Retinol and Retin-A Both treat wrinkles by exfoliating dead skin cells and promoting skin cell turnover. Retinoids can also help stimulate collagen production. Both can treat marionette lines, although you should be careful not to apply these topicals to your lips or mouth.
The “gold standard” to fix marionette folds is to have a surgical facelift. This is because surgically pulling the folds back from the mid-face area and above is the best way to fix them.
Natural Marionette Lines Treatment Options
You don't always have to get dermal fillers, but you can try increasing your vitamin c intake, using well-reviewed wrinkle creams, consuming anti-inflammatory foods, buying a cream concealer, and more. All these factors will help increase collagen production in your skin.
While several facial fillers can do the trick, Juvederm is your best option for filling in marionette lines. The combination of its active ingredient with consistent treatment sessions helps the skin naturally fill in marionette lines as you age, and can reduce them from appearing with long-term use.
Botox is useful for relaxing the muscles that pull down the corners of the mouth, while dermal fillers are the “go-to” treatment for erasing marionette lines because they are more effective in adding volume to the lower parts of the face. Doctors may also recommend combining both treatments to achieve the best results.
Microneedling
Microneedling is another professional treatment option to treat marionette lines. It's a form of collagen induction therapy, which means that it boosts your natural production of collagen to give your skin a more youthful appearance.
However, these methods are preventative. At the moment, there is no topical treatment that will remove marionette lines. That being said, regardless of your skin type or age, you can reduce, slow down and prevent the appearance of fine lines and wrinkles with the right skincare products.
Vitamin C is an antioxidant that can help to boost collagen production to reduce the appearance of marionette lines. The most potent form of Vitamin C is its serum form. If you're using a Vitamin C serum, apply it to the areas around your marionette lines daily.
While the results may be similar, Bellafill lasts much longer than its counterparts. Bellafill patients have reported results lasting upwards of 7 years or even longer, whereas the results of other fillers vary from 6 months to 3 years.
If your marionette lines and nasolabial folds are still relatively superficial, microneedling can also provide excellent results. This collagen-induction treatment uses tiny needles to create microscopic punctures in your skin.
Microdermabrasion can effectively treat marionette lines. It is a simple and quick skin treatment with minimal risk and no downtime. The procedure uses a special applicator with an abrasive surface to gently sand away the thick outer layer of the skin to rejuvenate it.
Frownies® offers 3 different styles of Frownies Facial Patches. Forehead & Between Eyes Patches are popular for horizontal lines and "11" lines between your eyes. Frownies Corner of Eyes & Mouth Patches lift and smooth "crows feet" around the outside of your eyes and smile lines (also called marionette lines).
Cost of dermal filler in marionette lines:
Typically 1-2mls at least are required. Some patients will require more than this.
Hyaluronic acid dermal filler against marionette lines
Dermal fillers are temporary injections that can help treat marionette lines. They plump your skin with hyaluronic acid and give you smooth fine lines. Hyaluronic acid fillers give immediate results, but the full effect is visible after 1-2 weeks.
Dermal fillers are applied to the marionette lines and the corners of the mouth. This hides the shadow between the 2 areas creating a flatter shape. This smoothens out the marionette lines and reduces the appearance of the jowls.
Botox is often recommended for the treatment of marionette lines because it helps relax the facial muscles responsible for developing these wrinkles, and smooths out your skin.
Facial fillers are very good at dealing with deep wrinkles such as marionette lines. They gently plump out the wrinkles, resulting in a smoother appearance. Marionette lines filler can also be used to add volume to your cheeks, replacing the diminishing fat pads in that area.
One common cause of marionette lines is a depletion of fat cells in the face.
Usually, we use a softer filler for the fine lines around the lips. The best examples are Belotero, Restylane Silk or Volbella.
For moderate to severe marionette lines, dermal fillers can be injected into the corner of the jaw. This pulls away, or lateralizes, the fullness around the mouth resulting from fatty atrophy. As a result, the folds around the corners of the mouth are pulled away from the corner of the mouth.
Marionette lines typically require 0.5cc – 1cc per side. In order to reverse the turning down of the oral commissures in the corners of the mouth, how much filler needed could easily be 0.25cc – 0.5cc in just this area alone.