Dao Botox & filler to help eliminate/soften marionette lines, unsure what else to do? (Photos)

thanks for your question and photos.

Marionette lines are produced when the cheek soft tissue compartments slide from the cheekbone down towards the jawline. This creates heaviness in the nasolabial area, marionette line area and ultimately jowls one day.

When this happens, then trying to push the tissues back up with filler is unlikely to work. Threads are an option, but in my experience tend to be short lived and have limited effectiveness.

There will be a time, although maybe not yet, when surgical lifting is your best option. Sadly, all techniques either surgical or non-surgical have a narrower therapeutic window than is often suggested.

I discuss non-surgical and surgical facial techniques on my YouTube channel Adam goodwin surgery if you might find it interesting.

Hope that helps.

Best wishes, Adam, Goodwin.

The area below and lateral (away from mid face) to your mouth is very slightly prominent. Botox into the DAO's and dermal filler to the inside of this area can help. I assume you have already done this. I would now consider placing a very small amount (0.25 cc per side) of Kybella into the prominent area to dissolve the fat so this area now matches the area medial to it. Your injector should be very skilled with Kybella before doing this.