Botox For Marionette Lines Before And After

Botox Cosmetic for marionette lines

Marionette lines are formed by a combination of a loss of facial volume, normal skin aging, and the presence of deep retaining ligaments attached to the skin. There are surgical and non-surgical methods of treatment.

In regards to non-surgical methods, they are best treated with dermal fillers which can restore volume and also elevate deep folds. Botox Cosmetic can be useful when the corners of the mouth are downturned secondary to overactive depressor muscles.

On some occasions, optimal results are obtained with a combination of the two treatments. (Kelly Gallego, MD, FACS, Yuba City Plastic Surgeon)

Botox can reduce the appearance of marionette lines

In some patients, Botox can reduce the appearance of marionette lines. Fillers like Restylane, Perlane, or Juvederm can be used as well. Often times I will use Botox in combination with a filler to get the best result.

Botox To Treat Marionette Lines Photos

Injecting Botox is this area is tricky and you can have complications which can be temporarily disfiguring so be sure to go to dermatologist or plastic surgeon that has a lot of experience with injectables. (William Groff, DO, San Diego Dermatologist)

Marionette lines: Botulinum toxin (Dysport or Botox) and Fillers

Marionette (labiomandibular) lines are best treated with fillers or a a facelift. Occasionally, botulinum toxin can be used in the Depressor annguli oris to limit downturning of the corner of the mouth which can make the marionette lines appear more prominent. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

Botox and Restylane for marionette lines

In general I prefer fillers such as Restylane, Juvederm, or Radiesse to fill in marionette lines. However, Botox or Dysport may also help to reduce these lines by injecting the depressor anguli oris muscle.

Usually only a few units of Botox or Dysport are required in this area to help with downturning mouth corners which in turn makes the marionette lines less severe. Patient satisfaction is usually quite high with this procedure.

Caution should be advised in this area as too much Botox or Dysport can have functional impairment and a disturbed smile – less is more. (Jason R. Lupton, MD, San Diego Dermatologic Surgeon)

Botox for marionette lines photos