How can I achieve these results on my marionettes? (Photo)

Marionette lines are wrinkles that extend from the corners of your mouth to your chin. Cosmetic treatments, such as dermal fillers, cosmetic peels and laser resurfacing, may temporarily get rid of or minimize marionette lines.Juvederm Ultra Plus is the most common dermal filler to treat this area and, during the procedure, is injected into the surrounding areas of the marionette line to provide structural integrity. Patients can expect the results to last up to one year.

You didn't say what you actually tried, but the kinds of marionette lines seen in the photos are rather routine issues treated easily with the use of an appropriate HA filler injected in the proper fashion. My last patient of the day yesterday had nearly complete improvement with marionette lines much longer and deeper than those in the photo. If, on the other hand, by everything, you mean that you have wasted your time and money on fraxel lasers, or RF microneedling or ultrasound devices, I can well understand your frustration and lack of success, since these relatively expensive "gizmos," which are heavily promoted by marketing and social media influencers, actually lack the hard science to support their use. You would be wise to consult with an experienced board certified cosmetic dermatology filler injector. Best of luck.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

There are a number of treatments that can effectively reduce marionette lines. For deeper crevices like this, we usually recommend dermal fillers—especially Juvéderm Ultra or Juvéderm Ultra XC. Juvéderm Ultra is designed to reach deeper into the dermal tissue, making it an excellent option for major results on marionette lines. Since you’re struggling to get the results you want through any one treatment, a tailored treatment that combines several techniques may be a good option for you as well.

You would be an excellent candidate for dermal filler in this area. I would recommended 1- 2 syringes of a soft and flexible filler that will integrate seamlessly into the skin. This is of particular importance when dealing with areas of expression and animation like the around the mouth and beneath the eyes. In your case I would use a cannula technique that would minimize bruising and discomfort during the procedure as well as disperse the product evenly and smoothly.

Fillers work well to improve the appearance of marionette lines. They provide support under the skin to to diminish these lines. In addition you can consider Morpheus8 treatments to improve overall skin tone and texture. See an expert injector near you for treatment.