Marionette lines returned after facelift - can this be improved? (Photo)

Question

I’m 70 years old and had my second facelift in January, 2025. My last one was 11 years ago. I was happier with the first one. Question, initially my marionette lines looked great, but they are back ( from my nose to my chin). Can my surgeon correct this? Thank you!

Andrew Miller, MD · Answer

As we all age, you lose fat in the nasolabial and labiomandibular folds. A facelift may help a little, but the fat really needs to be refilled to soften them. Fat transfer is very easy to do under a local anesthetic, or you can simply have fillers placed to soften the creases. Be sure to see a facial specialist for consultation.

Alejandro Nogueira, MD · Answer

Facelifts do not correct marionette lines, given they are no part of the face as anatomically and surgically it is understoo, but the frontier between the face itself and the oral cavity structures / nasal region.

Filler are an option, but they lead to deformities in the mid term and pose a risk of blindness (google it).

Filler are an option, but they lead to deformities in the mid term and pose a risk of blindness (google it).

Ronald J. Edelson, MD · Answer

Marionette lines are difficult to eliminate but I suspect they are improved from prior to surgery. You may want to try fillers or fat transfer to get further improvement

Darryl J. Blinski, MD · Answer

Based on your post photo, I would repeat the anterior facelift for muscle complication and add fat grafting to the nasal lab folds in combination in the Endo laser. Fee $10,000-$15,000. Best of virtual consult with.

Marionette lines returned after facelift - can this be improved? (Photo)

Answers (4)