Ultherapy or Infini for marionette lines?

Marionette lines develop for a number of different reasons.  There is no single treatment which will provide optimal results in the treatment of this area.  There is certainly a role for noninvasive skin tightening but there is also a role for injectable fillers.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

A thorough history and examination of the entire face and neck is going to determine the choice of treatment for marionette lines. An obese patient with submental fat, folds, deep wrinkles, heavy jowls, and severe laxity of the skin along with marionette lines will not get the best result with either Ultherapy or Infini. 
 If you have moderate global skin laxity, adequate facial volume, and minimal jowls then either Ultherapy or Infini can be used. Ultherapy is more precise since it is performed under direct visualization. Both of these procedures are painful but results can be excellent. 
Threads such as Novathreads or Instalift can help the marionette lines in selective individuals.

Without seeing pictures it is hard to say which procedure will work best for you. Usually marionette lines are best treated with fillers. I would recommend going to see the nearest physician to evaluate you. Hope this helps.

Ultherapy and Infini both can tighten areas with skin laxity. Infini is a radiofrequency, microneedling device that delivers results for skin tightening, scar revision, and wrinkle reduction. The treatment can tighten lower parts of the face. Fillers can also reduce the appearance of lines around the lines.

Ultherapy is designed to tone and tighten deeper tissue layers of the face, neck and beyond. It does so better than any other non-surgical treatment I know. It is not the appropriate treatment for Marionette lines. Fillers (and maybe a facelift) will address them effectively. 

Ultherapy uses focused ultrasound for noninvasive skin lifting, and whether it will improve marionette lines is a determination that can only be made by in-person evaluation. Infini is one of many radiofrequency devices such as Thermage and as a category they are not as precisely focused as Ultherapy. You may need fillers for the marionette lines. None of these is a true alternative to a surgical facelift.

Ultherapy will lift, tone and tighten the loose skin of the face. This may provide a slight improvement in the appearance of marionette lines. The main issue with marionette lines is a loss of volume and fillers work much better in replacing the lost volume. A combination of Ultherapy and Fillers would be best. Hope this helps.

Neither of these devices will work for the marionettes. Filler will help in most cases. If there is still a problem after proper filling, I'm now using PDO threads to improve this area. This is a technique from Korea and Europe. This has been a difficult area to fully correct in the past with just fillers. Skin tightening devices help only minimally.

The term marionette lines can mean different things to different people. If there is a skin fold present that feels "empty" then the skin is lax and would benefit from Infini. Infini is for skin tightening and would be a better way to address that "empty" fold condition better than Ultherapy. After the health (tone) of the skin is improved with Infini, a filler may help with any volume loss. Often a marionette is due to both skin laxity and volume loss. I don't thing addressing volume loss alone is as helpful as addressing both would be. See a physician who is very experienced with both fillers and skin tightening procedures.