Threads or filler: what is the best option for eliminating frown and marionette lines? (Photo)

Hi @Exuberant5887! I highly recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

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. Great question. If you are ready for surgery, then a facelift is gold standard. If you are only looking for non surgical approach, I will suggest you to try threads first then filler to fill the cheeks afterwards. The reason why you have deep nasolabial fold, marionette lines and jowls is because the soft tissue have descended. The threads can help soften the lines by repositioning your soft tissue to where they used to be. Then after several weeks you can consider adding volume with filler to your cheeks.