Treatments for Marionette Lines: Surgical and Non-Surgical Options By Gregory Mesna on December 30, 2014

A woman smiles in a bright roomMarionette lines are the facial lines that form beneath the sides of the lower lip that descend vertically to the sides of the chin. They are often extensions of sagging cheeks or the nasolabial folds that are above the upper lip. At Mesna Plastic Surgery, we've helped countless patients in and around Minneapolis get rid of these problematic lines and look their very best.

The most common causes of marionette lines are the natural aging process and major weight loss. Both of these can lead to sagging and can cause the lines to form. The most common treatment options are lower facelift surgery, non-surgcial cosmetic injection therapy using dermal fillers, and fat transfer. Let's look at each in more detail right now.

Lower Facelift Surgery for Marionette Lines

The lower facelift is a kind of facial plastic surgery that targets the lower portions of the face, most notably the jowls and the chinline. During the procedure, incisions are made behind and around the lower portion of the ear. Through these incisions, excess skin and tissue is removed in order for the skin of the lower portion of the face to be pulled tighter, making lines and wrinkles disappear.

Dermal Filler Injections for Marionette Lines

Dermal fillers are a broad term for different kinds of injectable substances that add volume to the area in which they are injected. By adding volume to the injection site, lines and wrinkles are filled, making them disappear. Some common dermal fillers for treating marionette lines include Restylane, Juvederm, Radiesse, and Perlane. The ideal dermal filler for your needs can be discussed in more detail during your visit.

Dermal filler treatments will last for several months, and repeat treatments can be performed as needed to continue the positive effects of treatment.

Fat Transfer Injections/Microlipoinjection for Marionette Lines

Fat transfer injections are similar in some ways to dermal fillers since it adds volume to the injection site. The difference is that the filler is not synthetic in nature but instead comes from the patient's own body fat. Fat is taken from one part of the body (often the stomach or the buttocks), purified, and then injected into the treatment area.

The duration of fat transfer treatment can vary from patient to patient based on a number of factors. For some patients, the treatment will last for several years, while for others, the fat may be reabsorbed by the body after several months. This can be discussed with your surgeon in more detail during the consultation process.

Which type of treatment is best for my needs?

The ideal treatment to address your marionette lines depends on your aesthetic goals and your needs regarding surgical and non-surgical care. We will be sure to cover all treatment options in full during the consultation process, including all risks and benefits, so you can make the best possible choices with regard to your options for care.

Contact Mesna Plastic Surgery Today

For more information about treating marionette lines and other facial rejuvenation options, be sure to contact our plastic surgery and cosmetic skin care center today. At Mesna Plastic Surgery, we'll work closely with you to ensure that you get the treatment that you need.

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Dr. Gregory T. Mesna

Mesna Plastic Surgery & Aesthetic Center

Gregory T. Mesna MD, FACS, is a board-certified plastic surgeon with over 20 years of top-level experience. He performs a wide range of surgical and non-surgical procedures to enhance and rejuvenate the face, body, and breasts. He is proud to be affiliated with:

  • The American College of Surgeons (Fellow)
  • The American Board of Plastic Surgery
  • The American Society of Plastic Surgeons
  • The Minnesota Society of Plastic Surgeons

You can request a free consultation at our office in Minneapolis, MN, by contacting us online or calling (952) 927-4556.

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