I am 45 years old with pronounced marionette lines but with virtually no other wrinkles. I am substantially over-weight and have a thick neck and starting to develop a double chin. Had fillers by very reputable dermatologist with very little results. What is the best type of treatment for me? Will losing weight make these lines better or worse (my mother has the same ones). THX
Answer: Young patient with Marionette Lines
I think it is difficult for anyone to answer this question without seeing photos of you. Certainly, I agree that in your particular case, weight loss should be considered as your first "procedure" before resorting to a lift. that said, I do not think you are too young to consider a mini lift procedure which will address your individual concerns.
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Answer: Young patient with Marionette Lines
I think it is difficult for anyone to answer this question without seeing photos of you. Certainly, I agree that in your particular case, weight loss should be considered as your first "procedure" before resorting to a lift. that said, I do not think you are too young to consider a mini lift procedure which will address your individual concerns.
Helpful 2 people found this helpful
Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care 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
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Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care 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
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November 21, 2018
Answer: A Facelift Isn’t The Only Answer for Marionette Lines Surgery is not for everyone. 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. In general, surgery is one of the best ways to address marionette lines. 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.
Helpful 1 person found this helpful
November 21, 2018
Answer: A Facelift Isn’t The Only Answer for Marionette Lines Surgery is not for everyone. 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. In general, surgery is one of the best ways to address marionette lines. 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.
Helpful 1 person found this helpful
October 22, 2018
Answer: Deep Marionettes in Younger Patients: What Can be Done? I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach. In addition, for patients who do not want surgery, fillers in addition to skin tightening procedures (such as needle RF) give good results specially when it comes to younger patients. Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
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October 22, 2018
Answer: Deep Marionettes in Younger Patients: What Can be Done? I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach. In addition, for patients who do not want surgery, fillers in addition to skin tightening procedures (such as needle RF) give good results specially when it comes to younger patients. Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
Helpful
February 22, 2018
Answer: Marionette lines in 45 year old Based on the history you provided and your age, you could have some skin inelasticity associated with some volume loss. I would start with volume addition in the form of filler and that should make a big difference. Marionette folds are hard to improve with just surgery alone. Many times patients who state they are overweight like you mentioned, don't want to add more volume to their face but many people, when they lose weight, start to show it in their face because they lose support that was holding the skin upwards...start with volume and find a plastic surgeon who specializes in faces.
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February 22, 2018
Answer: Marionette lines in 45 year old Based on the history you provided and your age, you could have some skin inelasticity associated with some volume loss. I would start with volume addition in the form of filler and that should make a big difference. Marionette folds are hard to improve with just surgery alone. Many times patients who state they are overweight like you mentioned, don't want to add more volume to their face but many people, when they lose weight, start to show it in their face because they lose support that was holding the skin upwards...start with volume and find a plastic surgeon who specializes in faces.
Helpful
December 10, 2018
Answer: Patient with deep marionette lines at 45 Each patient's anatomy is unique, so there is no "one size fits all" answer for how to treat marionette lines. In the case of injectable treatments, it's possible that the incorrect product or technique was used, or that simply not enough product was used (which is something I see quite commonly for patients coming from other injectors). That being said, 45 is definitely not too young for a face or neck lifting procedure, but that would depend on the particular patient's anatomy and desired changes. Be sure to see an expert who specializes in facial aesthetic surgery in order to review all of the surgical and non-surgical options in detail. All the best,
Helpful 1 person found this helpful
December 10, 2018
Answer: Patient with deep marionette lines at 45 Each patient's anatomy is unique, so there is no "one size fits all" answer for how to treat marionette lines. In the case of injectable treatments, it's possible that the incorrect product or technique was used, or that simply not enough product was used (which is something I see quite commonly for patients coming from other injectors). That being said, 45 is definitely not too young for a face or neck lifting procedure, but that would depend on the particular patient's anatomy and desired changes. Be sure to see an expert who specializes in facial aesthetic surgery in order to review all of the surgical and non-surgical options in detail. All the best,
Helpful 1 person found this helpful