Marionette lines are not caused by muscle contraction, therefore botox will not be effective in treating them.
Marionette lines are caused by loss of soft tissue and sometimes of bone both in the lower and middle face. That loss of underlying support structure causes drooping of the skin. That is best treated with dermal fillers.
+1
Fillers best for Marionettes but a little Botox can help too
Hi Rosie. Fillers such as Juvederm or Perlane are the most effective way to correct marionettes. However a little Botox in the associated muscles (DAOs) can give some improvement to the area. Be cautious though, injecting the DAOs is considered advanced and should only be performed by a very experienced physician.
Julia Carroll, MD
Toronto Dermatologist
Toronto Dermatologist
+1
Marionette Lines and the use of Botox.
The most effective way to treat marionette lines is the use of a dermal filler like Juvederm or Radiesse. I have been very successful in adding Botox to the muscle the pulls on the corner of the lip (the depressor angularis oris). Done well, the combination of dermal filler and Botox corrects marionette lines beautifully.
Anifat Balogun, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+1
Botox is not for Marionette lines.
You may have learned by now that the Marionette lines is the lay term for the line or groove that goes from the mouth corner down to the jaw border. This is caused by thinning of the tissue layers, loss of tissue tone and deflation of the tissue thickness. the result is sinking and sagging of the lower cheek tissues that slide along this crease. Fillers and skin tightening with or without surgery is recommended.
Botox temporarily relaxes muscles and would be a primary treatment for these...
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Mathew C. Mosher, MD
Vancouver Plastic Surgeon
Vancouver Plastic Surgeon
+1
Botox for Marionette Lines
Botox and Dysport are mainly used for the upper face from the eyes up. In the lower face it can be used to weaken the DAO (depressor anguli oris) muscle which prevents down turning of the corners of the mouth which can give a frowning appearance. This may, in a small way, lessen the marionette lines. I use a hyalurinic acid filler such as Juvederm or Restylane for superficial marionette lines and Radiesse for deeper lines in this area.
+1
Botox and Restylane for marionette lines
In general I prefer fillers such as Restylane, Juvederm, or Radiesse to fill in marionette lines. I do agree with the other posts, however, that Botox or Dysport may also help to reduce these lines by injecting the depressor anguli oris muscle. Usually only a few units of Botox or Dysport are required in this area to help with downturning mouth corners which in turn makes the marionette lines less severe. Patient satisfaction is usually quite high with this procedure....
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+1
Marionette lines
Marionetter lines are those lines on the side of the face from the oral commissure down to the side of the chin and jowl region. These are best treated with fillers or a face lift.
+1
Injectable Fillers, not Botox, would be best for improving marionette grooves and wrinkles.
Since Botox works by locally paralyzing your muscles that make a particular wrinkle, this would not be a good idea for your marionette lines that are not due to excessive muscular activity. Injectable fillers work well for improving the appearance of many wrinkles around your mouth. My personal preference is to use Silikon-1000, an off-label filler, for permanent results.
All the best from NJ.
+1
Marionette lines: Botulinum toxin (Dysport or Botox) and Fillers
Marionette (labiomandibular) lines are best treated with fillers or a a facelift. Occasionally, botulinum toxin can be used in the Depressor annguli oris to limit downturning of the corner of the mouth which can make the marionette lines appear more prominent.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Treating marionette lines
The primary treatment is with fillers, but a tiny bit of Botox in the muscle that turns the corner of the mouth down can possibly help too.
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