{"id":28003,"date":"2024-08-06T13:50:39","date_gmt":"2024-08-06T20:50:39","guid":{"rendered":"https://www.realself.com\/news\/?p=28003"},"modified":"2024-08-06T13:50:43","modified_gmt":"2024-08-06T20:50:43","slug":"marionette-lines-nasolabial-folds-treatments","status":"publish","type":"post","link":"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments","title":{"rendered":"Marionette Lines and Nasolabial Folds Are Not the Same\u2014Here\u2019s How to Treat Both"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-background\" style=\"background-color:#f6f6f6\"><strong>Featured experts<\/strong><br><a href=\"https:\/\/www.realself.com\/dr\/gabriel-chiu-beverly-hills-ca\">Dr. Gabriel Chiu<\/a>, a board-certified plastic surgeon in Beverly Hills, California&nbsp;&nbsp;<br><a href=\"https:\/\/www.realself.com\/dr\/steven-h-dayan-chicago-il\">Dr. Steven Dayan<\/a>, a board-certified plastic surgeon in Chicago<br><a href=\"https:\/\/www.realself.com\/dr\/michelle-henry-new-york-ny\">Dr. Michelle Henry<\/a>, a board-certified dermatologist in New York City<br><a href=\"https:\/\/www.realself.com\/dr\/david-shafer-new-york-ny\">Dr. David Shafer<\/a>, a board-certified plastic surgeon in New York City<\/p>\n<\/div>\n<\/div><p>Perhaps to soften the blow of seeing them in the mirror, wrinkles have gotten rebranded, earning cutesy names like <a href=\"https:\/\/www.realself.com\/question\/eleven-lines\">elevens<\/a>, <a href=\"https:\/\/www.realself.com\/questions\/botox\/bunny-lines\">bunny lines<\/a>, and <a href=\"https:\/\/www.realself.com\/question\/sea-girt-nj-crows-feet\">crow&rsquo;s-feet<\/a>. But be honest: Do you actually know what all these terms are referring to? The lines of the lower face, in particular, can be especially confusing, with many people describing creases around the mouth using two terms that may seem similar but are not interchangeable.<\/p><p>The first set of wrinkles here is the nasolabial folds, which are often referred to as laugh lines or smile lines because that&rsquo;s when they&rsquo;re most prominent. &ldquo;Nasolabial folds are the creases in the skin that start at the outer base of the nose, where the nostrils connect to the cheek, and travel in an outward diagonal line down toward the corners of the mouth,&rdquo; explains <a href=\"https:\/\/www.realself.com\/dr\/steven-h-dayan-chicago-il\">Dr. Steven Dayan<\/a>, a board-certified plastic surgeon in Chicago. The other pair of wrinkles are marionette lines, which get their apt name from puppets&rsquo; unique facial structure. &ldquo;Marionette lines run vertically from the corners of the mouth to the chin, often giving a downturned appearance,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/david-shafer-new-york-ny\">Dr. David Shafer<\/a>, a board-certified plastic surgeon in New York City. (You&rsquo;ll almost never hear the formal name of these wrinkles, but it&rsquo;s &ldquo;melomental folds,&rdquo; FYI.)<\/p><center><blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CwSzv0txVhu\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CwSzv0txVhu\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/CwSzv0txVhu\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Alchemy 43 | Aesthetics Brand (@alchemy43)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Like all wrinkles, nasolabial folds and marionette lines get more noticeable as you age. &ldquo;They&rsquo;re generally caused by repeated facial expressions, loss of collagen and elastin, sun damage, and age-related fat reduction in the cheeks,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/gabriel-chiu-beverly-hills-ca\">Dr. Gabriel Chiu<\/a>, a double board-certified plastic surgeon in Beverly Hills. Dr. Dayan notes that this area is especially susceptible to profound creasing due to bone loss. &ldquo;As we age, we all know that we may shrink in height from vertebral bone loss,&rdquo; he says. &ldquo;Similarly, we lose bone in our skull, our teeth and jawbone resorb slightly, and our face involutes somewhat, which is a significant factor in the deepening of the facial folds.