Can I get rid of marionette lines?

Marionette lines improve most reliably when we address both volume loss and skin quality rather than the line itself. Depending on your anatomy, I may place hyaluronic acid fillers, such as Juvederm, Restylane, or RHA lines to restore support around the lower face and gently add volume to the area. Lasers then address the skin side of the concern. Resurfacing with a device such as Clear + Brilliant Touch or UltraClear improves texture and tone around the mouth and stimulates fibroblastic function to enhance production of collagen, elastic fibers, and hyaluronic acid over the following months. A combination of injectables and laser treatment almost always reads more naturally than treating the line in isolation, which is why I would want to see you in person to determine the right products, devices, and sequence for your anatomy.

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

Photos would have been very helpful. Generally speaking, however, HA fillers work well for elevating and smoothing downturned marionette lines. Filler treatment of marionette lines is by no means something new. I personally have been performing it for well over three decades. The precise HA filler(s) needed would depend upon the specifics of any individual case. Make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.

Hi, thank you for your question! I would recommend a full face consultation to evaluate how you can address your marionette lines. A couple of options for you could be cheek filler , directly fill the lines, you could use microneedling for texture issues. Another treatment option is Sculptra to help indirectly treat the area to lift the cheeks. The number of treatments can vary person to person and this can be evaluated during a consultation.

There are several options to improve the appearance of a marionette line, however a good evaluation of what is contributing to the line is essential prior to picking an option. Loss skin elasticity of the mid-face, DAO (depressor muscle activity), general volume loss, can all be contributing factors. Depending on these circumstances, filler to the line or general pre-jowl area, neuro-modulator to the DAO muscle, filler to the mid-face and cheeks, PDO therapy for the mid and lower face or even a combination of these therapies may be optimal for you.

Thank you for your question! Dermal fillers, like Juvéderm and Restylane, are commonly used to treat the appearance of marionette lines along the face. These fillers add volume to the face and improve the sagginess that cause those lines to be visible. An experienced provider can help determine which brand of filler is best for your aesthetic goals. Hope this helps!

You can absolutely treat marionette lines. It would be best to assess in person to determine the amount of product needed but filler is a way to treat them and receive immediate results. Of course, you also have to be a candidate for filler. Again, I recommend you do a consultation with a provider to determine a treatment plan.

Hi graeyes31,

Filler is an option to treat marionette lines. The best type of filler that can be use is Vollure. Vollure can last up to 9-12 months and is a smooth, clear, malleable gel. Consult with you injector for the best outcome.

-Gambhir Cosmetics

HA fillers are a common option to improve the appearance of marionette lines. The treatment is done in the office and some of the results can be seen immediately. If the lines are more severe your injector can discuss other options such as Morpheus8 to enhance your results.