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What Is The Best Injectable Filler For Marionette Lines?

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Dr. Hardik Soni

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Marionette lines are fairly common wrinkles to encounter as you age, so removing them might seem like a no-brainer to you. However, there are some caveats to getting rid of them: they’re located in the areas of your face that have thinner skin, and they can be hard to treat with conventional facial treatments like Botox. That’s where injectable dermal fillers come in.

But what’s the best kind of injectable filler to use on marionette lines? 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. 

Why Juvederm Is The Best Facial Filler For Marionette Lines

Juvederm is an FDA-approved dermal filler designed to address aging-related facial concerns like wrinkles, marionette lines, and other lines on the face. It’s a relatively quick outpatient procedure that has little to no side effects and is one of the most popular dermal fillers on the market today.

1. How it works

The active ingredient in Juvederm is hyaluronic acid (or hyaluronan), a naturally-generated substance found in your body. Higher levels of hyaluronic acid can keep your skin supple and moisturized, but its most significant effect on your skin is how it can boost your collagen production.

Collagen (together with elastin) is an essential protein that gives your skin and tissues their muscle and its shape. Your body’s production of both of these compounds slows down as you age, which makes you more prone to developing skin conditions like marionette lines.

However, hyaluronic acid is one of the best stimulants of collagen production in the skin. The more hyaluronic acid your body has access to, the less likely it’ll sag and wrinkle, especially in the lower half of your face.

2. Procedure and side effects

Applying Juvederm is simple: after your initial consultation, your doctor will mark the areas around your mouth that need filling, then inject the product inside. Juvederm comes in several different formulations designed to fill specific areas of the face, but your dermatologist will most likely use Juvederm Ultra Plus XC and Juvederm Vollure XC.

After the initial injection, you’ll be advised to avoid any exercise, alcohol, makeup, or sun exposure for a day or two after. This is to help the filler settle in the areas where it’s needed and not expand to other parts of the face.

Side effects from Juvederm are relatively mild, and are usually limited to:

  • Swelling and tender skin
  • Redness and minor pain
  • Bumps or lumps, which may be accompanied by itching

Any more serious side effects due to Juvederm treatment are usually because of mishandling on the part of the dermatologist and occur rarely. Still, if you experience anything out of what you expect after your Juvederm treatment, consult your doctor immediately.

3. Results and re-application

Juvederm is a relatively fast-acting product, and you should see some immediate improvements a few days after your procedure. Depending on your lifestyle, the results can hold for more than a year before they need reapplication.

Keep in mind that Juvederm (and by extension, other dermal fillers) are band-aid solutions to skin aging. You’ll always need a reapplication of your Juvederm filler every now and then to keep up!

Other Injectable Fillers For Marionette Lines

If Juvederm isn’t available, there are other options that you and your dermatologist can consider to treat your marionette lines. While these treatments may differ from one another in methodology and how they work, they’re all designed to fill in marionette lines with relative ease.

1. Radiesse

Radiesse is another dermal filler that uses calcium hydroxyapatite (CaHA) gel injected directly into your marionette lines. This gel is a mixture of calcium and phosphate, two essential building blocks of the human body. While the gel itself does most of the initial filling out, the CaHA gets absorbed by your skin over time, which increases its production of collagen. This is particularly helpful with areas like the lips, which can sag a lot over time.

Like Juvederm, Radiesse is an outpatient treatment that can be done relatively quickly with little to no aftercare required. Because it’s also a slow-release product, the results can last for 6 months to half a year. For more sensitive patients, a dermatologist may use a numbing anesthetic like lidocaine for easier movement.

2. Sculptra

Sculptra is another long-lasting dermal filler that can treat a wide variety of wrinkles and other lines in the skin and body. It uses poly-L-lactic acid (PLLA) as its active ingredient, which helps it stimulate the growth of collagen and elastin. It’s primarily meant for use on the cheeks, chin, and nasolabial folds, but it can also work on marionette lines too.

However, Sculptra is less of an attractive option for many patients because of the potential allergic reactions they may have with the other ingredients in the injectable. If you’re looking to get Sculptra to treat marionette lines, make sure to clear the ingredients with your doctor or dermatologist.

Keep in mind that these are also not the only treatments that you can consider for filling in marionette lines, but the three that we’ve discussed have shown the most reliable and impressive results. Each person has a different reaction to dermal fillers, and what might work for someone may not work for you. However, these are all non-invasive alternatives to a surgical procedure, which means less downtime for a person after their treatment is done.

Overcome Your Marionette Lines With Ethos Spa NJ Today

Marionette lines can be surprisingly noticeable and make you older than you actually seem. If you’re looking for the best solutions to make them disappear outside a surgical facelift, dermal fillers like Juvederm are your best bet. However, make sure that you always consult with your dermatologist first before locking it in as a choice – other filers may work just as well for you too!

At Ethos Spa NJ, we have extensive experience in helping our clients overcome the signs of aging and bringing back a healthy glow to their skin. We offer alternative treatment options for people who don’t want to undergo surgery, and we’ll work closely with you to make sure you reach your beauty goals!

Read more: How To Make Your Results From Juvederm Last Longer

Dr. Hardik Soni

MD, Founder/Lead Physician

About Dr. Hardik Soni

Dr. Hardik Soni is the founder and Medical Director of Ethos Aesthetics + Wellness. His primary focus is on minimally invasive and non-invasive cosmetic procedures including botulinum injection (Botox and Dysport), dermal fillers (Juvederm, Restylane, Radiesse), laser hair removal, chemical peels, and laser skin rejuvenation. Dr. Soni believes in a more conservative approach and his first goal is education. Clients are able to determine the ideal treatments after discussion with Dr. Soni regarding the expected outcomes, cost, as well as risks.

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