&rdquo;<\/p><p>While you have your pick of procedures, from noninvasive to surgical, it&rsquo;s key to have your nasolabial folds and marionette lines treated by a skilled provider. Because this area of your face moves so much, overzealous or inferior treatment could make you look unnatural or even inhuman. Keep reading to discover the best options for treating marionette lines and nasolabial folds.<\/p><h2 class=\"wp-block-heading\" id=\"at-home-devices\">At-Home devices<\/h2><p><strong>Treats nasolabial folds: <\/strong>Yes<\/p><p><strong>Treats marionette lines:<\/strong> Yes<\/p><p>Listen, you&rsquo;re going to need to have reasonable expectations here&mdash;if you have seriously deep creases and skin laxity, no amount of at-home tech is going to give you the results that you want. But if you&rsquo;re just starting to see shadows and folds starting to form, you could help fend them off (to a degree) by incorporating a microcurrent device into your routine. The <a href=\"https:\/\/www.mynuface.com\/collections\/shop-all\/products\/trinity-plus-complete-set\" target=\"_blank\" rel=\"noreferrer noopener\">NuFace Trinity+ Complete Set<\/a> ($595) includes the original larger attachment (best for marionette lines) as well as a more precise one (great for nasolabial folds) that helps stimulate your facial muscles to create a more lifted look.<\/p><p>&ldquo;It has to be used consistently, to maintain tonicity,&rdquo; points out Dr. Chiu. It&rsquo;s best to use this device at least five days a week and pair it with pro treatments and skin care; don&rsquo;t expect to look smooth and sculpted if you use your NuFace only once in a blue moon and think of SPF as &ldquo;special-occasion skin care&rdquo; rather than a daily must-have. Annoying, we know, but using it is only a five-minute, once-daily commitment&mdash;or you could just skip ahead to in-office procedures.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"botox\">Botox&nbsp;<\/h2><p><strong>Treats nasolabial folds: <\/strong>Sometimes<\/p><p><strong>Treats marionette lines: <\/strong>Sometimes<\/p><p>Treating these areas with neurotoxins like <a href=\"https:\/\/www.realself.com\/nonsurgical\/daxxify\">Daxxify<\/a> or <a href=\"https:\/\/www.realself.com\/nonsurgical\/botox\">Botox<\/a> depends entirely on your injector&rsquo;s skill and your facial anatomy. Dr. Dayan notes that he occasionally treats around the nasolabial folds and nose with high doses of neurotoxins, which will relax the fold and lift the tip of the nose. &ldquo;Unfortunately, if the toxin spreads to the wrong muscles, a person can look like a Bell&rsquo;s Palsy patient for weeks to months, so this must be done well,&rdquo; he warns.&nbsp;<\/p><p>The safer and simpler area to inject with neurotoxins is the DAO, or depressor anguli oris, muscle. &ldquo;By relaxing the DAO, which pulls down the corners of the mouth, contributing to marionette lines, neurotoxins can help soften them,&rdquo; explains Dr. Shafer. However, you&rsquo;ll still need to see a skilled provider with a deep understanding of facial anatomy for this treatment. They&rsquo;re less likely to give you a crooked smile (which can happen if done incorrectly) and more likely to tell you if you&rsquo;re not a candidate for treatment of the DAO. &ldquo;Depending on the anatomical relationships, it can actually make marionette lines look deeper, with the corner of the mouth pushing up and out, into the lines,&rdquo; Dr. Chiu says. Remember, if you have volume loss or skin laxity, neurotoxins won&rsquo;t be the solution, so they&rsquo;re best used in conjunction with other options.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Botox?