Is Belotero a good filler for marionette lines?

Doctor Answers 8

Not really unless its a soft correction!

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 love going fillers as much as I love putting on my make up, because it is an art!

Chances are you need a combo of Botox and fillers. Botox should be placed carefully because it can cause a "joker smile" if you are not a candidate for it! Therefore, I always have patients smile really big to see what the effect of the botox will be on their smile before we even discuss this as an option.

Fillers are great because they support the angles back up! Most people think that they need to put fillers just in the area of the sagging! Not true! There are "vectors" to sagging. IF you find the area of the vector and place fillers there, you create a bigger lift to pull up the parts of the face sagging. Then once you lift from there you also add fillers to the M-lines to enhance them.

You NEVER want to have too much fillers on the lower face- it causes an aged appearance because young faces are like a nice triangle and older faces are an inverted triangle. So, simply put, enhance the upper face can help make a natural restoration to the sagging angles of the mouth.

I always determine which combo of fillers to use based on the consolation: as my patients are talking I watch them animate their faces. The answer comes to me based on their unique anatomy! It really is so satisfying to see their happy faces after!

Best of luck!

Los Angeles Dermatologist

Belotero for Marionette Lines

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Great question.  Belotero is one of the least volumizing (thinnest) fillers.  It is typically used for superficial, fine lines and wrinkles.  We like to use Perlane or Juvederm Ultra Plus for the marionette lines.  Voluma is also a good option for this area.  A thicker, volumizing filler is a better option for marionette lines.  Thank you for your question.

Janet M. Neigel, MD
Florham Park Oculoplastic Surgeon
4.6 out of 5 stars 21 reviews

Belotero for tear troughs or the lips - Williamsville, NY

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Thank you for your question.

I find that Belotero is an excellent filler for the lips and tear troughs.

I use juvederm or Voluma for the marionette lines.

Dr. Karamanoukian

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Marionette Lines and Fillers

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Depending on the depth of the lines, you could use Belotero, Juvederm, or Restylane.  The choice of fillers depends on the patient's facial structure. I utilize a great deal of Voluma to raise the cheeks away from the folds and improve this area.  Please consult an expert in these facial injections for the best cosmetic results.  Best, Dr. Green

Belotero for marionette lines

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Belotero is one of the thinner HA filler products out there.  It can be a very good option for an area that is not very volume defficient.  If the marrionette lines are very deep, a thicker filler should be used. 

Brent Birely, MD
Baltimore Plastic Surgeon

Belotero for marionette lines

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Yes Belotero can be a good filler for marionette lines. There are several different products within the Belotero range of varying thickness, so depending on how deep the marionette lines are there should be a Belotero product that will suit you. It is important to have a good consultation to establish the causes of lines as you need to look at the face as a whole. It may be that laxity and loss of volume higher up in the face may be contributing to the marionette lines.

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.8 out of 5 stars 100 reviews


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Belotero is a finer filler & is used primarily around the eyes & lips , marionette lines start at the corners of the mouth , I often will use a deeper filler like Voluma with a superficial addition of Belotero & even a little Botox to correct this aging phenomenon , but remember 'Less is More ' as to amount to avoid any lumpiness!

Jerrold Gendler, MD, FRCS
New York Facial Plastic Surgeon

Belotero for Marionette Lines

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Belotero is a hyaluronic acid (HA) filler that is effective for fine lines.  It does not have the robust character of some of the other HA fillers such as Restylane, Restylane Lyft, or Juvederm Ultra Plus which are typically more effective for the marionette lines.  Please note that loss of volume of the upper 2/3 of the face is often a large contributor to the formation of marionette lines.  It would be best to consult with a board certified dermatologist or plastic surgeon to review the most cost effective options for you. 

Best at of luck,
Suneel Chilukuri, M.D.

Suneel Chilukuri, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 43 reviews

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.