What is the best way to treat marionette lines on my face ? I am 54. (photos)

Question

How would you treat marionette lines on my face - the most natural and effective way . I am 54 . Thank you

Marc Polacco, MD · Answer

Thank you for your question. This is a very common concern. Typically, a combination of treatments that both lift and volumize works the best. For lifting, a facelift is going to give the most impressive result. For volume, typically filler can be added to help disguise shadowing, and there are a variety available depending on the area treated. I hope this helps, and all the best!
-Dr. P

Nima Shemirani, MD · Answer

Hi @atarot! The non-surgical option would be dermal fillers. Restylane Defyne works great! In addition, I recommend Botox into the DAO muscle. The injections stop the DAO muscle pulling down the corners of the mouth. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Marionette lines are typically treated with dermal fillers. Hyaluronic acid (HA) fillers like Juvederm and Restylane will restore volume to the areas beneath the wrinkles, smoothing out deep lines and giving the skin a lift to create a younger-looking appearance. A combination of treatments may be best too. Combining fillers with Botox can create a non-surgical facelift, while lasers and Profound RF (microneedling combined with RF energy) can boost collagen production to help further rejuvenate your skin. To determine the best course of action, I recommend scheduling an in-person consultation with a qualified, experienced injector. Your provider can do a proper evaluation of your skin, recommend the best treatment or combination of treatments, and ensure the best possible results.

Jason Emer, MD · Answer

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

Waleed Ezzat, MD, FACS · Answer

Thank you for your question. Marionette lines are most easily addressed with filler in the area to soften these lines. Depending on your other facial features, there are more invasive treatments that can be utilized to achieve the natural fact that you’re looking for. I would seek out a board-certified specialist who is well-versed in facial aging techniques and treatments.

Best of luck!

Dr. E

What is the best way to treat marionette lines on my face ? I am 54. (photos)

Answers (10)

Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care

Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care

Answer: Marionette Lines

Answer: Marionette Lines

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the best way to treat marionette lines on my face ? I am 54. (photos)

Answers (10)

Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care

Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care

Answer: Marionette Lines

Answer: Marionette Lines

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.