Dermal Fillers and Botox Injections for Wrinkle Treatments at Dr. V Medical Aesthetics. Botox is one of the most effective solutions against the development of marionette lines and other signs of aging, but it requires a skilled and experienced injector to know the exact amount of units for your cosmetic treatment.
In the chin, marionette line injections target the depressor anguli oris muscle (DAO). Care must be taken not to inject the depressor labii muscle, which can cause lip asymmetry if exposed to Botox. Optimal needle depth is 5 mm, with placement as close as possible to the DAO muscle's motor endplate.
Nose lift needs two Botox units. how many units for marionette lines, about 5 units for each side. A gummy smile needs two to four units.
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. Bellafill is especially good for treating marionette lines, as well as other wrinkles and scars.
Juvéderm for Marionette Lines? To treat the vertical lines between the mouth and chin to reduce the look of sagging, you're likely to need one syringe per side.
In this case, a volume-adding injectable like dermal fillers is often the better choice because it can fill the deep wrinkles and smoothen the skin. Some patients also combine these two treatments especially if the corners of the mouth are turned downwards.
A full facelift would effectively tighten all of the skin around the mouth and jawline, getting rid of any marionette lines, nasolabial folds, and other wrinkles. However, facelifts require the cutting and moving of full skin layers by a plastic surgeon. Another option is laser resurfacing.
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. Juvederm works by smoothing parentheses lines, and other superficial to deep lines and wrinkles.
Age and gravity can cause the mouth to turn downwards. In addition, the muscles responsible for tooth grinding can also cause premature drooping at the corners of the mouth. Fortunately, there is a safe and non-surgical solution to this common aesthetic concern– Botox.
How does the treatment work? 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.
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.
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.
2 weeks after the treatment, you're likely to see noticeable results. The area treated will appear smoother (finer the lines) and look more refreshed. The maximum effect of botox injections is on the second month. After 3-5 months, you will start to see the effects of botox will gradual return to original.
Cost of dermal filler in marionette lines:
Typically 1-2mls at least are required. Some patients will require more than this.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.
It takes up to 4 weeks for the filler to fully integrate into the tissue and some fillers are more cohesive than others. We often advise my patients that they should drink plenty of water to stay hydrated after treatment, as hyaluronic based fillers are water-binding.
By placing filler in the cheeks and jawline, we are able to begin lifting the skin and give any filler inside of the marionette lines more opportunity to rejuvenate. After your first treatment, you will need to touch up the filler about every six to nine months.
You may feel some pressure during the injections but no pain. After the procedure, you may experience some mild swelling or bruising around the injection sites for up to 48 hours.