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.
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.
Juvederm products are typically the better option for moderate lines, while Restylane is typically a better option for mild marionette lines. Ultimately, the decision to use Restylane or Juvederm for marionette lines will depend on the needs of the patient and the severity of the lines.
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.
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.
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.
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.
The needle should be inserted approximately 1 cm below the lip and a linear threading technique should be used to inject filler along the lower lip and into the marionette fold. Correction of marionette lines usually requires injection into the deep dermis with a malleable product.
The best filler for the corners of the mouth really depends on your mouth and your skin. If you have thin skin, a thinner filler, such as Restylane, Restylane Silk or Volbella work best. These fillers provide lift using just a very thin fine amount and they can also fill some of the little edged lines.
Facial fillers are very effective at dealing with deep wrinkles such as marionette lines. They gently plump out the wrinkles, resulting in a smoother appearance. Dermal fillers can also be used to add volume to your cheeks, replacing the diminishing fat pads in that area.
Dermal fillers for nasolabial folds and marionette lines are one of the longest-lasting. Patients can typically enjoy treatment benefits for up to two years.
However, this is usually mostly minor swelling from the injections, and it is completely normal and safe. In reality, fillers take up to four weeks to “settle,” according to Healthline.
Fortunately, dermal fillers work very quickly, and you won't have to wait twelve months to see the full benefits of your injections. 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 works by relaxing the muscles around the mouth, but it cannot soften the deep folds in the nasolabial area. 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.
Chin augmentation is a popular treatment option for marionette lines because it is very effective. This treatment often uses dermal fillers to plump out diminished areas of the skin, such as marionette lines. They work by restoring the hyaluronic acid in the skin and restoring fullness around the chin.
Filler, however, is ideal when used on deep folds such as those classified as marionette lines (or nasolabial folds). Products such as Juvederm or Restylane are particularly effective in this area to fill in the gaps that wrinkles cause over the years.
Marionette lines can be treated with hyaluronic acid. The treatment needs to be repeated approximately every 6-12 months. One of the most common methods of reducing marionette lines is the dermal filler, an injection under the skin. For this purpose, so-called fillers (usually hyaluronic acid) are used.
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.
Baugh administers JUVÉDERM® to smooth away fine lines and wrinkles around the mouth and nose, including marionette lines and vertical lip lines. How long does JUVÉDERM last? In most cases, results last anywhere from 12 to 24 months.
Crafted with XpresHAn Technology™, Restylane® Defyne helps smooth out deep laugh lines (nasolabial folds and marionette lines) as well as enhance chin projection.
Defyne addresses deeper laugh lines like the marionette lines that form around the chin, as well as deeper nasolabial folds that develop as a result of the aging process and volume loss. It provides natural-looking results that last up to twelve months with optimal treatment.