What Are Marionette Lines?
Marionette lines are the lines that extend vertically from the corners of the mouth down to the chin. They get their name from the classic French marionette puppets as they give a puppet-like appearance to the face. When the folds are heavy with dark shadowing, the sagging of the skin and drooping of the corners of the mouth can give patients a permanently sad look with a downturned mouth. Severe marionette lines can also collect pools of saliva, producing sores and redness in the creases.
How Can Dermal Fillers Be Used To Treat Marionette Lines?
Direct application of dermal filler to marionette lines can be a successful treatment approach. This will plump out the area and fill creases and lines. However, the key is creating good structural support for the lower areas of the face. The sagging and laxity experienced here only make the marionette lines stronger and more defined.
By tightening the skin at the jaw and cheek areas, we can successfully pull the skin up, lifting the lower part of the face and reducing the drooping effects seen around the mouth.
Will Results Look Natural?
Fillers will be placed according to the natural contours and dimensions of the face. The gel-like consistency of dermal fillers used to enhance the lower face ensure the natural expressions are maintained when laughing or smiling.
Are Marionette Fillers Safe?
Dermal fillers used for marionette lines are not permanent and all have a high and well-establish safety profile. Depending on the treatment approach, the area will be injected with either a hyaluronic acid-based dermal filler, such as Juvederm or Restylane, or a calcium-based filler Radiesse. Radiesse has the advantage of being a strong skin remodelling agent with long-lasting results, but it is not dissolvable and so results are non-reversible.
Before each procedure, all patients will go through an in-depth consultation to ensure you fully understand the process, the results and the products that will be used.