What is the best option for marionette lines and fat pockets around the corners of my mouth? (Photo)

Hi,Thank you for including your photos.  I think an in-person evaluation would be very helpful - specifically because it's hard to tell if you have down-turned corners of the mouth or little pockets of fat that are associated with the marionette lines. The treatments can be very different. If muscles that pull the corners of your mouth down are overactive, then botox/dysport and maybe a little filler to that area will solve the problem. The other non-surgical option may be resuspension sutures (Silhouette InstaLift). These are dissolvable sutures that can help to pull the sagging tissue to a higher position and soften the transition between your cheek and chin (they last 2-3 years). Again, the best starting point for you is to visit a board certified facial plastic surgeon to discuss your concerns and review your treatment options.Best,Mehdi Sina, MD

The best option would be restyline injected to fill the fat pockets around your mouth.  Restyline can also be used to fill marionette lines.  Botox or Dysport would also be a good option for the lines as well