Which procedure would help minimize the appearance of Marionette folds? 35 y/o (photos)

Thank you for your question and for providing photos. Though you aren’t interested in dermal fillers, they are likely the best treatment option to add volume to this area and reduce the appearance of the marionette lines you’re referring to.
You can also consider RF microneedling treatments which can effectively reduce the appearance of facial lines by increasing the body’s natural elastin and collagen production. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector who can suggest the best option for you. They will be able to review your concern and suggest the best treatment option for you.

Fillers are a great way to improve the appearance of marionette lines. The treatment is done in the office with some of the effect seen right away. Results can be optimized by adding Morpheus8 treatments. This combines microneedling and RF technology to improve overall skin tone and texture.

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

Botox/neurotoxins can soften the marionette lines. All you need is about 2 units of botox on each side of the depressor anguli oris muscle. To further minimize the appearance of those lines, chemical peels or any resurfacing lasers, or micro-needling can help.

Hi there,

Fillers would be your best option with best results. You can possible try skin tightening but would need like 6 to 8 treatments. Find an expert injector for a consultation.

Best of luck!