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
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.
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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.
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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.
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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.
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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.
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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.
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