![]() ![]() In some cases, they had shifted out a bit because the filler was pushing the skin outwards. Dr Gavin Chan recognised that patients who have had their marionette lines treated with dermal filler were often not happy with the results.įilling this facial area only made it thicker and didn’t remove the marionette folds. Using excessive amounts of dermal fillers to help alleviate marionette folds or turn mouth corners up is no longer viewed as the best way to reduce the appearance of marionette lines and folds. Why we don’t use dermal filler for marionette line treatment Rather than use dermal filler in the cheeks, Dr Gavin Chan prefers to use anti-wrinkle injections in the depressor anguli oris to stop the downward turned mouth that makes you look sad. While this would theoretically help lift the whole face up, it would require a lot of dermal filler to be used and your cheeks would become ridiculously large. Patients who don’t want to undergo facelift surgery often wonder if using dermal filler in their cheeks will help treat their marionette lines and nasolabial folds. ![]() Surgical facelifts only appeal to a small percentage of patients who are highly motivated and prepared for the considerable downtime and expense. This is because surgically pulling the folds back from the mid-face area and above is the best way to fix them. The “gold standard” to fix marionette folds is to have a surgical facelift. The best marionette lines treatment will differ from patient to patient, because every face is different. In the past, we used dermal fillers to treat them, but we don’t recommend this anymore, simply because it doesn’t work. Since there are multiple causes of marionette line folds developing, there is no ‘easy fix’ to treat them. Marionette line treatments What is the best way to treat marionette lines and folds? Many people use this muscle unintentionally, causing their mouth corners to pull down. When this muscle called depressor anguli oris (DAO) is constantly activated it creates a ‘sad face’ look. The final contributing factor to marionette lines and folds and lines developing is when the depressor muscles of your mouth corners are constantly activated. ![]() This bone resorption is most evident when you see someone who has no teeth or hasn’t got their dentures in. The volume loss of bone where the mandible becomes thinner and resorbs, also known as bony resorption of the mandible.The volume loss of the soft tissues where fat skin becomes thinner, also known as soft tissue volume loss and.Dr Gavin Chan says there are two volume losses that contribute to this: Volume loss is the second biggest contributor to marionette folds and lines developing. This results in your cheeks folding over to create marionette folds and nasolabial lines” Over time you get downward and inward movement of your cheeks and face. “Your face is affected by gravity every day. Dr Gavin Chan notes that the main cause of ‘puppet face’ (where your nasolabial lines and marionette folds are prominent) is gravity. ![]() Marionette folds and lines are caused by three separate factors: gravity, loss of volume and the depressor muscles at the corner of the mouth. With his many years of training, experience and an aesthetic eye for detail, Dr Gavin Chan has discovered the best way to treat marionette lines and folds. Unlike many clinics, Dr Gavin Chan isn’t using dermal fillers to reduce the appearance of marionette lines and folds anymore. Since 2005 Dr Gavin Chan (MBBS, Cosmetic Physician, Liposuctionist) and his team have been treating patients with marionette lines and folds. Marionette lines commonly arise for people in their early to mid 40’s and many people think that it makes them look and feel older than they are. When do signs of skin ageing usually appear? These lines may start to appear when your skin loses thickness and gravity pulls your face down. They got their name from marionette string puppets that have split jaws so that the puppeteers can make them talk. The skin around the sides of your mouth is thinner than other areas of your face, so you may notice deep lines running down the sides of your mouth – these are called marionette lines. Read MoreĪs we age, the collagen production in our skin cells naturally starts to reduce and our skin loses elasticity. He is a doctor trainer for various dermal fillers and anti-wrinkle injections. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Gavin Chan (MBBS, cosmetic physician, liposuctionist)ĭr. ![]()
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