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Botox\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"injectable-filler\">Injectable filler<\/h2><p><strong>Treats nasolabial folds: <\/strong>Yes<\/p><p><strong>Treats marionette lines:<\/strong> Yes<\/p><p><a href=\"https:\/\/www.realself.com\/nonsurgical\/dermal-fillers\">Filler<\/a> can be used to smooth out both the nasolabial folds and the marionette lines, but who you see for your aesthetic treatments matters a <em>lot<\/em>, and you&rsquo;ll want to do your due diligence when finding a provider to fill your nasolabial folds, in particular. &ldquo;Getting a good result is not intuitive or easy if you don&rsquo;t understand the anatomy or how they are formed,&rdquo; says Dr. Dayan. &ldquo;The commonly taught and approved methods for treating folds with filler often worsen them!&rdquo; He notes that the key to addressing nasolabial folds is treating them in multiple layers, starting deep on the bone, at the pyriform aperture in Ristow&rsquo;s space (feel around on your face&mdash;it&rsquo;s an indentation at the edge of your nostril, where the cheekbone ends and the upper jaw begins). Injecting here can also <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31077308\/\" target=\"_blank\" rel=\"noreferrer noopener\">improve the projection of the nose and upper lip sans surgery<\/a>.&nbsp;<\/p><p>Be aware that nasolabial folds are often best treated by injecting multiple areas of the face, as the midface is all interconnected. &ldquo;We have to think about overall harmony when injecting a patient,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/michelle-henry-new-york-ny\">Dr. Michelle Henry<\/a>, a board-certified dermatologist in New York City. &ldquo;If we micromanage the patient&rsquo;s face and look only at the area in question, not looking at the interplay of that area with other areas of volume loss and skin laxity, we&rsquo;re not going to correct that deficit in a way that is both natural and aesthetically well functioning.&ldquo;&nbsp;<\/p><p>When treating these areas, your provider should use not only multiple layers of filler but multiple viscosities as well. &ldquo;If we&rsquo;re putting in a firm, stiff, static filler that doesn&rsquo;t integrate well and moves with the tissue, we often get a very unnatural look,&rdquo; warns Dr. Henry. See if your provider offers a dynamic filler, like those of the <a href=\"https:\/\/www.realself.com\/nonsurgical\/rha-collection-fillers\">RHA Collection<\/a>, which are engineered to work with your facial tissues&rsquo; movements and are imperceptible, especially when administered well. Stiffer fillers can be quite visible, particularly when injected superficially and when the face is in motion. Dr. Dayan notes that this can create a chimp-like look or even a line of filler that looks like a worm under the skin. Too much filler in the marionette lines can make for a heavy lower face, like a bulldog&rsquo;s, says Dr. Chiu.&nbsp;<\/p><p>There&rsquo;s a chance you&rsquo;ve noticed more pronounced facial folds after years of achieving juicier lips and cheeks courtesy of filler&mdash;this is a sign that you&rsquo;ve overdone it. &ldquo;If an area is really overfilled and exaggerated in such a way that it&rsquo;s making the tissue heavy and pendulous, it can definitely contribute to a fold,&rdquo; says Dr. Henry. &ldquo;Think of it as if you are pulling a belt tight, and your waist falls over the belt,&rdquo; adds Dr. Dayan.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"radiofrequency-devices\">Radiofrequency devices<\/h2><p><strong>Treats nasolabial folds: <\/strong>Yes<\/p><p><strong>Treats marionette lines:<\/strong> Yes<\/p><p>Radiofrequency energy can be administered in a variety of different ways, ranging from fully noninvasive (like <a href=\"https:\/\/www.realself.com\/nonsurgical\/nuera-tight\">NuEra<\/a> and <a href=\"https:\/\/www.realself.com\/nonsurgical\/emface\">Emface<\/a>) to treatments that require incisions (such as <a href=\"https:\/\/www.realself.com\/nonsurgical\/facetite\">FaceTite<\/a>). Dr. Chiu likes radiofrequency microneedling, specifically <a href=\"https:\/\/www.realself.com\/nonsurgical\/sylfirm-x\">Sylfirm X<\/a>, which offers minimal downtime. &ldquo;It has excellent results, especially after three or four treatments performed four to six weeks apart,&rdquo; he says. &ldquo;Since the results happen over a few months, the improvements appear to transition gradually.