Best Treatment for Marionette Line and Smile Lines?

Thank you for your question. It is a little hard to say without at physical exam or photos. You may be deep in the nasolabial fold area, (NLF). You may also have some asymmetries. Directly injecting the NLF area is the most common approach. Injections of other areas of the face can also address asymmetries. There are a variety of materials that can be placed there. Please visit an experienced, well trained injector. They will give you a good evaluation and see if you are an appropriate candidate.

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

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

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

For marionette and smile lines, I like to use Restylane Defyne.  This filler is smooth, not as thick as some and provides a nice appearance for these areas.  Any area with much movement, you want the filler to move with facial expressions.  This way when you smile or frown you don't see the filler.  In the lower face filler may not last as long as the upper face.  The upper face does not have as much movement, therefore the filler will last longer there.  Most filler last around 4-6 months.  Visit a Plastic Surgeon near you for a consult to see what they recommend for you.

Thank you for your question about which is the best treatment for marionette and smile lines.  There are many different types and brands of injectable fillers. Some are made for increasing volume in a portion of the face which will aid in softening lines in other areas of the face, others are for smoothing or "filling" lines. There are many ways to use fillers in the face to achieve a youthful and natural appearance. To achieve the results you are looking for, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

In the absence of significant skin sag, injectable fillers
are an excellent option for treating smile and marionette lines. When utilizing this approach a large variety
of injectable fillers are currently available. Examples include Restylane, Perlane, Juvederm, Sculptra, Artefill and
Radiesse to name a few. The filler
chosen is dependent on the patient’s anatomic findings, aesthetic goals and the
surgeons comfort level. In the
vast majority of cases, we prefer either Juvederm or Restylane when treating
these lines. Although, there are
differences between these products, they are both associated with excellent
clinical results. Both fillers last
about 6 to 9 months and are associated with high satisfaction rates.If
patients are satisfied with the results of these injections, we occasionally
switch to a longer lasting injectable. In most cases, we prefer Radiesse which can last 2 to 3 years.If
you’re considering injectable fillers for marionette and smile lines,
consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate an
appropriate treatment plan for this problem.