Facial volume loss can create hollows, prominent jowls, deep nasolabial folds and marionette lines around the mouth, and other signs of aging. Even with a healthy skincare regimen, many weight-loss patients have a difficult time getting rid of these aging indicators.
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.
Marionette Lines Treatment Options
Juvéderm® is recommended for the patient who have shallow marionette lines, but for patients with very deep marionette lines, Radiesse® is recommended as a base and often Juvéderm® as a pillow-top technique.
Various cosmetic treatments can reduce the severity of marionette lines and improve the look of your skin. Surgery is the only long-lasting solution for marionette lines.
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.
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.
WHAT ARE JOWLS & MARIONETTE LINES? Jowls are loose skin and flesh that hang beneath the lower jawline. Marionette lines or “puppet lines” are lines that run from the corners of the mouth to the chin. Both are a sign of ageing and volume loss in the face.
Chewing gum for about 5 to 20 minutes regularly helps to decrease facial wrinkles. This is because chewing exercises improve blood circulation and results in unblemished bylines and smoother skin.
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.
Causes of Marionette Lines
Marionette lines, also known as oral commissure lines, occur when the depressor anguli oris muscle, or DAO muscle, pulls down the corners of the mouth, causing noticeable lines and a sad expression.
Vitamin C. 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.
How long do fillers in marionette lines last? Dermal fillers like juvederm volift for nasolabial folds and marionette lines are one of the longest-lasting. Patients can typically enjoy treatment benefits for up to two years.
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.
You may want to plan for touch-ups every 3-6 months to ensure the best results.
Bruising and swelling post treatment is possible. This can happen instantly and can occasionally be asymmetrical. Swelling should begin to subside in the first 48 hours and will subside completely in just 2 weeks. Down-time is recommended the day of your treatment where possible.
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.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector.
PDO threads are the best option for non-surgical facelifting and for erasing marionette lines. The only way to treat marionette lines is to physically pull the skin back. And the best way to do that without surgery is with threading treatments.
After our aesthetic facial assessment, treatment can improve marionette lines and folds by firstly using dermal filler in the corners of the mouth. This adds volume and helps to move the mouth corners forward to support your lower lip, creating a more upwards turned mouth corner.