Aging brings many changes to our faces, but few are as frustrating as the deep creases that develop from the corners of the mouth down to the chin. Known as marionette lines, these wrinkles can make us look older, sadder, and more tired than we feel.
While genetics and facial expressions contribute to their formation, loss of volume in the cheeks is a primary culprit in allowing marionette lines to become more visible. An effective remedy can be found in one of the fastest-growing cosmetic treatments today – cheek fillers.
Continue reading to learn all about using cheek fillers to rejuvenate the lower face and how Dr. Lanna Aesthetics can help.
Marionette lines are the vertical wrinkles that extend down from the corners of the mouth to the chin. They are often referred to as “frown lines” because they become more visible when a person frowns or makes an exaggerated sad face. Marionette lines tend to deepen and worsen with age as the skin loses elasticity and droops.
These wrinkles are caused by repeated facial expressions that contract the chin and mouth muscles. Over time, the skin around the mouth gets creased from repetitive smiling, talking, and facial movements. Aging also causes volume loss in the cheeks, which allows marionette lines to become more pronounced.
Marionette lines primarily develop due to natural aging effects, including:
|Loss of collagen and elastin
|These are proteins that keep skin firm and elastic. As we age, decreasing collagen and elastin levels cause skin to wrinkle and sag.
|Facial volume loss
|Youthful faces have full cheeks and strong facial architecture. Volume loss in the cheeks and mid-face due to aging leads to the drooping and wrinkling associated with marionette lines.
|Over time, gravity pulls on the skin and leads to drooping. This contributes to marionette lines becoming more visible.
|Skin damage from sun exposure
|UV radiation breaks down collagen and elastin, causing premature wrinkling.
|Repeated movements around the mouth form creases in the skin, which worsen into marionette lines over time. Frown lines are also called “laughter lines” for this reason.
In some cases, genetics, smoking, or weight loss can also contribute to early formation of marionette lines. People with thin skin or naturally thinner faces tend to develop more noticeable wrinkles around the mouth.
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Dermal filler injections in the cheeks can dramatically improve the appearance of marionette lines. Cheek fillers add lost volume to the midface region, including the cheekbones and upper cheeks.
This provides a subtle lift that counteracts drooping and sagging of the mouth area. By restoring structure and fullness to the cheeks, fillers help pull the skin more taught in the lower face. This releases the tension causing marionette lines to pull downward.
The added volume creates a smoothing effect by filling in hollows and gaps beneath the wrinkles around the mouth. This diminishes the shadowing caused by indentation from marionette lines.
There are three main types of dermal fillers used in the cheeks that can improve the appearance of marionette lines:
|Hyaluronic Acid Fillers
|The most popular type of filler used for cheek augmentation and treating marionette lines. HA is a sugar naturally found in the skin that binds with water to provide volume. Considered very safe with minimal risks. Results last 6-12 months.
|Calcium Hydroxylapatite Fillers
|Injectable filler composed of CaHA which stimulates natural collagen production for long-lasting volume. Thicker than HA fillers and provides immediate lifting capacity, while also improving skin over time. Results in cheeks can last up to 18 months.
|Poly-L-Lactic Acid Fillers
|Contains PLLA, a biocompatible synthetic ingredient that helps replace lost collagen. Injected in a series of treatments about a month apart. Works gradually to increase facial volume while stimulating collagen growth for natural-looking, long-term improvements lasting up to 2 years.
There are many aesthetic benefits associated with using dermal filler injections in the cheeks for improving marionette lines, such as:
One of the primary effects of cheek fillers is restoring lost volume to the mid-face. Plumping up a flat or hollow cheek area provides lift and structure that reduces sagging and wrinkles like marionette lines.
A controlled study reveals that after 6 months, 92.8% of patients said their cheek volume had improved or improved much compared to before treatment. After 2 years, 75.8% of these patients still said that they are still satisfied with their facial appearance 2 years after the treatment.
Injectable fillers allow for precision placement and contouring. Cheek fillers can balance asymmetry and sculpt the cheeks to achieve desired proportions and symmetry.
Fillers help fill in sunken creases and wrinkles in the lower face. The added volume has a smoothing effect to diminish the appearance of marionette lines and other wrinkles around the mouth.
Well-balanced volume in the cheek area defines the cheekbones and provides a more sculpted, youthful look. Fillers enhance contour for improved facial definition.
Strategic placement of cheek fillers improves overall facial contours by supporting the upper cheek area for a lift effect. This also opens up the eye area.
Dermal filler injections involve minimal downtime, discomfort, and risks compared to surgery. There are no incisions required. Fillers offer significant facial rejuvenation through quick, non-invasive treatments.
Cheek filler treatments are performed in the injector’s office as an outpatient procedure. Here’s what to expect:
See the Subtle, Natural Results Dr. Lanna's Cheek Fillers Can Achieve - Call Today
Dermal fillers used in the cheeks are considered very safe overall when performed by an experienced aesthetic injector. However, some potential side effects may include:
More serious complications like necrosis or vascular occlusion are very uncommon when fillers are used properly. Discuss risks with Dr. Lanna and follow all pre- and post-treatment instructions to minimize side effects.
While cheek fillers are a top choice for smoothing marionette lines, other treatment options include:
|Weakens facial muscles to prevent worsening of lines. Often combined with fillers.
|Laser skin resurfacing
|Improves skin tone and stimulates collagen growth. Helps reduce fine lines.
|Focused ultrasound tightens and lifts the skin for a reduction in wrinkles.
|Use your own fat grafted to the cheeks and mouth area. Provides natural-looking volume.
|PDO thread lifts
|Dissolvable threads lift sagging skin on the cheeks and jowls.
|Retinoids and peptides can mildly improve the appearance of wrinkles over time.
For optimal results, a combination approach is often recommended. Consult with Dr. Lanna for the best treatment plan for your individual situation and goals.
Dr. Lanna Aesthetics, led by Dr. Lanna Cheuck, provides a range of safe, effective, and technologically advanced aesthetic services. These services include fillers, Botox, liquid facelifts, and more!
Dr. Lanna and her team have performed over 10,000 successful aesthetic treatments and are known for their expertise in injectables and facial rejuvenation. They are committed to helping clients achieve their beauty goals and feel confident in their own skin.
To learn more about using cheek fillers for improving marionette lines and facial rejuvenation, schedule a consultation with Dr. Lanna Aesthetics today.
Our personalized approach and advanced techniques produce beautiful, natural-looking results that help patients look as youthful as they feel.
Here are answers to some frequently asked questions about using cheek fillers for marionette line treatment:
Depending on the type of filler used, results typically last anywhere from 6 to 18 months. Maintenance appointments every 9 to 18 months are recommended to sustain improvements.
Combining fillers with other treatments like laser skin resurfacing, Ultherapy, micro-needling, or PDO threads can help prolong results. Maintaining optimal skincare and sun protection also helps sustain filler effects.
Most patients experience only minimal swelling, bruising and tenderness for 3 to 5 days after treatment. Some temporary unevenness or lumpiness may occur but usually resolves with gentle massage. Avoiding strenuous exercise for 24 hours aids recovery.
The average cost per syringe ranges from $600 - $800. Most patients require 2 to 4 syringes to effectively treat marionette lines and revitalize the cheeks. Many practices offer package deals to reduce the per-syringe cost.
Call your doctor if you notice excessive pain, swelling, redness or tenderness that persists beyond a few days. Signs of infection, lumpiness, or skin necrosis should be evaluated immediately to avoid complications.