Age 36 - are these beginning marionette lines & could they be fixed? (Photos)

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 thank you for providing photos along with your question. Based on these images you do appear to show early signs of marionette lines, and they may become more prominent with age. Fortunately, marionette lines can be addressed by injectables. Botox, for instance, is an effective treatment for relaxing the muscles that pull down the corners of the mouth, while dermal fillers can add volume to the mid and lower parts of the face, reducing the appearance of marionette lines. Combining these injectables can create a liquid facelift and help achieve the best results. To learn more about your options, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Your surgeon can assess your skin quality, customize the best treatment plan, and ensure the best possible results.

Thank you for your question. Given your age and the pictures, most likely fillers will be your best treatment option. They help by adding volume and reducing shadowing. I hope that helps, and all the best.
-Dr. P