Marionette lines Treatment

We will discuss the two laugh lines of nasolabial folds and marionette lines treatment. Laugh lines or grin lines are made by one or a combination of wrinkles and fine lines that we see even if we do not smile. When we smile, it is natural to see laugh lines, called dynamic lines. It means that they appear only when we make facial expressions such as smiling. These lines tend to be annoying when they get saggy and evident all the time; even if we have a straight face (static)

Nasolabial folds

Nasolabial folds run between the corner of the nose to the corner of the lips, as They correlate to several muscles’ movements, mainly the Levator labii group. As mentioned before, it starts as dynamic and gets deeper and more evident.

Marionette lines

Marionette lines run from the edge of your mouth to the jawline on both sides of your chin. These lines correlate to the DAO muscle’s movement.

Laugh lines are created by a mixture of things that produce excess wrinkles around your mouth and nose as you age. Below are some of the main causes:

  • Facial gestures that are repeated over time
  • When you grow older, the body develops less elastin and collagen.
  • You’ll see a decrease in fat volume on your face when you get older.

Marionette lines Treatment procedure

Dr. Alhallak (a Pharmacist with a doctorate from U of A) uses different techniques to provide the best results. Depending on the case, it includes laser coagulation, fillers injection (Juvederm or Restylane), and threads. In some cases, we inject botox into the DAO and Levator muscles.

Case 1079

patient in her 50’s who lost weight and experienced facial fat atrophy and sagging; her marionette lines were her main concern. After the consultation, we decided to proceed with threads along the jawline and fillers within the fold’s dermal layer to support the ECM of the skin. A total of 4 threads and one syringe of HA fillers were implemented. The procedure took a total of one hour and was under topical freezing. We can also use Bellafill college permanent dermal fillers as an alternative for long-lasting results.

Marionette lines Treatment downtime and cost

The downtime is 72 hours of redness and swelling, and the cost range between 1200-2000 depending on the case complexity.

Results of marionette lines Treatment

these pictures were taken before and directly after the procedure

laugh line correction
Marionette lines Treatment
laugh line correction
Marionette lines Treatment

Case 1014, Case 1123, post-1101, Case 1203

This case study is based on the personal experience of one patient and is not intended to represent typical results. Individual results may vary, and the treatment results depicted in this case study are not guaranteed. The information provided in this case study is not a substitute for a consultation with a licensed healthcare provider, and it is important to understand that results vary from person to person. Before undergoing any cosmetic treatment, it is important to speak with a licensed healthcare provider to understand the potential risks, benefits, and results.