You can use dermal filler to treat marionette lines in two ways. Firstly, injecting filler to add volume in the cheeks will replace the lost volume in that area. This treatment will lift your skin and, as a result, reduce the appearance of the lines.
Dermal fillers temporarily add volume to your face to smooth out lines and wrinkles. There isn't one filler that's best for marionette lines. In general, dermal fillers may help with mild to moderate marionette lines. But they might also create an unnatural look.
Juvederm Ultra Plus is the most common dermal filler to treat this area and, during the procedure, is injected into the surrounding areas of the marionette line to provide structural integrity. Patients can expect the results to last up to one year.
What Is the Best Filler for Marionette Lines? In our experience, the most effective filler for treating the marionette line is either Juvéderm Ultra Plus® or Radiesse®, depending on the depth and configuration of the marionette lines.
Square: Square shape faces will tend to have a prominent square like a jawline that is equivalent in width to their forehead. A great treatment for this face shape is cheek filler. Because your face is already quite structured, adding gorgeous cheekbones will make you turn heads!
Dermal fillers can be used to restore mid-face (cheek) volume and sculpt the jawline, in order to reduce the appearance of sagging jowls. The procedure is not painful, does not require any significant down-time and is excellent at lifting and sculpting the skin, where volume needs to be replaced.
Treating with 1ml at a time is certainly appropriate for some areas, such as volumising lips or having smaller tweakments into other areas of the face. Sometimes, however, more than 1ml may be required – in the cheeks, for example – as 1ml may not make a discernible difference.
Cost of dermal filler in marionette lines:
Typically 1-2mls at least are required. Some patients will require more than this.
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.
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.
Both Juvederm and Radiesse are effective in treating marionette lines, but Juvederm recommended for shallow marionette lines. Radiesse recommended for more severe marionette lines and wrinkles.
We usually recommend that you return to the clinic for a marionette lines filler top-up after around 6 months to maintain your desired results.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
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.
Surgical facelift/cosmetic surgery
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.
Placing injectable fillers in the cheeks is very effective at improving the fullness of the cheeks, particularly in patients who feel that they have “lost” their cheekbones with aging or weight loss. But it doesn't actually fill in the nasolabial folds.
Cheek highlights in a younger patient – often only 1ml. In reality many of my patients looking for improvement of a specific area only need about 1-2ml on average. Most people are surprised at the difference just one syringe of filler can make to a problem area.
Cheeks. When doing filler injections for the cheeks, we typically recommend 2-6 syringes. Weight loss and illness can also negatively impact the fat pads in the cheeks, causing patients to need more filler to restore them to a youthful appearance.
You will have some swelling in the area you've had filler injected. In some cases bruising can occur. One cheek may look slightly different to the other cheek, but this happens with patients who are asymmetrical to begin with.
Cheeks are often very asymmetrical to start with and the injector may choose to attempt to correct it during the treatment. Sometimes asymmetry will occur because one side is more swollen or bruised. Mostly symmetry issues will resolve automatically by the time of the review appointment.
Dermal filler the cheeks lasts around 9 months to a year on average according to manufacturers. The longevity of cheek filler is dependant on the individual. Some factors that affect longevity are: age, metabolism, amount injected at the time, amount of time since last treatment, amount of treatments previously.
How can cheek fillers make me look younger? As we age, we start to lose fat on our face, and when this starts to affect our cheeks, our face can start to look gaunt and thin. When filler is injected into the problem areas, the face looks plumper and curvier, making us look healthier, younger and less tired.