At the age of 30, I've developed deep marionette lines and smile lines. What are some of the non invasive ways to treat them?

Question

I'm a 30 year old woman who has developed deep marionette lines and smile lines. I am not overweight and have a healthy eating habit. For the past year and half the area around my mouth has been feeling increasingly dry. I have tried using retinoid, but that has only made my face drier. The marionette lines were not there 10 days back. The development was very sudden and deep. These lines have been showing mostly on the right side of my face. What are some of the non invasive ways to treat them?

Nima Shemirani, MD · Answer

Hi @meRia143. I recommend a combination treatment of both dermal fillers and Morpheus 8. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

There are a lot of options for improving the marionette lines and this often means fillers for the lines themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments/ultherapy and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Shaun Patel, MD · Answer

Thanks for sharing your question. Dermal fillers such as Restylane Refyne/Defyne and Juvederm Vollure are popular injectable treatments for laugh lines (nasolabial folds, marionette lines). I would recommend combining these injectable treatments with good sun protection, an antioxidant, hyaluronic acid based moisturizer, and retinol for best long term results. Good luck!

Lisa Jenks, MD · Answer

Marionette lines can be genetic and/or a normal process of aging.  Certainly, if your skin is very dehydrated, any lines will appear deeper.  Retinol is a wonderful anti-aging product, but you may only be able to use it every 3rd or 4th night if it dries you out or irritates your skin. 
Ultherapy is a non-invasive treatment that uses ultrasound energy to tighten muscles and stimulate collagen production (which tightens the skin).  It can be used anywhere on the face, neck and even on the chest.  Fillers such as Juvederm are also an excellent, minimally-invasive option for improving the marionettes.
I would recommend that you get a consultation with a physician who specializes in aesthetic medicine.

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At the age of 30, I've developed deep marionette lines and smile lines. What are some of the non invasive ways to treat them?

Answers (4)

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