This is hard without a picture. Marionette lines are sometimes tough to eradicate with just filler. Filler will help in most cases. More filler is better as well in most cases. PDO threads will help in some cases where the filler isn't helping. Careful evaluation of before and after pictures is needed, and hopefully these were done.
Thank you for sharing your question and I am sorry that your current results have not been what you anticipated. Unfortunately without seeing before and after images it is difficult to offer definite advice as much depends on the severity of your marionette lines, amount of filler material placed, and experience of the injector. It does not hurt to seek a second opinion or try another injector if you are not obtaining the results anticipated based on your initial consultation.
Fillers can be reversed if you do not like the results. I suggset you see an expert for treatment options. Best, Dr. Emer.
Thank you for your question CateP120. I am sorry to hear about your situation.
Juvederm is a filler used to enhance the appearance of the face. It is difficult to assess your results without photographs. Depending on the depth of the folds and the amount of filler initially used, more filler may possibly be used. For my patients I prefer starting with Voluma in the upper cheeks. This pulls the skin on the lower face upward and improves the nasolabial folds, marionette lines, and jowls. Skin tightening treatments such as SkinTyte, Ultherapy, and fractional CO2 lasers can also tighten the skin in the lower face and pull up on the marionette lines. Please consult with
a doctor for specific recommendations. Good luck!
Sometimes fillers can help them, sometimes facelifting can help them. It all depends upon the individual. I would need to see you in person.
If you are not pleased with the results of the first Juvederm injection in the marionette lines, you might consider a second opinion and/or another approach to treatment. Often treatment of the midface volume loss helps the appearance of the lower facial contours. Be sure to see someone who has experience with injections. Best wishes.