Marionette lines, what can be done to further smooth out this area? Juvederm, Restyline?

On each side of my chin, extending from outer corner of lips almost to bottom of chin are these fairly deep lines that make me look sad. I've had filler, Raydiesse, placed in cheeks that helped reduce depth of those lines. 

Doctor Answers 15

Botox, Filler, and PDO Threads for Facial Rejuvenation

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Thank you for sharing your question. The lines you are referring to are commonly called “marionette lines” can be treated in several different ways. First, a small amount of Botox to the DAO muscles can improve the down-turned appearance of the corners of the mouth. Secondly, a dermal filler such as Restylane or Juvederm can be used to restore lost volume in this area. The combination of Botox and filler usually offers great results. Additionally, you may be a good candidate for thread lifting. This procedure uses NovaThreads, which are made from PDO suture material, that are inserted beneath the skin and placed to temporarily lift sagging tissue. Once the lift is achieved, I recommend adding filler to any areas that display volume loss. This combination of threads and filler is called the NovaLift and can reduce the appearance of the lines you are noticing. For more information, please consult with a board certified specialist experienced with these procedures.  

Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 73 reviews

Fillers for lines...

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Radiesse is a great filler for increasing the volume in the deeper plane. Sometimes, for marionette lines, you need some more superficial swelling, especially to lift the corner of the mouth some. That is where Juvederm or Restylane are very effective. 

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 222 reviews

Juvederm for Marionette lLines

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A photo would be helpful. Yes Juvederm and Restylane are both great to fill in these areas. I suggest going for in person consultation to determine the best treatment plan.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

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Treating the Marionette lines with fillers

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Fillers such as Juvederm or Restylane are great options for treating Marionette lines (lines extending down from corner of lip and giving impression of sadness). The filler can be injected locally into the deep fold, as well as into the upper cheeks to lift up the skin ; often a combination of filler into both locations gives a nice natural result, especially when the line/fold is particularly deep.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon


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Hyaluronic acids fillers, such as Restylane and Juvederm, work well in this area.  I recommend you seek treatment from a qualified professional.  Good luck!

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Marionette lines

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Hello, and thanks for your question. Without a photo, it's difficult to recommend a specific treatment plan. However, Restylane and Juvederm are generally good options to treat this area. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Marionette lines

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Both Juvederm and Restylane are great products used for this area.  Depending on how deep the lines are, between 1-2 mL's are used. It's pretty straight forward, much like the radiesse you used in the cheeks. Radiesse might be a little too bumpy to use in this area though. Good luck! 

Samir Undavia, MD
Princeton Facial Plastic Surgeon
4.9 out of 5 stars 51 reviews


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Filler can be used to help smooth these areas directly.  Juvederm or Restylane can be used and could provide nice results.  Visit an experienced injector in your area to learn more.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Juvederm or Restylane for Marionette lines.

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A photo would be helpful. However in my opinion I like to use Juvederm to smooth out the Marionette lines, results look more natural. Please consult a professional in your area. Thank you for your question.

Marionette Lines, What Can Be Done To Further Smooth Out This Area?

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Thank you for your question.  It is difficult to comment without seeing a photograph.  In general, I find that hyaluronic acid based fillers, such as Juvederm, work well to treat marionette creases.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.