36 y/o female with marionette lines at rest. Can this be treated with Botox, filler, or lasers/peels? (Photo)

 Thank you for your question. If you had to choose one product or procedure, I would recommend using a dermal filler. If however, you are open to multimodal approach, then I would recommend using an energy-based device such as Ultherapy or Profound to also help create more of a lifted and tighter structure in the face. 

Thank you for your question. Fillers can help soften the appearance of marionette lines, along with different lasers to help tighten the skin. To be sure what is best for you, see two or more 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.

I suggest a formla consult.  Fillers on the chin/lips/mouth area will help your concern.  This can be done by an expert.  Best, Dr. Emer.

 Thanks for your pictures. Botox is most certainly not an option. A filler would be ideal for your standing laugh lines. There a little to no options for era dynamic laugh lines.   

The smile lines in your pictures would be best treated with dermal fillers.  In my hands, I get the best results in this area with Restylane Silk. This is a touchy area, as just a bit too much can give a "chipmunk" appearance.  Make sure to seek consultation with an experienced facial plastic surgeon, general plastic surgeon, or cosmetic dermatologist if you decide to proceed.Best Wishes

Thank you for the question and sharing your photos. There are multiple fillers on the market that can improve your marionette lines. Botox injections in that area would only make your problems worse. Lasers will not fill in that area. Make a consultation with an expert injector to achieve the best results. Good luck.

For your issue, Botox wouldn't be effective. I would advise you to speak with a board certified plastic surgeon in your area about fillers. Certain lasers and/or peels can help with fine lines, but my gut is that fillers are going to be the best solution for you. 

You might consider using a filler like Juvederm or Restalyn in the areas of concern.  These substances help to "fill" out the area decreasing the appearance of the wrinkles that you are concerned about.

Thank you for your question. You
have beautiful lips, and it's understandable that you'd want to keep the focus
on them, not your smile lines. BOTOX COSMETIC is best suited for wrinkles
around the eyes and forehead, so it would not be the best choice in your case.
You appear to be an excellent candidate for dermal fillers, used conservatively.
JUVÉDERM, or another high-quality filler such as TEOSYAL, is an excellent
treatment designed specifically for this area. JUVÉDERM VOLUMA, which is
designed specifically for plumping up the cheeks, may also provide you with a
bit of "lift," which can sometimes improve the appearance of smile
lines. Laser skin treatments might also soften some of your finer lines a bit
and improve the overall texture of your skin. You can also consider skin
tightening treatments such as Exilis Elite, which uses radiofrequency energy. I
think fillers would be your best bet, though. Good luck!

It sounds like you have a great
sense of humor, but I understand your concerns about marionette lines. They
commonly start to become a concern around your age. The photos you've attached
(thanks!) indicate you could benefit from treatment with fillers. There are
several options available. One of the most recent additions is Restylane® Silk,
which is approved by the FDA specifically for treating lines around the mouth. JUVÉDERM
is another popular option that patients have gotten great results with. Good
luck, and keep smiling!