Would You Recommend Botox for Marionette Folds That Are Starting to Show in Your Early 30s? (photo)

The conversation so far has been interesting with many very different responses. While Botox to the muscles right around the marionette lines can cause problems such as drooling and an asymmetric smile, Botox into the Depressor Anguli Oris ( the injection is near the bottom of the jaw- far away from the lines themselves) will cause the corners of the mouth to lift slightly without worrying about the above mentioned problems. While you could then wait and see how much you like the results from this injection, an additional injection of a filler (Restylane or Radiesse) into the corners of the lips and the marionette lines themselves would likely finish off this problem nicely.

I agree with Dr. Glavey. I would try Botox first for treating the anguli oris muscles, it will probably give you enough improvement. You can always do a filler if it doesn't work well enough for you, but it is significantly cheaper to do Botox. As you age the Marionette lines will likely become deeper and at some point you will have to use a filler, such as Radiesse, to adequately correct.