&rdquo; These treatments are best for those who don&rsquo;t have seriously pronounced lines and folds, because &ldquo;all of these treatments help improve but do not eliminate the lines,&rdquo; says Dr. Shafer.<\/p><h2 class=\"wp-block-heading\" id=\"renuvion\">Renuvion<\/h2><p><strong>Treats nasolabial folds: <\/strong>No<\/p><p><strong>Treats marionette lines: <\/strong>Yes<\/p><p>Both Dr. Chiu and Dr. Shafer are fans of <a href=\"https:\/\/www.realself.com\/nonsurgical\/renuvion\">Renuvion<\/a>, a treatment that combines both helium plasma and radiofrequency energy to contract the collagen fibers, lifting and tightening the skin. According to Dr. Shafer, it&rsquo;s best reserved for the lower face, where skin needs to be treated with intense energy to address laxity. Keep in mind that by tightening the skin, this treatment will help reduce the depth of folds but may not fully eliminate them, especially if they&rsquo;re quite deeply etched into the skin. It&rsquo;s also not for everyone: Renuvion is FDA-cleared only for treatment of patients with Fitzpatrick skin types I-III. If you are a candidate, be prepared for some downtime. &ldquo;The recovery is similar to with a laser ablation, taking a couple of weeks and specific care,&rdquo; says Dr. Chiu.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Renuvion?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Renuvion\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"threads\">Threads<\/h2><p><strong>Treats nasolabial folds:<\/strong> Yes<\/p><p><strong>Treats marionette lines:<\/strong> Yes<\/p><p><a href=\"https:\/\/www.realself.com\/nonsurgical\/thread-lift\">Thread lifts<\/a> are touted as a minimally invasive alternative to plastic surgery, using targeted placement of dissolvable sutures to pull certain areas of the face (including the nasolabial folds and marionette lines) up and back for a tauter look. However, they&rsquo;re not a lasting solution.&nbsp;<\/p><p>&ldquo;Threads are very temporary and not as effective as Instagram or social media makes them seem,&rdquo; says Dr. Shafer. According to Dr. Chiu, a thread lift is often a painful procedure, with highly provider-dependent results that often don&rsquo;t even make it to the one-month mark, despite being marketed as a six- to nine-month solve. &ldquo;To top it off, they leave behind scar tissue that may make it nearly impossible to properly perform a <a href=\"https:\/\/www.realself.com\/surgical\/facelift\">facelift<\/a> when the time comes and compromise the healing of facial surgeries,&rdquo; he warns.&nbsp;<\/p><p>This is not to say that threads can&rsquo;t be done well&mdash;and you may still be intrigued if you&rsquo;re confident you&rsquo;ll never seek out surgery. A lot of people pursue this option because they&rsquo;re hoping to avoid the steep bill of a facelift but when done correctly, thread lifts are pricey. &ldquo;To get optimal results, we should do multiple threads and vectors,&rdquo; says Dr. Dayan. &ldquo;Our colleagues in Asia use a lot of threads, up to 5 to 10 times the number we use, and the price might be cost prohibitive in the U.S. for most&mdash;it&rsquo;s approaching the cost of a facelift if we use that many threads.&rdquo; He notes that permanent threads are used abroad, which can produce excellent and lasting results&mdash;but this technology is not FDA approved. &ldquo;In the coming years, there will be more interest, more research, better results, and greater longevity with threads,&rdquo; he adds. In the meantime, you can still consider the final option&mdash;surgery.<\/p><h2 class=\"wp-block-heading\" id=\"plastic-surgery\">Plastic surgery<\/h2><p><strong>Treats nasolabial folds: <\/strong>Yes<\/p><p><strong>Treats marionette lines:<\/strong> Yes<\/p><p>If skin laxity is to blame for the severity of your nasolabial folds and marionette lines, noninvasive procedures alone are likely not going to give you the results you&rsquo;re looking for. &ldquo;A rule of thumb is that if you can point to the area of concern, then fillers may be a good option, but if you have to push your skin back toward your ears to create the effect you desire, then surgery may be a better option,&rdquo; offers Dr. Shafer.