Dermal fillers are commonly utilized for the marionette area. It is crucial to recognize that in many cases, addressing the upper face is necessary for comprehensive restorative improvement. This is because the presence of folds in the marionette area often results from sagging skin, which occurs when there is a loss of volume in the upper face.
These enhancements can range from subtle to more pronounced, depending on the patient’s aesthetic needs.
Most dermal fillers contain 1 cc of hyaluronic acid per syringe, equivalent to 1/5th of a teaspoon. The amount of filler needed varies based on the desired results however average amounts for marionette are 2-3 syringes.
Ideal Candidate
Marionette filler can be a good option for people who want to improve their lower face wrinkles and sagging. As defined earlier oftentimes for full restorative treatment upper face will need to be addressed as well.
Some ideal candidates include:
People with jowling
People who want more structure in lower face
People with downward corners of mouth giving sad appearance
People over 40 who have lost bone density and facial definition due to aging
What to Expect
Patients meet with a professional to discuss their needs prior to the procedure. Oftentimes, the upper face will be recommended as part of a restorative improvement.
The filler is injected by the provider into specific areas like the prejowl sulcus, marionette and oral commissures.
The procedure takes about 10-20 minutes
Marionette fillers are generally safe, but no cosmetic procedure is completely risk free. As with any injection there is risk for vascular compromise.
Recovery
It is advised to refrain from disturbing the treated area following a cosmetic procedure.
Touching, rubbing, or applying pressure to the area can potentially displace the filler or lead to complications.
Additionally, it is recommended to avoid facials, dental work or massages for the first two weeks post-treatment.
Similarly, intense physical activity should be minimized for the first 24-48 hours after the procedure. Vigorous exercise can increase blood flow, potentially causing the filler to move from the treatment area.
Results
It is advised to wait at least 2-3 weeks for filler to settle before making any adjustments
HA filler can last up to 12-24 months based on type of filler used
Safety Profile
Hyaluronic acid (HA) is biocompatible and naturally occurring in the body, therefore it does not typically elicit immune responses, however may form nodules in some cases.
Additionally, HA fillers demonstrate a favorable safety profile and require minimal downtime.
Another feature of HA fillers is the ability to completely dissolve if a complications occurs or undesired effects.
Cost
Cost and amounts vary on individual needs and location.
Average cost for marionette filler start $700 per syringe to $900 per syringe. Average amount of filler used in marionette is 2-3 syringes.
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