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.
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.
The effects of the treatment will be visible after 3-10 days and they'll last between 2-4 months.
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.
Thankfully we can turn the mouth frown upside down. We can use fillers in the marionette lines to create a smoother mouth area and jaw line. These fillers last 12-18 months and sit naturally in your skin.
BOTOX DOSAGE:
Depressor Anguli Oris muscle (highlighted in the image above) Anti Wrinkle injections for down-turned mouth-corners and Marionette lines: in females: 2 units per side. in males: 2-4 units per side.
The injection point is about 1cm above the angle of the jaw, in line with the Depressor Anguli Oris muscle. Care is taken not to inject too medially (towards the chin), to avoid weakening the Depressor Labii Inferioris muscle.
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.
Botox injections can reduce the movement of the muscles around the mouth which cause marionette lines as well as the muscle that excessively pulls your mouth corner downwards. How does Botox work? Botox temporarily blocks nerve impulses to the injected muscles, reducing activity that causes unwanted wrinkles.
As for the cost, it depends how many areas are filled and how many threads are used. The cost is about $200-300 for a pair of laugh lines or marionette lines.
Another option is laser resurfacing. Laser treatments are not as invasive as full cosmetic facelifts, though they are still considered a comparatively invasive treatment option. Essentially, laser treatments get rid of your marionette lines by removing the top layers of your skin.
After dermal filler injections into the marionette line area and lower face, side effects can include redness, swelling, and tenderness in the injection site. These effects usually subside within two days.
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.
When will I see results of marionette line fillers. Optimum results are seen after just a few weeks. This is a safe non-permanent treatment with results lasting an average of 9-12 months.
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.
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.
Dermal fillers are a good solution for people with pronounced marionette lines as they reduce them and tighten a sagging jawline.
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.
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.
Dermal filler injections are an excellent option to consider for marionette lines. Dermal fillers are cosmetic solutions that add volume to the injection site. This plumps up the site being treated, filling in folds and hollows and making a person's face appear supple and more youthful.
If your marionette lines are only just forming and are yet to really make their mark, microneedling is another great option. Also known as collagen induction therapy, microneedling works by creating tiny, controlled pinhole injuries in the 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.