&nbsp;<\/p><p>Dr. Chiu recommends sitting down for a frank conversation and thorough consultation with a board-certified plastic surgeon about your concerns and goals&mdash;from there, your doctor should be able to make recommendations and explain the rationale behind your suggested treatment plan. Keep in mind that to get the most natural-looking outcome, a lot of providers will take a hybrid approach, combining surgery with energy-based treatments, neurotoxins, and dermal fillers. &ldquo;It&rsquo;s okay to have an expectation of what you may need, but keep an open mind until you finalize a plan with your surgeon,&rdquo; he adds.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><a class=\"button\" href=\"https:\/\/www.realself.com\/find\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Featured expertsDr. Gabriel Chiu, a board-certified plastic surgeon in Beverly Hills, California&nbsp;&nbsp;Dr. Steven Dayan, a board-certified plastic surgeon in ChicagoDr. Michelle Henry, a board-certified dermatologist in New York CityDr. David Shafer, a board-certified plastic surgeon in New York CityPerhaps to soften the blow of seeing them in the mirror, wrinkles have gotten rebranded, earning cutesy [&hellip;]<\/p>\n","protected":false},"author":166,"featured_media":28004,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075],"tags":[12165,9954],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Get Rid of Marionette Lines and Nasolabial Folds | RealSelf News<\/title>\n<meta name=\"description\" content=\"Doctors explain the difference between marionette lines and nasolabial folds, plus which treatments work best for each\u2014from dermal fillers to plastic surgery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Marionette Lines and Nasolabial Folds Are Not the Same\u2014Here\u2019s How to Treat Both\" \/>\n<meta property=\"og:description\" content=\"Doctors explain the difference between marionette lines and nasolabial folds, plus which treatments work best for each\u2014from dermal fillers to plastic surgery.\" \/>\n<meta property=\"og:url\" content=\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments\" \/>\n<meta property=\"og:site_name\" content=\"RealSelf News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RealSelf\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-08-06T20:50:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-06T20:50:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https://www.realself.com\/news\/wp-content\/uploads\/2024\/08\/RS_-Nasolabial-MarionetteLines.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Emily Orofino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:site\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Emily Orofino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments#article\",\"isPartOf\":{\"@id\":\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments\"},\"author\":{\"name\":\"Emily Orofino\",\"@id\":\"https://www.realself.com\/news\/#\/schema\/person\/3160cc02f5d65a5f5ce50765992929af\"},\"headline\":\"Marionette Lines and Nasolabial Folds Are Not the Same\u2014Here\u2019s How to Treat Both\",\"datePublished\":\"2024-08-06T13:50:39+00:00\",\"dateModified\":\"2024-08-06T13:50:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments\"},\"wordCount\":2147,\"publisher\":{\"@id\":\"https://www.realself.com\/news\/#organization\"},\"image\":{\"@id\":\"https://www.realself.com\/news\/marionette-lines-nasolabial-folds-treatments#primaryimage\"},\"thumbnailUrl\":\"https://www.realself.com\/news\/wp-content\/uploads\/2024\/08\/RS_-Nasolabial-MarionetteLines.jpg\",\"keywords\":[\"Anti-Aging\",\"Wrinkle Treatments\"],\"articleSection\":[\"Face &amp; 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