Treating marionette lines without injectables? (Phtoo)

Question

Hello, I'm 34 years old and have marionette lines forming at the sides of my mouth. As I am against injectables at this stage, what kind of procedures could be beneficial out of the following: Ultherapy, Hifu, RF? Would Microneedling benefit me at all? Attached are some photos Thanks

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

Charles M. Boyd, MD · Answer

Thank you for your question. In my practice we treat these lines with RF microneedling to help tighten the skin and stimulate collagen production as well as a procedure called Silhouette Instalift. Silhouette instalift lays down collagen and also pulls the corners of the mouth back to create a more youthful appearance and help eliminate the marionette lines. 
Best of luck!

Mimi P. Martins, MD · Answer

Thanks for your question about next step to help tame down the marionette area. You can certainly consider PDO threads or deep Microneedling RF treatment like Morpheus8, either one will help stimulate and form new collagen that will help tighten the marionette area.

Treating marionette lines without injectables? (Phtoo)

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