Which Laser is Best for Marionette Lines/Naso Labial ? Pelleve or Ulthera?

Pelleve is okay but Ultherapy is better.  And I agree with the physicians who mentioned fillers, they can improve the marionette lines much better than Ultherapy alone. It's important to remember, when you see an unnatural or obvious filler treatment, it means the injector was bad or inexperienced, it's not the fillers fault.  In the hands of an experienced and artistic injector, you should get beautiful, natural looking results and no one should ever be able to tell you've been treated.

I agree - there are some bad fillers out there, but if you go to an expert (and this means a doctor who is doing their own injections and is board certified in cosmetic surgery), you have a better chance of having a good result.  As for which treatment, you probably will like Ultherapy, but the fact is that if you are having 'sagging' it is likely due to volume loss and that is best addressed by replenishment of volume via fillers.  Good luck!

Hi Anna,Marionette lines, the vertical lines from the corners of the mouth down to the chin are difficult to treat.  Fillers are one of the best treatments for marionette lines. Fillers do look natural when the injecting physician has good artistic vision.   The best (and only FDA approved) non-invasive device for lifting facial and neck skin is Ulthera.  Most importantly, choose your treating physician most carefully.  Good luck and be well.Dr. P 

Pelleve uses radiofrequency currents (similar to Thermage) and Ulthera uses focused ultrasound, so neither one is a laser. An advantage of Ulthera is that the treatment can be focused with precision at 3 different layers under the skin, and it is the only nonsurgical device that is FDA-approved for facial skin lifting. It is done in a single treatment, has no down time for recovery, and is well-tolerated. I have to say that facial fillers done well and on the right patients can look very natural.

Ultherapy offers real fascia tightening to lift the sagging face and is the most impressive technology to tighten the skin that we have seen.  The newest generation of Thermage also offers good results.  Ultherapy and volumizing facial fillers are really an amazing 1-2 punch to naturally and beautifully restore a more youthful facial architecture.  I agree that you need to see an expert for the best results, which does mean you see a board certified doctor (dermatologist or ENT, plastic surgeon) who does injections to have the best results.I think the most impressive results on Jowls is seen when the full face and neck are treated together, because all of the fascia is connected and even some neck tightening will help the jowls.