Marionette Lines, Doll Lines & Downturned Mouth
Marionette lines are long vertical lines that laterally circumscribe the chin. These lines often give you that unhappy or mad expression where some people may misunderstand your face expressions just because of the deep shadows and lines. Marionette lines appear with advancing age yet some people never get them. It just depends on facial structure and anatomy.
Causes of Marionette Lines
Marionette Lines become more noticeable due to a variety of factors, including:
Sun Exposure
Sun exposure damages the skin, causing wrinkles and changes in texture
Collagen and Elastin Loss
Loss of collagen and elastin (the building blocks of the skin) with age, making the skin appear weak and thin
Aging
As we age, the ligaments that are around the mouth and chin become looser, which lets the fatty tissue in the cheeks sag.
Genetics
If you look at your mom, dad, or older sibling and they have them, there is a great chance you will develop them too.
Loss of Fat
Loss of fat in the cheeks, which can make the cheeks and nearby regions appear saggy
Other factors that play a role in skin aging include:
Smoking
Exposure to environmental pollutants
Rapid weight fluctuations
Treatments
Facial Fillers - Juvéderm Voluma, Ultra & Ultra Plus
Hyaluronic acid (HA) filler, can serve to volumize and support the folds and deep lines on your face. Sometimes the ideal treatment is to inject right into the folds using a filler such as Juvéderm Ultra, Juvéderm Ultra Plus or Juvéderm Voluma.
But often, we have found that by adding Juvéderm Voluma into the upper face/cheeks, this lifts and pulls the sagging tissue back up. This lift and pull often makes it unnecessary to inject the folds directly and at the same time gives beautiful definition and volume back to the cheeks. If we don’t get as much of a lift as desired, then we certainly need to use less product directly into the folds.
Depending on which product is used, how much product is used and where it is placed, the treatment results can last one to 2 years. This is a virtually pain free procedure with usually no downtime.
Neurotoxins - Botox
We use a special technique to inject the muscles in the jaw which helps retract the tissue in the lower face back and up towards the ears. It’s a liquid mini-lower-face life! Botox starts working in 2-3 days and takes 14 days to reach it’s full effect. Botox typically lasts 3-4 months and will then need to be reinjected to regain the same benefits.