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Marionette Lines

What do marionette lines mean?

“Marionette”, which means string puppet in French, was given this name because it resembles the vertical line extending from the rim of the mouth to the chin level, just like the string puppet, especially in people with a small jaw structure.

What should be the approach in the treatment of marionette lines?

Injections of dermal fillers provide correction of marionette lines, but high doses may be required for satisfactory results. We can get better results by using less fillers with auxiliary treatment methods. In the treatment of marionette lines, relaxation by applying botulinium toxin (muscle relaxing injections) to the DAO muscle that pulls the lip edges down should be preferred for fast and effective results.

How should the dose be determined for marionette lines?

The amount of dose to be administered is directly related to the depth of the line and the anatomical structure. My general approach is to start at a dose of 2 ml and repeat at 1 month intervals until the desired appearance is achieved. Your doctor will determine the best dose after taking your medical history and evaluating it. If the patient has a previous history of complications related to filler injection or prefers a more natural appearance, smaller doses can be started.

Will I feel pain during the application?

A local anesthetic cream can be applied 45 minutes before the procedure. The effect is increased if the stretch film is closed. Most of the patients tolerate the procedure well with the application of local anesthetic cream. Ice application reduces the risk of bruising.

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