I have marionette lines, lip lines, and wrinkles all at once! What's the best wrinkle fillers to get rid of these lines?

When we graduated medical school, our professors told us "primum non nocere", first don't harm people. I interpret this as meaning that the treatments we give our patients should be safe.
I am proud now that the reports of granulomas with Artecoll and Radiance are surfacing that not one single patient of ours has ever been injected with that substance. Now that silicone horror stories are well-known, not one patient has ever been injected with silicone in our office.
While many patients will continue to be injected by the newest fillers with non-natural components such as methyl methacrylate beads, plastic spheres, liquid silicone, silicone gels, we will not inject them in our practice, because it simply does not make sense to put a permanent or semipermanent non-biologic material into the face in my opinion.
I am impressed with the safety and effectiveness of hyaluronic acid fillers. Prevelle is a lighter hyaluronic acid with a little lidocaine in it for sensitive patients or patients with little or no recovery time.
You can see by the posts that occasionally the heavier hyaluronic acids such as the Juvederm series and Restylane or Perlane, wonderful fillers which we use daily, can cause swelling for several days, so this should be factored for patients who are on camera (i.e. newscasters) or have important social obligations immediately following their injections.
So while you can argue which is the best filler, please avoid the bad ones.

Thank you for your question. One of the most challenging aspects of pesky aging symptoms is they can seem to appear quite suddenly and often simultaneously. The good news is you can address all of these concerns in a single treatment session in most cases. Injectable fillers work very well to smooth away lines in the lower half of the face, including marionette lines. I might suggest Juvederm or Restylane for this area, although there are other options as well. Lip lines, also known as perioral lines, can be treated with a smooth injectable filler like Kysse. If lines are severe, laser resurfacing might be a better option. Finally neuromodulators are used to diminish lines that occur as a result of repetitive facial movement. All of these procedures could be performed together so you only need to schedule one appointment in most cases. I recommend scheduling a consultation with an experienced, board-certified injector who can examine you in person and create a customized treatment plan that meets your needs and goals best.

Wrinkles and lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like RF treatments, lasers, microneedling/PRP or sculptra to get increased collagen, tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer