How to get rid of marionette lines without surgery? (Photo)

Question

I'm in my 20s and I've had marionette lines since I was a kid. If you look up close, you can see that there is excess skin that kind of folds causing a shadow. It's not a wrinkle though because it's not a crease in the actual skin. It's more like a "hollow" caused by a lack of fat in the area. I hope that makes sense. I know fillers can help but I want a permanent solution. What can I do? What about ultherapy on my mouth corners to tighten the skin and fat transfer afterward to fill it out?

Jason Emer, MD · Answer

I recommend fillers for the lines themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Manjula Jegasothy, MD · Answer

A medium viscosity filler such as Vollure® or Juvederm UP XC® should take care of all the issues you mention, if injected by an experienced and talented filler injector. Please consult a board certified aesthetic dermatologist for a consultation.

Grant Stevens, MD · Answer

Hi and thank you for you question! To address skin laxity, in general, we recommend a combination of therapies for best result. Ultherapy is a great treatment for skin lifting and tightening and overall collagen and elastin stimulation. We find some patients do need some filler in this area for ideal result. At your young age, you may be a good candidate for Ultherapy, if it was determined there was laxity of the skin, and/or Microneedling or RF with PRP to stimulate collagen and promote an effective and preventative anti-aging regimen. Feel free to come in for a complementary consultation with our NP or PAs! They each have over 15 years experience in aesthetics! Best, Dr. Grant Stevens

Chang Son, MD · Answer

Evaluation of marionette line in the context of general skin flaccidity is the key.  In your age group, generally would not be a reflection of general loss of skin tensile strength.  Ultherapy as well as Silhouette Instalift can be considered.

Navin K. Singh, MD · Answer

There are various options available for correction.   I recommend you undergo Ultherapy as a first step, as this cause the skin in that region to tighten and become firm.  If you do not achieve satisfaction through Ultherapy, I recommend you try a filler as a secondary step forward to develop a sense of what you're looking for in terms of volume.  Once you have a better idea of what you will look like without your marionette lines, your surgeon will have a better idea of your aesthetic goals with regards to fat grafting.  It would be in your benefit to try a temporary solution before taking any permanent action.

Davin Lim, MBBS, FACD - Account Suspended · Answer

I do think that combination therapy will give the best results. Facial harmony is determined not only in just one area, but your face in whole. Ultherapy can help to a degree but possibly the use of dermal HA fillers in your age group can give a compounded effect. The Fiori Institute of Skin and Body

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How to get rid of marionette lines without surgery? (Photo)

Answers (6)

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