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What is the best procedure to address marionette lines? Is DAO release surgery the best option? (photos)

Texas76Jan 23, 2022
I'm 45 years old & have deep lines at the corners of my mouth. I searched before and after photos and found a surgeon whose patients seemed to have improved marionette lines after his face-lift. I traveled to this surgeon who performed a deep plane face lift & chin implant. It has been 7 months. My face looks better but there is very minimal improvement to my marionette lines which was my main concern. Is there a procedure that will help with this?

Answers (2)

From board-certified doctors and trusted medical professionals
Zoran Potparic, MD profile photo
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Feb 2, 2022
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1 person found this helpful
Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Feb 2, 2022
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Jason Emer, MD

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

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Tim Neavin, MD

Thank you for your photos. I do not think loose skin is really an issue for you. It really is not noticeable unless you pinch it. However, fat transfer probably would benefit by filling out the forehead and the temples and the cheeks. It can really restore the face to a younger appearance by...

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Tim Neavin, MD

I do quite a bit of fat transfer under the eye. I used both nano fat and micronized fat. I have never seen lumps under the eye. I harvest with a cannula that is very small. This allows very small droplets to be injected. If they are injected in the right plane in the right technique it is...

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Tim Neavin, MD

This is an interesting question. The main issue with fat transfer to the nasolabial fold is survivability. The fold itself has very little native fat so there is not a real home for the factor to live. The best place to put the fat in the fold is actually on the piriform aperture adjacent to...

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Jason Emer, MD

This needs an in-person evaluation. A combination of 5/FU steroids, lasers, microneedling/prp and radiofrequency can give improvement. See an expert. Best, Dr. Emer

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Tim Neavin, MD

Thank you for your photos. Without knowing how much fat was injected it is impossible to know how much you retained. The swelling after surgery can last for months. So it is possible you have mistaken fat for swelling. Based on your photos now, assuming that the last picture is your current...

+4 answers
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