If you don't want surgery, the combination of fillers and non-invasive skin tightening like Ulthera, Thermage, Exillis or minimally invasive ThermiTight can give very good results. Fillers for the cheeks and PDO threads can be added for additional lift to the lower face. Make sure you see an experienced board certified physician to discuss all your options. Good luck!
Thank you for your question Sabrina7777.I understand your concern. Fillers are used to restore lost volume in andenhance the appearance of the face. Marionette lines are the lines that go from the corners of the mouth to the jawline. This is a common concern. To address this concern it is important to understand the cause: loss of volume in the mid-face and loss of collagen in the skin. Voluma can be placed in the upper cheeks to restore volume loss in the mid-face. This will pull up the lower face and decrease the appearance of marionette lines along with jowls and nasolabial folds. Some patients benefit from Vollure placed directly into the nasolabial folds or marionette lines in conjunction with Voluma in the upper cheeks. Collagen is the protein in the skin that keeps the skin firm, tight, and youthful. Over time collagen is lost. Treatments such as fractional CO2 laser resurfacing stimulate the skin to produce its own natural, new, fresh, and healthy collagen to provide a tight and youthful appearance. I find that a combination of fillers and laser resurfacing works best for such concerns. Please consult with a doctor for specificrecommendations. Good luck!
