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What You Need to Know About Dermal Filler for Marionette Lines

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Dr. Hardik Soni

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Dermal fillers are non-surgical solutions to correct facial wrinkles, facial folds, and fine lines, aside from enhancing or augmenting a treatment area. This non-invasive treatment is preferred over its more drastic alternatives because of the short recovery period and a wide array of treatment areas. One example of a kind of facial line treated by dermal fillers is marionette lines.

But are dermal fillers the best treatment for marionette lines? Dermal filler treatment involves plumping the skin to add more facial volume and smoothen the surface of the skin, thus correcting fine lines in the process. In addition, dermal fillers are also one of the best solutions for marionette lines, because of their safety and natural-looking results. So it’s safe to say that dermal fillers can be the solution to your concerns with marionette lines.

Why You Should Have Dermal Fillers for Marionette Lines

There are many reasons why dermal fillers should be considered a good option in correcting signs of skin aging. If you’ve never heard of them before, dermal fillers are treatments that are injected into the skin for extra volume especially in target areas like the lips, cheeks, or chin, and also for the correction of facial contour, facial folds, wrinkle areas, and fine lines, including marionette lines.


Marionette Lines: What They Are And Why They Appear

Marionette lines (or melomental folds) are facial folds that are found in the corners of a patient’s mouth, which extend up to the chin. These fine lines can be subtle or deep, and they can also make you appear constantly frowning. Resembling the pronounced vertical lines found on the same area in the faces of marionette string puppets, the term “marionette lines” was born. 

In contrast with nasolabial folds, the location of marionette lines is different. Although these can also be treated using dermal fillers, nasolabial folds are smile lines (i.e, laugh lines) that appear from the area of the nose up to the mouth, whereas marionette lines appear below it.

Marionette lines may be classified as mild, moderate, or severe. The causes for having marionette lines are the same as any other wrinkled areas, with aging being the strongest factor. Marionette lines usually appear at age 40, although in some cases it can already be seen in the corners of the mouth as early as ages 20s and 30s.

Lifestyle factors and skincare regimen can also be strong causes of your pronounced melomental folds. It would be helpful to know that the following are the other leading causes as to why marionette lines develop:

  • Smoking
  • Stress
  • Declining collagen and elastin production
  • Sun exposure and not putting on sunscreen on the face
  • Frequent pursing of the lips

If people in the family, such as the parents or grandparents, also develop marionette lines in their faces, especially at ages when the appearance of lines like these don’t typically show up, then it’s a matter of genetics: having marionette lines runs in your bloodline, and your children may also inherit this.

Meanwhile, the severity of marionette lines is diagnosed by an aesthetic provider using a five-point rating scale during the initial consultation. This rating scale helps the plastic surgeon identify the best treatment plan for the patient. This can also help them guide the patient into choosing the right injectable filler substance to be used in their treatment session.

It’s good to note that there are some cases when dermal filler treatments aren’t enough and complementary treatments such as Botox can be combined for the best results. In some instances, more drastic alternatives such as cosmetic surgery are required to allow for the achievement of the beauty goals of the patient.

Kinds of Dermal Fillers For Marionette Lines

There are different kinds of dermal fillers that can be used to address facial lines in the lower face (i.e, marionette lines). These kinds of dermal fillers use different substances for different functions and longevity. Upon an aesthetic provider’s recommendation, the following are the kinds of injectable filler substances you can use for treating marionette lines:

  • Hyaluronic Acid. HA filler contains hyaluronic acid substances that keep the skin looking hydrated. However, the results of hyaluronic acid fillers are temporary. Good thing, the adverse effects also won’t last long.
  • Calcium Hydroxylapatite. Dermal filler injections comprising this substance last longer than hyaluronic acid filler substances. This injectable filler substance also doesn’t migrate to areas that it isn’t intended for. In addition, it can also have a better skin-lifting effect.
  • Poly-L-Lactic Acid. Dermal fillers that have this component don’t have immediate results. Instead, the results develop over time. This lasts longer than hyaluronic acid or calcium hydroxylapatite filler substances because it doesn’t just restore collagen into the skin, it does so by stimulating new collagen production in the skin gradually over a period of time.
Dermal Filler SubstanceDermal Filler Brands
Hyaluronic AcidRestylane filler (e.g, Restylane Lyft, Restylane Silk, Restylane Refyne, Restylane Defyne)
Juvederm filler (e.g, Juvederm Ultra, Juvéderm Vollure, Juvederm Voluma)
Calcium HydroxylapatiteRadiesse filler
Poly-L Lactic AcidSculptra filler

Best Dermal Filler for Marionette Lines

Generally, the most commonly used dermal filler injection is hyaluronic acid dermal filler. Hyaluronic acid dermal filler injections contain hyaluronic acid, which is a component that naturally occurs in the body so allergic reactions to it are rare. These temporary dermal fillers also ensure the reversibility of any kind of adverse effect that may occur after the treatment session.

However, the best kind of dermal filler substance for marionette lines treatment depends on the individual factors of a patient. Their current health, medical history, pertinent lifestyle factors, and target beauty goals are all considered when formulating the treatment plan and determining the best dermal filler to be used.

How To Choose The Best Dermal Filler For Marionette Lines

If you’re considering getting facial fillers, the first step is to consult with a qualified dermatologist to start evaluating whether you’re an eligible candidate for a facial filler treatment. Only seek the services of a qualified aesthetic provider to create a treatment plan for you. 

The marionette line filler treatment plan is based on the initial consultation with the plastic surgeon in which the eligibility to have the treatment is evaluated depending on the essential factors for consideration such as:

  • History of allergic reactions
  • Severity of the problem area
  • Current health condition
  • History of blood clotting disorders

Post-Treatment Care in Using Dermal Fillers for Marionette Lines

Dermal fillers are non-invasive alternative solutions to facial plastic surgery. However, it’s important to be aware of the side effects that can be expected after the treatment session which include the following:

  • Swelling or tenderness
  • Bruising or discoloration
  • Redness

In extreme cases, dermal fillers can also lead to skin infection, scarring, filler migration, bleeding, and visual abnormalities, among others. However, these extreme cases are rare, and getting the right aesthetic provider usually helps avoid or immediately solve these.

To further enhance the effective results of dermal filler injections, shorten the recovery period from side effects, and boost its long-lasting quality, it’s important to take note of aftercare instructions following your dermal filler treatment session, such as:

  • Make sure to stay hydrated
  • Keep track of the current side effects you’re experiencing
  • Follow the skincare regimen provided by your doctor
  • Never forget to put on sunscreen
  • Don’t expose yourself to too much hot temperature or cold temperature after the treatment session
  • Stay away from blood thinning medication
  • Don’t drink alcohol as you recover from the treatment session
  • Keep yourself relaxed, and as much as possible, avoid stress
  • Ensure consumption of a healthy balanced diet
  • Quit smoking

Experience Long-Lasting Facial Fillers at Ethos Spa

Dermal fillers can be as effective and long-lasting as facial plastic surgery while ensuring the safety of the patient who’ll have the procedure. With many kinds of dermal filler substances to choose from, going to an aesthetic provider for the best treatment plan is crucial to maximize the treatment’s benefits and fully eliminate facial folds such as marionette lines. 

Ethos Spa offers a variety of cosmetic procedures such as brow lifts, acne treatments, Botox cosmetic treatments, and HA filler treatments performed by aesthetic professionals who are highly trained and experienced to create a customized treatment plan for you. We also have monthly specials and promos to make quality aesthetic enhancements more affordable.

Book a consultation with us and experience state-of-the-art aesthetic solutions here at Ethos Spa.

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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