What is the best way to get rid of marionette lines? (photos)
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Doctor Answers 11
Marionette line corrections
What is the best way to get rid of marionette lines
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Liposuction is almost never indicated for treatment of jowling.
Marionette lines and chin -- fillers / fat/ sculptra, you may need lifting, chin implants
Lines aroung the mouth
Treatment for Marionette Lines
1. Solar aging of our skin from sun damage and time passing.
2. Deflation or atrophy of fatty tissues in our faces as we age (even obese people get deflated faces).
3. Ptosis or falling of the soft tissues on our faces.
Fixing them requires:
1. Skin care, skin resurfacing with lasers or chemical peels
2. Fat grafting or transfer to replace and replenish the deflated fat compartments of our faces.
3. Lifting of the soft tissues back up to where they are supposed to be with a facelift.
Liposuction will NOT fix marionette lines. In fact the OPPOSITE (fat transfer) is the treatment. Liposuction may make your neck look better by removal of submental fat, but will not address your marionette lines.
Looking at your picture, you probably don't need a facelift yet. I would recommend Botox injections into your DAO (depressor anguli oris muscle) - 5 units on each side. This will help prevent the corners of your mouth from pulling down by temporarily weakening the muscle that pulls them down. I would also inject filler or fat into your marionette lines to "fill the wrinkle/valley." All of this could be done in the office under local anesthesia. Filler being temporary, fat transfer being more permanent.
Marionette lines, Jowls and double chin - liposuction and fillers can help
These are 2 separate problems with different causes and hence both have to be dealt with independently.
Marionette lines respond well to Dermal Fillers such as Juvederm Voluma and Modelis.
Fat transfer is also an option
Double chin responds well to liposuction or the non surgical option of Kybella.
If you are having lipo to your neck consider fat grafting to your marionette lines and chin
Cheek fillers will enhance your cheeks but will not address the marionette lines
Hope you find this useful
What is the best way to get rid of marionette lines?
Discuss your options with a Bd Certified plastic surgeon or derm and enjoy your results!
Jon Perlman MD FACS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.