Would I benefit from Botox for marionette lines? (photos)

Question

Female, 27 years old. Do I have marionette lines? I am unsure because my mouth is not downturned but I do not like the appearance of these lines.

Camille Cash, MD · Answer

From your photos you should have a nice improvement of the marionette lines with HA fillers.  They are used to provide structure to the skin and lessen the appearance of these lines.  The treatment is done in the office and some improvement is noticeable right away.  Botox is used more to soften the appearance of dynamic wrinkles.  See an expert injector near you for treatment.

Jason Emer, MD · Answer

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

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your photo and question.  You mention a few key things.  The corners of your mouth are not down-turned.  If they were, placement of Botox in the Depressor Anguli Oris, (DAO) muscle may help.  Botox would not benefit you in this area.  You do have marionette lines.  We have used filler with good results in this area.  Please seek out an experienced injector.

Jeffrey J. Roth, M.D., F.A.C.S

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Anna Chacon, MD, FAAD · Answer

Marionette Lines appear as sagging skin due to the loss of collagen and elasticity. Looks like it's starting to show on you already. Non-surgical injectables like Botox and dermal fillers are also found to be effective in erasing the marionette lines off the face. By far our best treatment for marionette lines is dermal fillers. These help to restore volume in your face and smooth deep lines.

Dr. Kim Facial Plastic Surgery - San Francisco · Answer

Botox can be injected to relax the Depressor Anguli Oris muscle which could be accentuating the descending tissue near your mouth. Your provider can determine your candidacy by assessing the strength of this muscle at animation. It is likely that you will achieve a fuller correction of these shadows with filler.

Would I benefit from Botox for marionette lines? (photos)

Answers (10)

Answer: Botox for marionette lines

Answer: Botox for marionette lines

Answer: Requires further assessment

Answer: Requires further assessment

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.

Would I benefit from Botox for marionette lines? (photos)

Answers (10)

Answer: Botox for marionette lines

Answer: Botox for marionette lines

Answer: Requires further assessment

Answer: Requires further assessment

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.