Thank you for your question and for sharing your photograph crossbonnez. I understand your concern. Fillers are used to restore lost volume in and enhance the appearance of the face. It is difficult to make an assessment without a formal exam in the office where I can view the skin in multiple angles. However, I hope the information provided here is useful.The nasolabial folds and marionette lines are common concerns. One of the main reasons for the formation of these signs of aging is secondary to volume loss in the mid-face. I often find that restoring volume in the upper cheek with products such as Voluma will be able to pull up on the lower face and improve the appearance of the nasolabial folds and marionette lines. If additional enhancement is desired Vollure can be placed directly in the nasolabial folds and marionette lines. I find that the combination of these two products provides outstanding, smooth, natural, and long-lasting results.Additionally, Botox can be placed in the DAO muscle in the lower face. This muscle serves to pull down on the corners of the mouth. When relaxed with Botox the corners of the mouth will go up slightly, approximately 1 mm. This will enhance the results of fillers used for the marionette lines.Please consult with a doctor for specific recommendations. Good luck!