How much more filler do I need to have amazing cheeks and no marionettes if I'm smiling or not? (Photo)
Doctor Answers 8
Further filler improvement
I think you could probably get more improvement with some more filler or fat grafting. My best advice would be for you to find a board certified plastic surgeon in your area with a lot of filler expertise and get a second opinion. The key is finding the right cocktail of fillers for your unique anatomy so that you look naturally fuller and more youthful without looking overly plump.
In looking at your photos, it's my opinion that you would benefit from a filler like Sculptra in the lower and medial cheek region. You may also see improvement with a touch more filler, like Belotero, in the tear trough region. Please make sure that you are seeing an expert in injectables. Good luck!
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Fillers in the marionette will only soften the area. It is very difficult to elimate the marionette lines with the addition of fillers.
I hope this helps.
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Your injector did a very good job in correcting the lines and areas that you described. I think you could benefit from a bit more filler both in the mid-face and in the lower face. More product injected into the lower face and placed correctly by the lower jaw should "pull back" your face and give you a better result. Best, Dr. Green
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