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Aug 6, 2024 · The other pair of wrinkles are marionette lines, which get their apt name from puppets’ unique facial structure. “Marionette lines run vertically from the corners of the mouth to the chin, often giving a downturned appearance,” says Dr. David Shafer, a board-certified plastic surgeon in New York City. (You’ll almost never hear the ...

A lower facelift will help with marionette lines somewhat, but in most cases will not eliminate them. Keep in mind that some degree of fold in this area is natural and age-appropriate. Some attempts to over-tighten this area can end up looking strange and unnatural.

Feb 20, 2010 · There are different techniques for injection. I personally prefer to inject into the marionette lines, but also next to it and often across the marionette lines for more substantial support. Injection of the vermillion (white lip border) also results in significant imporvement of the marionette lines.

Feb 20, 2013 · Unfortunately, marionette lines rarely improve over time and actually may become more visible once the swelling is fully resolved. They are difficult to treat with a facelift. I suggest discussing options with your surgeon. But it's best to wait a few months before contemplating doing anything else.

Mar 9, 2022 · RHA is an excellent option for the marionette lines because it has optimal elasticity allowing for it to move with expression. For the jawline it depends where; if at the point where the marionette lines meet the jawline (the not-so flattering term is pre-jowl sulcus), then it …

Most people get marionette lines as they age, but some may be more prone to developing these lines sooner. External factors like sun damage or smoking can make wrinkles more prominent. In your case, buccal fat removal may have accentuated the lines too. Fortunately, marionette lines can be addressed with dermal fillers.

Jun 13, 2009 · I addition, I do use Sculptra in the marionette region. I don't hesitate to combine Sculptra with a traditional dermal filler. It does confuse the question as to how long the result will last. I tell patients to expect the traditional fillers to last up to a year. The Sculptra, can last beyond a year and will give the marionette region a volume ...

Dec 21, 2017 · Touch and go with one modality only. Microneedling and PRP was not designed to replaced marked volume loss as in marionette lines. Expect a mild to modest improvement after 3 energy based microneedling sessions combined with PRP.

Jan 18, 2015 · Marionette lines or the wrinkle/folds from around the mouth to the chin can initially be treated with fillers or fat in a younger patient with adequate elasticity. However, when there is enough aging, simply placing filler product here has a limit and will have limited change or even an unnatural result when too much product is placed.

Oct 28, 2022 · Hi rachelc101! You can help soften the marionette lines with dermal fillers. In addition, I would recommend PDO threads. PDO threads help to lift facial anatomy for structural changes and can help promote collagen and myofibroblast stimulation improving overall skin texture and health. I hope this was helpful :)