Will my Marionette Lines Lessen over Time After Facelift?

Hello. I am 3 weeks post-op and a little disappointed that my marionette lines are still so obvious. I am sorry there is no photo, I don't know how to upload from my phone. In general, without seeing me, is it likely that as I heal my results will improve?

Doctor Answers 26

Marionette Lines After Facelifts

Marionette lines are not treated with facelifts alone. They can be treated with multi-modal therapy of 1. “Lifting” with a “Lift & Fill” Facelift, 2. plumping by “Filling”, and 3. “Resurfacing” with Laserbrasion.

Dallas Plastic Surgeon
5.0 out of 5 stars 64 reviews

Marionette lines and facelifts

Facelift surgery can soften marionette lines but many still need fillers for a more complete correction.  Check with your doctor about this option.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Remaining Marionette Grooves after Facelift

If you are disappointed with the marionette lines after only 3 weeks, you will be more disappointed after 6 months. You may discuss injectable filler treatments with your surgeon as these creases will only worsen over the next weeks.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Will my marionette lines go away

Marionette lines will not be eradicated with facelift surgery. As has been stated by other surgeons, they can be softened, but they will still be there. Occasionally, swelling in the cheek region in the first few weeks following facelift surgery can cause the marionette lines to look more pronounced. I would allow the healing process to continue and speak with you surgeon about the option of fillers to help improve these lines.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Will my marionette lines improve after a facelift?

In general, a facelift works best for improving the appearance of sagging skin. Marionette lines will respond best to Perlane or Restylane. I would recommend speaking with your physician about this option. They will not dramatically improve over time following the facelift.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Facelift has little effect on marionette creases.

Although there is some early improvement after facelift, this usually does not last without additional correction with other procedures. Fat transfer, fillers, and even judicious use of Botox can help with downturned corners of the mouth and marionette creases; talk to your surgeon for the best options.

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

Addressing Marionette Lines

Unlikely that you will see much more of an improvement to the marionette
lines at this time-  they typically are at their best within a few weeks
of a facelift, then with time will slowly get somewhat deeper.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 132 reviews

Addressing Marionette Lines

Marionette lines (the lines formed from the corners of our mouth around the chin) are not addressed with a facelift.  The “pull” from a facelift will not (nor should) address the corners of the mouth because this would give unnatural results as it would result in the distortion of the mouth.  Marionette lines are best treated with fillers or fat transfer.  Fillers or fat transfer are the best means of elevating the depressions of the marionette lines.  A long-lasting option to fill these depressions would be fat transfer which is a permanent solution and can be performed at the time of the facelift.

Anthony Bared, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 71 reviews

Marionette lines after facelift

As this is the furthest region from the location of pull for a facelift, it can be difficult to attain a good result in the marionette lines. Options to obtain a better result are to use a deep-plane or sub-SMAS technique, add fat grafting to the region, or to tighten the overlying skin with a chemical peel or laser.

Jamil Asaria, MD
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 131 reviews

Facelift and Marionette Lines

This is a great question. A facelift generally results in improvements in the jawline and jowls, as well as the neck. The area around the mouth, however, may only improve slightly or not at all. This includes the marionette lines. Improvements in the contour of this area can be obtained through resurfacing treatments (e.g., chemical peels or dermabrasion) or fillers (e.g., Juvederm or even fat grafting). Best of luck going forward!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 113 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.