What Can I Do About Lines Coming Down from Each Side of my Mouth?
asked 1 year ago by Mobile3658 in Mobile, AL
Latest answer by Brian Maloney, MD
Question viewed 2,130 times
Tags: marionette lines, mouth, female
I look like a puppet and hate them, what can I do do remove them permanently. and how much will it cost. I'm 69 years old but look 50 (so I'm told).
6 answers to What Can I Do About Lines Coming Down from Each Side of my Mouth?
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Treating puppet (marionette) lines
To get the very best and most effective treatment of marionette lines, we take a multipronged approach, and perform each procedure to the maximal degree without inducing artifact or a done look.
1. Place fat-fascial grafts into the lines (LiveFill)
2. Augment the lips, particularly the corners of the lips (LiveFIll)
3. Divide the DAO (depressor anguli oris) muscle tethering the corner of the mouth down into a frown
4. Perform a volume sparing and...
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Treatment for the down turning corner of the mouth
I refer to this area as the maintenance area of the face. It is caused by several factors;
The vertical height of the teeth shorten as we age
The cheek tissues relax
We lose tissue from years of the muscles working as we chew, frown, grind or clench our teeth.
The skin begins to thin revealing the underlying structures
Treatments will vary depending on the degree of each of these above components.
Botox to the small muscle that pulls the corner down...
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Brian Maloney, MD
Atlanta Facial Plastic Surgeon
Atlanta Facial Plastic Surgeon
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Sagging around mouth and jaw
The facial skin is attached to deeper structures via ligaments. As we age facial expression movements create creases or lines and together with gravity stretch the skin which sags. At the attachement points of these ligaments deeper folds appear like the marionette lines and nasolabial folds. The best way to treat these is some combination of excess skin removal by surgery, skin shrinkage by laser and filler injection. Which modality or combination of modalities is best varies from...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
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Best way to Smooth Puppet (Marionette, Drool) Lines
Regarding: "What Can I Do About Lines Coming Down from Each Side of my Mouth?
I look like a puppet and hate them, what can I do do remove them permanently. and how much will it cost. I'm 69 years old but look 50 (so I'm told)."
The lines you are referring to as Puppet Lines are also called Marionette (French string puppet) or Drool lines. These lines are caused by a sagging of the cheek which also causes a deepening of the nose to corner of mouth (Nasolabial fold)...
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+1
Marionette lines
I think that you are talking about marioinette lines and these lines can be treated with fillers and a facelift. The facelift will get rid of most of the problem in most cases.
+1
Injectable Fillers work well for marionette grooves.
I read your concern: In my practice, I will favor a non-surgical approach whenever feasible. You can have your marionette grooves filled with little or no downtime. I prefer Silikon-1000, an off-label filler, for permanent results. In my practice, the fee for a marionette-groove treatment with Silikon-1000 is $750.
I've attached a link to a photo from my RealSelf gallery demonstrating rejuvenation of the marionette grooves in one of my patients.
All the best from NJ...
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