Are my marionette lines a result of volume loss in cheeks? (Photo)
Doctor Answers (5)
Marionette lines are from loss of dental support!
1) One is the shape of the lips themselves, and, i
2)the importance of the support provided to the lower third of the face by dentition,grinding and also
These are all features which require restoration.
Not only injection of the lips themselves but also on volumetric
restoration of the lower third of the face. The lips
should be full and well defined. They should be injected
without blunting the edge of the vermilion border of the
lips or unnatural fullness above the lips. A physician must
also focus on the restoration of the ends of the lips, as well
as the building of buttresses at these ends to restore height
to the lower third of the face, correcting the labiomandibular
grooves and oral commissure. Although dermatologic
and esthetic journals deal with substances for
implantation, these journals do not, in themselves, hold
information regarding the proper goal of lip enhancement.
Instead, the answer is found in the dental literature, in
which many articles have addressed the proper height,
size, and location of the lips as produced by dental restoration.
With the patient in the sitting position, the lips
should be parallel to a line drawn between the pupils of
the eyes. In regard to spatial location, the upper lip should
be 18 to 20 mm from the nose and the lower lip should be
36 to 40 mm from the chin. As the dental support is lost over time the lips move farther from your lips with the visual concept your nose is getting larger. The concept of this loss of dental support is commonly referred to as "Long on the Tooth!
Marionette lines at 18 years old
correct this feature, the less problem you will have as you age into your 20's, 30's, 40's and beyond.
Hyaluronic Acids such as Juvederm or Restylane can be effectively placed in the corners of the mouth to
create lift. Additionally, Radiesse can be used with great results. Also, Botox can be injected into the muscle
which causes the mouth to pull down. Things to remember, Botox will last about 4 months, Radiesse 7 months
to a year, and Juvederm or Restylane 7 months. Weigh your options and your pocket book.
Probably not volume loss (yet!)
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Marionette lines in an 18yo