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Would You Recommend Botox for Marionette Folds That Are Starting to Show in Your Early 30s? (photo)
Is radiofrequency enough to treat skin tightening at this point? would you recommend fillers on the lips?
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13 Doctor Answers |
Asked by
lily in ny
+3
Botox is not for Marionette Lines
In fact, stay away from use of Botox in that area unless your goal is an asymmetric smile, drooling and speech impediment.
Consult a board certified plastic surgeon for appropriate choice of filler or volume restoration. If a doctor has suggested Botox in that area, the wise choice is not to call his/her office again.
+2
Filler is best used for nasolabial folds
Soft tissue filler (e.g. Juvederm, Restylane, Radiesse) is best used for naso-labial folds, whereas Botox works best for upper face/forehead wrinkles
+2
Marionette Lines - Botox vs Filler
Your photo shows not marionette lines but nasolabial (melolabial) folds. A filler should take care of this nicely. There are many fillers on the market. I would use the one that your physician is most comfortable with.
If you did have marionette lines, Botox could be used assuming that your physician is experienced. However, a filler would still provide better and more reliable results.
Austin Dermatologic Surgeon
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Botox in Marionette Lines is a Bad Idea!
No, please don't do this. I see more problems with people getting Botox in this area! I have had patients come into my office after being treated with Botox in other offices in this area, and they are drooling, having trouble speaking and eating, etc. It's NOT a good idea, especially for a first time person. Botox paralyzes muscles - it does not fill them in. Seek a board-certified dermatologist or plastic surgeon for an evaluation. Even though I like Radiesse as a product too, I don't...
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+1
Botox is not a treatment to improve marionette lines
The photograph displayed shows smile crease, or meilolabial (also referred to as nasolabial ) folds, not marionette lines. Marionette lines are the creases that form from the corners of the mouth to the lower outer chin at the jaw. Botox has been used off-label to soften the smile folds but it can alter the normal anatomy of the mouth too much. The upper lip might not raise up with smiling and it may be hard to speak certain letters and eat correctly. Even brushing ones teeth could be...
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+1
Botox Could Be Used For Marionette Lines- Filler Too
The conversation so far has been interesting with many very different responses. While Botox to the muscles right around the marionette lines can cause problems such as drooling and an asymmetric smile, Botox into the Depressor Anguli Oris ( the injection is near the bottom of the jaw- far away from the lines themselves) will cause the corners of the mouth to lift slightly without worrying about the above mentioned problems. While you could then wait and see how much you like the results...
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Would You Recommend Botox for Marionette Folds That Are Starting to Show in Your Early 30s?
I have used a small amount of Botox to weaken the depressor muscles within the Marrionette lines combined with Perlane injections to fill in the folds.
+1
Botox first, Radiesse second
I agree with Dr. Glavey. I would try Botox first for treating the anguli oris muscles, it will probably give you enough improvement. You can always do a filler if it doesn't work well enough for you, but it is significantly cheaper to do Botox. As you age the Marionette lines will likely become deeper and at some point you will have to use a filler, such as Radiesse, to adequately correct.
+1
Nasal Labial Folds
Hello, in reviewing your photo I would suggest that you use Radiesse instead of Botox. I am certain you will get a better correction. Botox will lift the area a little but will not fill the lines from your nose to mouth.
+1
Fillers do great for the marionette grooves.
Fillers such as radiesse ($630) do great to fill in the marionette grooves and can last up to 1 yr. and look very natural and easy to get. Sincerely,
David Hansen,MD
+1
Marionette lines not Botox
Marionette lines are the lines that extend down from the nasolabial folds and often represent deflated soft tissues and loose skin. Fillers can sometimes improve this, as can a lower facelift in combination.
+1
I think radio frequency tightening will be disappointing.
BOTOX is not right for this area ( it will make you look like you had a stroke). The best option here is hyaluronic acid filler. I prefer Restylane and Perlane for this purpose.
+1
Go with Botox first.
Injection of Botox to the depressor anguli oris (on each side) would be a good first step because it generally costs about $150 for this area and you find out in one to two weeks if this is to your satisfaction. Also, you may see a small lift on each side of the upper lip.
If over time, you get tired of coming in for repeated injections of Botox(every 3-4 months for this area), then I would discuss fillers and/or Thermage. But you just can't beat the quick response time and the low price...
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