Nasolabial Folds are the lines that run from the corner of the nose to the corner of the mouth, and marionette lines are the lines that run from the corners of the mouth down to the chin.
Marionette lines and nasolabial folds are in different locations on your face. Nasolabial folds are known as smile lines and extend from the nose to the mouth. Marionette lines appear below nasolabial folds.
A doctor can greatly reduce the appearance of nasolabial folds using a surgical process called subcision. This procedure is typically used to treat scars and acne marks but may also help with nasolabial folds. During subcision, a doctor uses a needle to break up pockets of tissue.
Restylane Refyne
Primarily utilized to help soften crow's feet around the eyes, smile lines (nasolabial folds), and the long, vertical lines around the chin (marionette lines) while restoring the natural motion of the face and its functions. Restylane Refyne is both flexible and effective, lasting up to 12 months.
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.
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.
Cost of dermal filler in marionette lines:
Typically 1-2mls at least are required. Some patients will require more than this.
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.
Some dermal fillers have been studied to last close to two years. The three fillers that tend to last the longest are Restylane Lyft, Restylane Defyne, Restylane Refyne, Juvederm, Voluma, Radiesse, and Sculptra. Restylane Defyne is built for balance and used in the nasal labial folds and marionette lines.
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.
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.
While several facial fillers can do the trick, Juvederm is your best option for filling in marionette lines. The combination of its active ingredient with consistent treatment sessions helps the skin naturally fill in marionette lines as you age, and can reduce them from appearing with long-term use.
Botox can only provide correction to what has occurred to your natural anatomy and cannot alter the natural anatomy. For example, if you naturally have nasolabial folds, it will not completely diminish them. In most cases, dermal fillers are recommended for the smile lines because they provide better results.
Dо Marionette Lines Filler Treatments Hurt? The injection of the anti-wrinkle dermal filler is not painful. A topical anaesthetic is applied before the treatment to minimise any discomfort. You may feel some pressure during the injections but no pain.
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.
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.
For moderate to severe marionette lines, dermal fillers can be injected into the corner of the jaw. This pulls away, or lateralizes, the fullness around the mouth resulting from fatty atrophy. As a result, the folds around the corners of the mouth are pulled away from the corner of the mouth.
As Juvéderm® dermal fillers are largely composed of hyaluronic acid - a natural substance responsible for the creation of plump, hydrated skin - facial volume will be restored instantly and results will last for up to 12 months.
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.
Marionette lines typically require 0.5cc – 1cc per side. In order to reverse the turning down of the oral commissures in the corners of the mouth, how much filler needed could easily be 0.25cc – 0.5cc in just this area alone.
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.