Which Between Filler or Fat is Injected Deeper for Marionette Lines?

Which between fillers (like Restylane) or fat are injected more deeply into and around marionette lines and folds? Thank you.

Doctor Answers 3

Fat injection vs fillers for marionette lines

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Biologic fillers such as fat and LiveFill are typically placed at deeper levels. However in many instances, hyaluronic acid fillers and other fillers are placed very deep as well, depending on the area.

We achieve our best results for the marionette lines when we divide the DAO (frowning muscle of the mouth) and augment the marionette area with specifically placed LiveFill(R) grafts, made of untraumatized fat and fascia. This allows a very precise placement of the graft material not subject to the vagaries of pressure injection through a needle (i.e. fat injection).

Lip shape also has a huge effect on the marionette region, as does facial drooping in general.

This doesn't mean that every patient needs a facelift, but it does mean that one single technique, excessively done, doesn't substitute for the right techniques to get the best result.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 195 reviews

Fat is injected deeper than dermal fillers like Restylane or Juvederm

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Dermal fillers such as Juvederm, Restylane, Collagen, and Radiesse are injected into the lower layer of the dermis of the skin whereas fat is injected under the skin in the fat or subcutaneous layer. Fat tends to shift or gravitate down into the jowls when it is injected into the marionette grooves whereas dermal fillers stay where they are put and does better.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Fat or fillers injection depth

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 Dermal fillers are just that fillers that are placed in the deep dermis or superficial subcutaneous layer. Fat is usually placed in the subcutaneous space.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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