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Marionette Lines

Recommended Treatments For Marionette Lines
Name Description Cost
Juvederm Juvederm is a hyaluronic acid (HA) filler and a good treatment for marionette lines. Hyaluronic acid naturally occurs in the skin, meaning Juvederm does not cause allergic reactions. The...more Price ranges from $400 to $900 for one syringe.
Perlane Marionette lines can readily be plumped by the thick filler Perlane. Results of Perlane injections are immediate and continue to improve gradually. It lasts about six months in marionette...more One or two Perlane syringes ($500 to $900 each) are used to fill marionette lines.
Restylane Restylane is a good treatment for moderate to deep marionette lines. It is composed of hyaluronic acid, which does not cause allergic reactions. The soft, colorless nature of the filler...more A single syringe costs $300 to $800.
Prevelle Silk Prevelle Silk is a hyaluronic acid filler best used for faint marionette lines. Hyaluronic acid is a natural product found in humans, so Prevelle is safe when introduced under the skin. ...more One Prevelle syringe costs $200 to $600. Two or three syringes are commonly used for...more
Radiesse Radiesse can be used to treat marionette lines. It is made of calcium spheres suspended in collagen. While the collagen instantly fills the crevices in your skin, the calcium spheres...more Radiesse costs $750 to $1,200 per syringe.

Secondary Treatments For Marionette Lines
Name Description Cost
Sculptra Sculptra, a poly-l-lactic acid filler, is a semi-permanent solution to marionette lines. Sculptra is only a good option when the skin that surrounds the wrinkles has very little fat. ...more Sculptra is packaged in vials, each of which generally costs $1,000 to $2,000.
Silikon 1000 Silikon 1000 is a permanent silicone-based filler. The area between your mouth and chin shifts with every smile, sentence, and savory bite of food, so there is a significant danger that the...more

Treatments Not Recommended
Name Description
Botox Botox should not be used for marionette lines. Botox works by weakening muscles, so injecting it in the perioral region can interfere with the muscles responsible for speech and swallowing.
Dysport Dysport should not be used to treat marionette lines because it weakens muscles. Dysport can paralyze and disable the muscles that govern speech and swallowing.
Silikon 1000 Silikon 1000 is a permanent silicone-based filler. The area between your mouth and chin shifts with every smile, sentence, and savory bite of food, so there is a significant danger that the Silikon 1000 droplets will migrate.
Fat transfer (injection) Fat transfers are intended for the deepest of wrinkles. Even at their worst, marionette lines tend to be too shallow to warrant the use of fat transfers for plumping.

Fat transfers are better suited for the similar—but more pronounced—wrinkles known as nasolabial folds.

Chemical peels While a chemical peel may refresh the skin surrounding your marionette lines, they won’t fill in the ditches in your skin.