Can fillers injected into cheeks add enough volume to reduce marionette lines without looking overdone? (Photo)

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

Hello, and thanks for your question and photos. You appear to be an excellent candidate for facial rejuvenation with hyaluronic acid (HA) fillers. In particular, I think you would benefit from Voluma placed in your malar area (i.e., mid-face). Voluma is a thicker HA filler, meant to be placed deep so as to provide structure and lift. If placed appropriately and in sufficient quantities, I do think this would soften your marionettes. You may then also benefit from placing some filler directly into these lines, so as to further soften them. Everyone's tissue responds a little differently to filler, so I like to start with the Voluma before deciding what other products, if any, may be necessary.  In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht. 

Dear Betty2010:Great question.  Looking at your photo, cheek reflation with a dermal filler would soften up your marionette lines.  I would suggest having your cheeks filled initially by an expert injector and re-assess your marionette lines 2-4 weeks thereafter.  Hope this information helps and wishing you treatment success.