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Permanent Solution for Marionette Lines, Drooping Cheeks and Jawline?

asked 2 years ago by noreaster in MA
Latest answer by Lisa L. Sowder, MD
Question viewed 5,475 times
Tags: age 35-44, cheeks, jaw line, marionette lines, mouth, under eyes, droopy, sagging

I'm 35 and am interested in addressing my mid/lower cheek and jawline/mouth areas for droopiness. I've had a downturned mouth with slight marionette lines my whole life. Now that I'm older, I now have deep under eye hollows and more sagging in the mid-face cheek/jawline areas.

I like the results I see from the liquid face lift photos, but are there any other procedures that would be a more permanent solution such as a mini-lift or cheek lift?

17 answers to Permanent Solution for Marionette Lines, Drooping Cheeks and Jawline?

Marionette lines

You said you had these lines for sometime now, which means they are hereditary. If you want a LONG TERM solution then consider a face lift even though you are only 35 years. The results now will be better than waiting 10 years when the lines are so deep that it becomes very difficult to repair.

Samir Shureih, MD
Baltimore Plastic Surgeon

Solution for mationette lines, drooping cheeks and jawline.

The mini lift or cheek lift could work but has to be designed for your specific anatomy based on your surgeon's evaluation in conjunction with your own desires. Surgery is a more long-lasting solution, but in many of my patients in your age group of 30-35, the preference tends to be for liquid face lifts or the use of Botox and fillers rather than surgery. Some facial types age more quickly. A consultation with a reputable surgeon could give you better insight into making the decision... more

Deason Dunagan, MD
Huntsville Plastic Surgeon

Permanent solution for jowls and marionette lines.

Surgery is the longest lasting result, but you continue to age over the next 40 years. It will give the best result but is also the most costly. Fillers are cheaper and can give you up to 18 months improvement. See an experienced facelift surgeon that is not trying to sell you one treatment and get the advantages and disadvantages of ech.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Long Lasting Solution for deep under eye hollows, sagging mid-face cheek/jawline areas

Vertical Mid Face Lift. The procedure will lift the sagging cheek and in the process correct jowling, smooth the nose to corner of mouth (Nasolabial) folds, fill the cheeks and cover the tear trough lines. It will last many years and can be combined with other procedures as well. Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Fillers vs facelift

At 35, you would generally be a bit young for surgery and your genetics may be showing you that aging will be more challenging for you than for others. It sounds like you need volume, so fillers will be critical forever in your life. Surgery will help, but won't ever eliminate your need for fillers.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Permanent solution for marionette lines, drooping cheeks and jawline?

Hi Noreaster, At only 35 years old, it sounds as if you have lost quite a bit of facial volume already. Certainly, a surgical procedure would be the most permanent and lasting measure to address some of your concerns. If you like the appearance of "liquid facelifts", fat transfer is the most permanent of filling agents. Sculptra is a collagen stimulator. Many patients treated with a series of Sculptra injections to "complete correction" have lasting results for 2 to 3... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Drooping cheek and jowl lines

Hi, It is very difficult to assess your concerns without seeing your face. However, it sounds like you may benefit from a mid-face lift and a miniface lift. The hollowness under your eyes is another story. I don't think a midface lift will help there. You may have to have a filler such as fat for permanent correction. The midfacelift will address your drooping cheeks and the minilift will address your jowls. Best, Dr. S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Midface lift

It sounds like some of your facial features are familial. There are young folks out there with deep nasolabial folds, marrionette lines and tear troughs. I think a midface lift could pull all of that sagging up and help a lot with your appearance. The midface lift is all about raising the tissues, not making them tighter. I think it is a good procedure for certain patients with your issues. Fillers are wonderful but the actual lift they provide is limited... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Lift and cheek implants can help drooping cheeks

A mini lift or cheeklift would be helpful to augment the cheek area and address sagginess in the cheek area. It helps minimally with the marionette lines and droopy cheeks. It does not help with the jawline. An additional consideration would be cheek augmentation, which is the insertion of small Silastic implants over the maxilla through the intraoral route to augment the cheek area. They can be placed higher up in the malar area or down lower in the submalar area wherever the... more

William Portuese, MD
Seattle Facial Plastic Surgeon

Permanent Solution for Facial Aging

There is no permanent solution for facial aging. Whatever is done, you will continue to age. Surgery, if indicated, will give you the longest lasting results. The liquid facelift technique is easier for you and usually less expensive, but will not last as long. Unable to see pictures, I recommend you have a consultation and discuss the severity of your problem, your goals, and the advantages and disadvantages of each approach.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Facial aging solutions

There is really no such thing as a permanent solution when it comes to facial aging. Maintenance of a youthful, yet natural appearance is an ongoing process. Many individuals in their mid to late thirties begin to address issues such as facial hollows and lines by using fillers, such as Restylane, Perlane, and Juvederm. These products not only help replace lost volume, but also serve to stimulate collagen production as well. At the same time, the skin surface should not be neglected. It... more

Pamela B. Rosen, MD
Coral Springs Plastic Surgeon

Liquid Facelift with Sculptra may be best solution for sagging cheeks, jawlines and marionette lines

As a young 35 years old, you should aim to postpone need for full facelift. Where there is no permanent solution, or rather permanent fillers are not advisable, period, because you want fillers to evolve as you mature and not protrude out when your facial contour changes ever so subtlely. Best long-term solution may be Sculptra, whose longevity may be 2 to 2 and 1/2 years, restoring volume to your upper cheeks, eyebrows, temples, that can provide subtle but effective lift to help you better... more

William Ting, MD
Bay Area Dermatologic Surgeon

Solution for marionette lines, drooping cheeks and jawline

The skin and soft tissues of the face and neck will always age or relax with time. Better procedures will give a long lasting result that will improve appearance for a greater number of years. However, the aging process continues and the skin and soft tissues of the face and neck will relax necessitating additional procedures in the future. Fillers are wonderful for creases and depressions including the marionette lines. There are long lasting and permanent fillers present but they will... more

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Solutions for jowls and facial lines

With a mini-face lift, only the lower face, from cheek to chin, is lifted, which effectively eliminates jowls and redefines the cheekbones. The mini-lift is often accompanied by a neck lift, which removes fat from below the chin and tightens the neck's platysma muscles, all through a tiny incision under the chin. The best candidates for the mini-lift are those who are unhappy with the contour of their lower face and neck, and whose skin has good resiliency. It's also an ideal procedure for a... more

Michelle Copeland, MD, DMD
New York Plastic Surgeon

Only temporary solution for marionette lines, drooping cheeks and jawline

The time your solutions lasts is at least a year or more doing a combination of fillers and facial surgery. We can only offer a temporary solution NOT a PERMANENT one. Photos would have helped but since there are non provided go see 3 boarded surgeons. Regards!

Darryl J. Blinski, MD
Miami Plastic Surgeon

Marionette lines and jowls

Without a photo or face to face examination no physician can truthfully say what would be best in your case. Given the lack of such specific information I can only say that mild marionette lines can be treated with injectable fillers (liquid whatever you want to call it) more severe marionette lines require your old fashioned run of the mill incision around the ear facelift. In my experience few 35 year olds have such a severe marionette line and most likely fillers would be better for you.... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Permanent fillers for marionette lines

There is no great permanent facial filler. Certainly the hyaluronic acids can give great results but they are not permanent. Plastic surgeons are reluctant to use silicone because of the bad complications that was experience over the years with this permanent product. Autologous fat can be permanent but the "take" is not 100%.