Best treatment for marionette lines for a young person? (Photo)

Question

What's the best treatment to reduce and prevent marionette lines ? Chemical peel ? Fillers ? Both ? And what cost am I looking at (estimate). I'm 24 years old and I'm noticing they are getting deeper.

Raffy Karamanoukian, MD, FACS · Answer

Stimulatory fillers such as Sculptra are excellent for marionette lines on the face. Chemical peels will work well to reduce skin discoloration. Best, Dr. Karamanoukian Los Angeles

Jonathan Kulbersh, MD · Answer

It is uncommon for a 24 year old to develop marionette lines.  For these reasons, we need to analyze your facial structure to understand while you developed these lines at this young age.  From the single picture you posted, I can tell you have weak bone structure in the chin area.  This lack of support in this region can predispose a person for early development of marionette lines.  I would consider this a main cause of your issues.You can treat this area in a couple of ways:1)  You can place filler in the marionette lines to temporary improve the region.  Any filler will work well in the region including Restylane, Perlane or Juvederm.  I would not use Sculptra in this area.2)  You can place addition filler into the chin region.  If using a non-surgical approach, this would likely produce the best result3)  Augment the bone with a chin implant.  This would provide the long lasting foundation for the corners of the mouth that would help with the marionette lines.  This would help improve your facial balance and likely provide the best results.  I hope this helps.

Steven Wallach, MD · Answer

Marionette lines are seen along the lip commissure region down on each side of the chin. Often filler material is best to be placed here if there is an obvious depression.

Darryl J. Blinski, MD · Answer

Try 2 syringes of Juvederm at fee range from $900 to $1,200. Call around to obtain quotes. Good Luck....

Best treatment for marionette lines for a young person? (Photo)

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