Can marionette lines be resolved with Juvederm Voluma?

One cannot fully resolve any
marionette lines, but can improve them by 1. filling them with a filler, 2. lifting,
if needed, with a “Lift & Fill” Facelift, and 3. resurfacing with
laserbrasion. All of these components can improve and soften the marionette
lines.

Voluma is a new filler made by Allergan, the makers of Juvederm and Botox. It is FDA approved for use in the cheeks (mid-face). It has a much larger particle size, and is intended to be injected deeper and add volume. Because it is brand new, we are not sure whether it could be used in the marionette area in very small amounts. At this time, I would recommend using one of the other hyaluronic acid fillers, such as Juvederm, Restylane, or even Juvederm Ultra Plus or Perlane if you have very deep marionette lines.

There are many choices for this area. Voluma is typically used in the cheeks for augmentation while other fillers (Juvederm Ultra and Restylane) may be better used in this area. Voluma may aid in lifting the cheeks and then the others used to fill the lines to achieve optimal results.

Use your mirror and you can see the natural answer. In the mirror push down on your cheeks and you will see how the marionette folds deepen around the mouth. Now, lift the cheeks and see how almost magically the fold are lifted up and soften. So the answer, use Voluma for what it does best, lifting the cheeks, to lift up and soften the marionette folds, and then secondly use Juvederm Ultra Plus to fine tune the folds for the most naturally looking correction.

Voluma is designed to be an ideal treatment for cheeks.  Fortunately there are great fillers for marionette lines.  I would recommend that you consider Juvederm Ultra, Juvederm Ultra Plus (a little thicker), or Restylane for that area.

Juvederm Voluma has a large particle size. It is currently approved for mid-face volume loss and is injected deeper. I would absolutely not recommend putting it into the marionette lines as it will end up huge and puffy and overfilled. You should stick to regular Juvederm for this area which works in shallower areas and is more fluid. Juvederm Voluma would be a terrible idea here. "This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."