Marionette Lines

Get Rid Of Those Marionette Lines!

Although commonly referred to as “laughing lines,” puppet lines (also known as nasolabial folds) are no laughing matter!

Puppet lines are folds or folds that extend vertically from the corners of the mouth to the chin. Ironically, puppet lines are not caused by years of laughter. The lines are a common result of the natural aging process that includes a combination of stubborn fat (and other facial tissue under the skin) with a loss of skin elasticity.

Genetics can also play a key role in the development of puppet lines and their prominence. In fact, genetically susceptible individuals may begin to develop a certain degree of nasolabial folds during their childhood.

Preventing Marionette Lines

While there is no way to absolutely avoid the development of puppet lines, there are some ways in which you can slow them down. Follow these simple preventive methods:

Sleep better

The stomach (face down) and those who sleep on their side are more likely to develop facial wrinkles, since their face experiences the pull of gravity throughout the night. The pressure of the force of gravity is especially severe in the area of ​​the nasal-labial fold of the face. Try to sleep on your back as much as you can. If you simply have to sleep on your side, try placing the pillow so that the lower half of your face does not touch it.

Solar protection

Excessive exposure to UV rays on the skin can contribute to the loss of collagen and elasticity of the skin, which are essential to prevent puppet lines during natural aging. Always use a broad spectrum sunscreen with high SPF, avoid the sun during peak UV hours and use a wide brim when outdoors for a long period of time.

No Smoking

It is known that the chemicals found in cigarettes induce premature aging and damage the skin. Cigarette smoking causes the deterioration of the current collagen in the skin, as well as a decrease in the future production of collagen. Give up the habit of helping your skin (and your whole body) look and feel better.

Skin care

Another way to prevent puppet lines is to simply take care of your skin by following a daily regimen of skin care that suits your skin type. This includes using a daily moisturizer and applying an anti-aging night cream to regenerate the skin. Products that contain ingredients such as vitamin C, hyaluronic acid, peptides and other growth factors can help rebuild lost collagen and restore skin elasticity.


What you eat and drink every day can play a key role in terms of skin resistance to the effects of aging. Dry skin is more prone to the formation of wrinkles and lines, so staying adequately hydrated will ensure that your skin looks and feels better.

Treatment Of Marionette Lines

Many dermal fillers are used to fill nasolabial folds and puppet lines. We will choose the correct filling or the combination of fillings according to your needs. We determine the correct products according to the depth of the wrinkles, the expected results, the medical history and other factors. Here are just some of the dermal fillers we use in this area of ​​the face:

FDA-approved fillers for smile lines

Juvederm Voluma and Ultra Plus XC:

While you may have received one of these fillings on your lips or cheeks, Juvederm Ultra and Juvederm Ultra Plus are primarily indicated for the treatment of nasolabial folds and puppet lines. Juvederm Ultra is designed for mild to moderate lines and wrinkles; Ultra Plus is for wrinkles and deeper folds. Both fillers contain hyaluronic acid (HA) as its active ingredient. HA is produced naturally by the body and joins with water to create a plump and youthful appearance. As we get older, HA production decreases. By re-introducing HA into the area, we see immediate results with long-term benefits.


two of our new dermal fillers, Restylane Refyne and Restylane Defyne are also filled with hyaluronic acid with more flexibility. They are indicated for both stationary and animated lines around the mouth. Each one has a different consistency, which allows the treatment of wrinkles and folds from mild to moderate and from moderate to severe.

Juvederm Vollure:

 For more shallow puppet lines, Juvederm Vollure can help. This thin filler allows us to soften very shallow lines without putting too much weight on the area, which can make patients look unnatural.

Sculptra Aesthetics *:

Unlike Juvederm and Restylane, Sculptra is not a hyaluronic acid filler. Its active ingredient is poly-L-lactic acid. When injected into the nasolabial folds, it provides more gradual results as you rebuild collagen. The results last longer than hyaluronic acid fillers; However, Sculptra is often only the first step. After Sculptra has gone to work on rebuilding collagen, many patients also receive a hyaluronic acid filler to fill in the area for the final touch.


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