What is Your Opinion on Marionette Fold Excision?

   Marionette Lines or Nasolabial Fold Excision can usually be avoided by facial fat grafting and proper facelifting techniques.  Kenneth Hughes, MD Los Angeles, CA

if you are looking for a permanent solution to this your best bet wold be a permanent filler such as on the link below.  Surgical excision would result in a scar in a place that may not be so easy to hide.

Very simple-  in my experience, I would not excise the marionette lines, either directly or with a lateral corner lift lip, due to the risk of scarring.

Do not do this.

Even an optimal scar will still be noticeable in this location, and will likely require make-up to disguise it.

Instead, consider fillers to the area, or a further SMAS and skin tightening along the jawline.  A good facelift is very effective for treating this problem.

I highly discourage excision of these. Sounds like what you needed was a full facelift instead of a 'partial' one. Please consider a full facelift before attempting excision. Best wishes, Dr. H