I don't like my marionette lines. Would hyaluronic acid injections help? (photos)

Your age is not a contra-indication to consider fillers. Hyaluronic Acid fillers are relatively safe, effective, and not permanent. In the right hands, you will see an improvement that is natural looking. If you like the results, you can continue to have HA injections, or consider longer lasting fillers or fat grafting in the future. Best wishes!

Hi @Hawley.jeff. Thank you for sharing your photos. You can soften the mariononette lines with hyaluronic acid fillers.

Best of luck,

Dr. Nima

First, let me say that 26 is not too young for treatment with natural, hyaluronic acid fillers, if appropriate. I started my daughters-in-law at earlier ages when it was necessary.  The more appropriate question is which areas to treat. It's been well over fifteen years since experienced injectors have stopped "chasing after lines and wrinkles" with fillers. Instead, owing to a more advanced understanding of the aging process, we shape and contour the face to take care of the problems that give rise to smile lines and marionetee lines. Recontouring the cheeks with an an appropriate volumizing filler, without directly injecting into the smile lines or the marionette lines, typically gives rise to a more natural appearing improvement in the cheeks directly and in the smile and marionette lines secondarily (often without the need to directly inject these locations). Voluma XC would be my go-to for this in my NY practice and Stylage XX  my choice in my Israel staellite facility, where a far greater number of regulatory agency approved volumizing fillers are available. Photos are no substitute for an in-person examination that allows for palpation and manipulation of the skin. You would be wise to consult a board certified aesthetic physician with experience and expertise and be certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck. 

From your photos, it appears that you would be a good candidate for fillers.  They could be used to build volume in the lower face, softening shadows and improving highlights. You can certainly do this and maintain a natural look.  If you wanted the nasolabial folds filled I would do it conservatively, because if filled too much it will look unnatural.   I recommend seeing a facial plastic surgeon in consultation to discuss your concerns.  

Thank you for your question.  Marionette lines are a sign of ageing.  Fortunately they can be softened and even removed with a Hyaluronic acid filler.  Restylane Refyne or Defyne are good options to give you a natural result.  See an expert injector. Be well.

I recommend fillers for the lines themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Yes, Hyaluronic acid based fillers like Juvaderm, restylane will definitely help create volume in your nasolabial folds and marionette lines.

Thank you for your question and photos.  Injection with a filler such as Restylane Defyne, Vollure, or Juvederm would work well in this area.  An in-person consultation with an experienced injector can help provide more information. 

Although I am generally skeptical about starting filler early, believing that the media and manufacturer hype this for financial gain, I think that, in your case, some Restylane in the folds would do wonders.

These lines around due to volume loss and so hyaluronic acid based fillers like Restylane Refyne and Restylane Defyne will help. I would also consider treatment with Sculptra Aesthetic (a collagen stimulating filler) given your weight loss.