How to correct/improve marionette lines in 20s? (Photos)

Question

Hi Doctors! I am 23 and have prominent marionette lines. Are there any ways to improve the appearance of these lines? I recently had buccal fat removal and feel like it made the lines worse. They are on both sides of my mouth to chin and are particularly noticeable in certain lighting.

Nima Shemirani, MD · Answer

Hi @Anna1808! I would recommend a hyaluronic acid based filler into the area. Restyle Refyne or Defyne works great for the marionette lines.

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

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Most people get marionette lines as they age, but some may be more prone to developing these lines sooner. External factors like sun damage or smoking can make wrinkles more prominent. In your case, buccal fat removal may have accentuated the lines too.

Fortunately, marionette lines can be addressed with dermal fillers. When injected, fillers provide structural support and plumpness, restoring a more refreshed and rejuvenated appearance. I highly recommend only seeking treatments from expert injectors who have the skill and experience to precisely inject filler into treatment areas and avoid risks and complications. They also know the most advanced injection techniques to ensure you safely achieve your desired results. Hope that helps!

Nelson Lee Novick, MD · Answer

Marionette Lines extending from the corners of the mouth downward to the sides of the chin are  very commonly treated by fillers in any active cosmetic dermatology practice these days. They are more common as people age, but can be seen in much younger individuals based upon a genetic predisposition, or, as may be the case here, due to removal of fat from the cheeks above allowing for the development of sagging, jowls and folds, such as the mrionette lines, below. The probably is quite readily addressed with the use of fillers. In experienced hands, filler treatment should not take more than about fifteen minutes to perform and the results typically give rise to an immediate "Wow!" reaction. Just make sure to consult an experienced, board certified cosmetic dermatologist. Best of luck.

Camille Cash, MD · Answer

Fillers can be helpful to soften the appearance of marionette lines.  We also recommend keeping your skin healthy to promote optimal elasticity.  Treatments such as microneedling, chemical peels, lasers, and HydraFacial can help.  In addition using medical grade skin care products like Tranform MD and wearing sunscreen every day can help.

Begin Anew Med Spa · Answer

Hello! An in person evaluation is always best for assessments. However, filler can most definitely treat marionette lines. Another option that would help produce collagen and elastin is the Morpheus 8 face. Three treatments are recommended and will help tighten skin while treating fine lines as well.

Alan Yan, MD · Answer

Thank you very much for your question. The prominent marionette lines can be improved with filler injections, which would also enhance your smile.

Peter Andolina, DO · Answer

I think the best way for you to treat your marionette lines would be with filler. Based on your photos I do not think you should over do it. Start with half a syringe per side. If you do too much it will not look good.

Luis A. Perez, DO · Answer

Hi Anna1801, 
Most of the time (at your age) Botox will be enough. But if you want longer lasting results, doing a radiofrequency ( skin resurfacing) like Morpheus8 will provide better results. Fillers can be used as well. If you have the means try to get Morpheus8 on the area affected (cheaper) or the whole face, this would not only improve the marionette lines but also the texture and appearance of your skin. Let me know if you have any other questions!

Kurt Kuhlman, DO · Answer

A small amount of dermal filler injected medially can help for 1 to 1.5 years.A very small amount of Kybella injected laterally can help indefinitely

How to correct/improve marionette lines in 20s? (Photos)

Answers (10)

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