The "hard" or thicker fillers often recommended for treating deep marionette lines and the associated volume loss are those made of calcium hydroxylapatite (CaHA) and specific, firmer formulations of hyaluronic acid (HA).
Hyaluronic acid (HA) fillers are the most commonly used for treating marionette lines. They are popular for their ability to quickly smoothen wrinkles and restore volume in a non-invasive way. Juvederm vs. Restylane: These are the two most popular HA fillers used for marionette lines.
🔸 Filler, if the lines are really deep, you could have a bit of filler in them, or at the sides, to just support the whole area 🔸 An energy-based tweakment like RF needling, or ultrasound, or that Neogen Plasma that Shirley Ballas had, to smooth and tighten the skin across the whole area
Cosmetic treatments, such as dermal fillers, cosmetic peels and laser resurfacing, may temporarily get rid of or minimize marionette lines.
Dermal Fillers
Marionette line fillers are one of the best solutions to add volume to sunken facial areas. Hyaluronic acid fillers like Juvederm effectively fill marionette lines.
For mild cases, 1ml of filler (0.5ml per side) may be enough. However, moderate to deep marionette lines may require 2ml or more for optimal correction. Fillers are generally better for marionette lines as they restore lost volume.
The Japanese diet is low in processed foods and added sugars and high in fresh vegetables, seafood, soy products, and rice. This diet is rich in antioxidants, vitamins, and omega-3 fatty acids, which help fight oxidative stress and inflammation, two major causes of aging.
Dermal fillers containing hyaluronic acid are an ideal solution for adding volume to marionette lines and lips. By injecting fillers into the marionette lines, Dr. Alemi can smooth and soften these creases, restoring youthful contours to the lower face.
Identifying High-Risk Areas for Fillers
The areas around the eyes, particularly the tear troughs, and the temples are known for their intricate vascular networks. The nasolabial folds and perioral regions also pose risks due to their proximity to major blood vessels.
Marionette lines are vertical creases running from the corners of the mouth toward the chin. Over time, these lines around mouth become more pronounced due to aging, gravity, and the gradual loss of collagen and skin elasticity.
Typical amount: 1–2 syringes
Marionette lines run from the corners of the mouth to the chin, making you look sad or tired. Filler helps to smooth these lines and restore a more neutral or lifted expression.
The ingredient that works up to 11 times faster than retinol is Retinal (also known as retinaldehyde), a more direct form of Vitamin A that requires fewer conversion steps in the skin to become active retinoic acid, leading to quicker anti-aging and skin-smoothing results, making it ideal for experienced users.
No7's Instant Illusion Wrinkle Filler fills deep lines and wrinkles for instantly younger looking skin. This light velvety-soft formula creates an instant illusion that leaves the skin looking smoother, radiant and more youthful.
Next-Gen Hyaluronic Acid Fillers
In 2025, we predict more advanced HA fillers such as Restylane® and Juvéderm, which not only restore volume but also stimulate collagen production for natural, long-lasting results.
ABSTRACT Treating the marionette folds non-surgically can be unpredictable. Non-surgical approaches include direct injection of the lines with filler, indirect approaches augmenting the mid-face or revolumising the lateral face, injection of filler along the mandible, chin augmentation, and thread lifting.
While the Kardashians haven't officially confirmed every treatment they've had, several credible reports and industry insiders have linked them to collagen-stimulating injectables like Sculptra.
Avoid complications by understanding the danger areas and arteries to steer clear of when injecting dermal fillers
Many people are sharing their journeys of moving away from fillers and embracing their natural look. They often cite reasons such as: Overfilled Look: Over time, the face can appear overly plumped and unnatural. Side Effects: Bruising, swelling, and lumps are common side effects that can be off-putting.
Hyaluronic Acid Fillers
They are often used to correct wrinkles, fine lines, and other signs of aging. Fillers are injected into the skin to add volume and fullness. They can also be used to create a more youthful appearance by lifting sagging skin and adding volume to areas that have lost volume due to aging.
Filler injections can be placed around the lower face to erase fine lines along the skin, restore volume, and provide a non-surgical facelift. Sculptra and Radiesse are two fillers that are most commonly used for marionette lines, as they are both FDA-approved to treat these areas.
How a Facelift Surgery Can Take 10 Years Off Your Face. If you are seeking a more youthful appearance for your face, a facelift surgery might be the procedure you're looking for. This surgery, called a rhytidectomy, will remove major wrinkles, smooth lines and reduce sagging skin on your face and neck.
Simple Management and Treatment Options
The "Japan 5-minute rule" refers to extreme punctuality, meaning you should arrive 5 minutes before a scheduled time (e.g., 9:55 AM for a 10:00 AM meeting) to be considered "on time," as being exactly on time is seen as late, showing respect and reliability; it's part of the Japanese concept of go-fun-mae koudou (five-minute prior action). This emphasis on being early is deeply cultural, contrasting with many Western norms, and applies to business, appointments, and even trains, where delays over 5 minutes warrant apologies and certificates.
The 60 second ritual involves massaging your facial cleanser into the skin for a full minute before rinsing. The idea is simple: instead of quickly washing your face in 10 seconds, you give your skin the time it needs to truly benefit from the active ingredients and encourage circulation.
The Japanese 80% rule, known as "Hara Hachi Bu", is a Confucian principle advising people to stop eating when they feel about 80% full, not completely stuffed, to support health and longevity. This practice encourages mindful eating, helps prevent overeating, and is linked to lower rates of illness and longer lifespans, particularly observed in Okinawan centenarians. It involves slowing down during meals, listening to your body's fullness cues, and appreciating food as fuel rather than indulging to the point of discomfort.