Can I use filler for marionette lines?
Yes, dermal fillers can help with marionette lines. This, too, is a subject about which you should consult your practitioner.
Depending on how deep your marionette lines are, your practitioner may choose to use a thicker, longer-lasting type of filler to treat them. The advantage of thicker fillers is that they last longer than thinner fillers, so you won’t need to have the treatment repeated as frequently. The disadvantage is that thicker fillers must be injected deeper into your skin to avoid lumpiness, whereas thinner fillers can be injected closer to the surface of the skin without producing lumpiness.
Which filler your practitioner will use is likely to depend on your facial anatomy and the depth of the marionette lines. The practitioner may also recommend using fillers to augment your cheekbones, which may sound like a bizarre strategy for treating the lower face, but actually it works a treat, by raising everything below the cheek a fraction – and that may be enough to soften the appearance of your marionette lines.
Does radiofrequency work for marionette lines?
Radiofrequency devices can be highly effective in treating marionette lines by tightening the skin and enhancing the overall appearance of the lower face. They work by using RF energy, which heats the dermis, stimulating new collagen production. This results in tighter, smoother skin over time. Examples include FaceTite by Inmode and BTL’s Exilis Ultra 360.
How can ultrasound help with marionette lines?
Ultrasound devices deliver focused ultrasound energy to the deeper layers of the skin, triggering a natural healing response that increases collagen production. This, in turn, can help reduce the appearance of marionette lines by lifting and tightening the face. Ultherapy is perhaps the best-known ultrasound device. It uses micro-focused ultrasound to target the deeper layers of the skin and the SMAS layer (which is what surgeons target during face lifts), without damaging the skin surface.
Can I use laser for marionette lines?
Yes, laser is another option for treating marionette lines. Different practitioners prefer different types of lasers, but typical treatment would be to use a fractional laser to remove the damaged layers of skin in the marionette lines.
Fractional lasering fires the laser beam through a grid to create micro-channels of damage in the skin, which stimulate the growth of new skin. The laser treatment also stimulates the production of collagen, which gives your skin another boost. Many practitioners use laser resurfacing and then follow up with dermal fillers, which boost your lasered-fresh skin from the inside.
Can I use microneedling for marionette lines?
Microneedling is a great treatment for stimulating the growth of new collagen in the skin. The tiny wounds created by the puncture marks made by the needles prompt a cascade of wound-healing substances within the skin, which nudge the skin into regenerating itself from beneath the surface. More collagen means skin that is more firmly supported from the inside, and which is better hydrated which means that it is plumper, too. Both of those factors will soften the look of the marionette lines.
Would RF microneedling tackle marionette lines?
Yes – and by combining two ways of tackling marionette lines (radiofrequency and microneedling) you can get some impressive results over time. RF microneedling combines the collagen-inducing benefits of microneedling with the skin-tightening effects of radiofrequency energy. Morpheus8 is the most famous device to know. Its microneedles create micro-injuries in the skin, promoting collagen production, while the RF energy delivered through the needles further stimulates collagen and tightens the skin.