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What are the Best Dermal Fillers For Marionette Lines?
Jul 19, 2018
What is a marionette line?
A marionette line—a dermal imperfection otherwise labelled an oral commissure line—is the long, vertical facial wrinkle, which extends out from the corners of the mouth, toward the chin. Patients experiencing a severe case of the appearance of this aesthetic imperfection possibly may notice deep-set marionette lines. These dermal imperfections are laterally circumscribing the chin, often creating a resemblance to a marionette doll; hence the specific name. Marionette line formation is normally only occuring due to natural ageing. The biological ageing process causes skin tissue to lose thickness, elasticity, and volume, often resulting in a downward shifting of the skin, followed by an eventual formation of wrinkles in areas with substantial movement. If left untreated, marionette lines not only make a person look older that the chronological age, they also give an inaccurate perception of one’s emotional cues.
What are the best dermal fillers for marionette lines?
While dynamic lines like forehead lines and crow’s feet that appear on the upper half of the face respond well to botulinum toxin injections, marionette lines are best treated with dermal fillers. A good example of dermal filler brand is Belotero Intense. This is a type of non-animal hyaluronic acid-based filler that is manufactured by Merz Pharmaceuticals. The filler is processed to contain a perfect balance of plasticity, cohesivity, and elasticity using patented Cohesive Polydensified Matrix (CPM) and Dynamic Cross-Linking Technology (DCLT). Another equally effective hyaluronic acid soft tissue implant is JuvedermVollure XC, a product of Allergan. The hyaluronic acid molecules are also sourced via biofermentation before being cross-linked using proprietary Vycross Technology, resulting in smooth injectable gel with majority (90%) of high molecular weight and minority (10%) of low molecular weight of hyaluronic acid particles. Both of these dermal fillers are integrated with fast-acting lidocaine, although Belotero fillers are also available without lidocaine, to reduce pain and discomfort during the procedure. Once administered into the marionette lines via intradermal injections, the implants will instantly plump, lift, and reinforce drooping skin, and soften the appearance of commissure lines. Besides hyaluronic acid type fillers, patients with marionette lines can also opt for Radiesse, a biostimulating implant that is composed of calcium hydroxylapatite (CaHA) microparticles suspended in a smooth aqueous gel carrier. Once administered into the wrinkle, the gel carrier instantly lifts the marionette while the CaHA microspheres encourage fibroblasts to regenerate more collagen fibres via neocollagenesis, leaving behind elastic and firmer skin.
You can discuss your patients expectations, preferred treatment, and budget to determine the best filler for them.
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All brand and medication descriptions in the article are based on the personal opinion and are not endorsed by Maylips.com. The article content was not reviewed for medical validity. Use this article for information and not for a final decision on the procedure.