Marionette lines are causing yeast infections. What procedure, if any , will eliminate these lines/ folds permanently? (Photo)

Thank you for your question and pictures! In today's day and age, there are many surgical and nonsurgical options to address various concerns one has for their face as they age.

With the pictures that you have provided, injectable fillers and Botox can help give you a smoother look, depending on your anatomy. In general, surgery is one of the best ways to address jowls. However, skin tightening and all sorts of injectables can definitely help significantly especially for patients that are not interested in surgery. If you're ever interested in surgery, the procedure is much different than what you're probably reading about online. A short scar facelift that addresses the jowls & marionette lines can typically be done under local anesthesia in the office, usually in as little as 20 to 30 minutes. There are usually no drains, recovery is quick, and most patients take no narcotics.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and never be pushed out with just one suggestion. Ultimately there are pros and cons to every procedure whether it's surgery or not surgery. It should always be your choice. I have had 80-year-old patients be very happy without having had any surgical procedures.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Good Morning! Deep marionettes can be challenging. Filler would be one option. Hyaluronic acid fillers help to restore volume and reduce the depth of these areas. Options would be Juvederm or Restalyne. Fat transfer provides a longer solution on the average of 5-10 years. The results can be quite nice and natural. A facelift would assist with tightening this area to a more significant degree. The involvement and recovery are more involved, but the results are more dramatic. Hope this helps you!

I would start with a rigorous skin care program and filler in preparation for skin resurfacing with a deep peel.