Marionette Lines

One of the early signs of ageing shown on our face is marionette lines – the lines appearing at the corners of the mouth.

Causes

Marionette lines are caused by a decrease in soft tissue volume, loss of structural support, loss of collagen, etc. Let’s talk about them.

1、Repetitive facial movements:The facial movement that involves the rise of the corner of the mouth will encourage the formation of marionette lines due to the fact that there is increased pressure acted on the muscles located at the corner of the mouth and the cheekbone. Facial expression such as laughing, smiling, chewing food on one side, and smoking can deepen existing or creating new lines on the face.

2. Excessive weight loss/collagen loss: Losing weight too fast will cause a quick loss of skin collagen and supporting soft tissues, making the skin loose and sagging.

3. Natural facial profile: People with high cheekbones, prominent chin or sunken cheeks are prone to nasolabial folds and marionette lines.

4. Bone structure changes: As we age, we naturally lose the volume of the upper jawbone and cheekbones, accompanied with the volume loss of the upper jawbone and less prominent of the chin, resulting in losing facial structural support and causing the face to sag. The sagging tissues eventually accumulate on the lower face, forming marionette lines and fat pockets around the mouth.

Treatment

For marionette lines caused by moderate to severe skin laxity, medical beauty and anti-ageing treatments are recommended. For marionette lines caused by  fat pockets at the corners of the mouth and skin laxity, injection and anti-ageing treatments are suggested. Here are the treatments that Ai Beauty Clinic offers to get rid of your marionette lines.

Option 1: Reduce marionette lines by anti-ageing treatment around the mouth

Fotona 4D PRO is highly recommended. The device has a treatment mode called “SMOOTH” that specifically provides an anti-ageing effect to the areas around the mouth. During the treatment, a treatment head will contact the oral mucosa inside the mouth and heat up the skin. It results in tightening the skin and improving nasolabial folds, marionette lines, and fine lines around the mouth. Also, the equipped “PIANO” system can improve skin sagging problems such as double chin and fat pockets around the mouth. Recommended treatment courses are at least 3-6 times a year.

Option 2: Improve skin sagging by treating the loss of collagen around the moth

Treatment including deep structural support + volume addition at superficial layer + tightening skin around the mouth can be used to effectively reduce wrinkles/lines around the mouth.

Deep structural support: Injecting hyaluronic acid to rebuild lost collagen and replenish volume. Ligament injection to lift the sagging skin around the mouth.

Volume addition at superficial layer: Injecting high viscosity filler into the skin according to the direction of muscle movement to pump up the face naturally.

Loose skin around the mouth: Injection at the muscles at the corners of the mouth, neck muscle and superficial muscle in the neck to relax the ligaments and muscles caused by facial movement and to slow down the ageing process.

Option 3:It is better to recommend the scheme of photoelectric combined injection with the treatment scheme of comprehensive rejuvenation of the lower part of the mouth and radiation.

Step 1: Fotona 4D PRO “SMOOTH” mode + Enhanced PIANO – to reduce appearance of lines around the mouth and improve fat pockets at the corners of the mouth.

Step 2: To treat the collagen loss at the corners of mouth, it is recommended to have injections at the area from the corners of the mouth down to the lower jaw by using a layering technique. It can build structural support and pump-up superficial skin.

Step 3:  Ligament laxity in the middle and lower face can make the sagging skin around the mouth look worse. Therefore, treatment of both the middle and lower face is more effective and shows better improvement than a treatment of skin around the mouth alone.

Matching treatment with the specific areas to achieve the most significant results. Using Thermage and Ultherapy to lift and tighten the middle and lower face. Injecting hyaluronic acid/regenerative fillers around the mouth to provide support and add volume. Micro-Botox injection at the area within the corner of the mouth, earlobe, and collarbone.

A. Hyaluronic Acid Dermal Fillers at the Nasal Base

What is it?

Hyaluronic acid (HA), also known as hyaluronate, is naturally found in tissues and cells. In aesthetic treatment, hyaluronic acid can act as a filler and is injected into the dermis layer to fill up the folds/depressions or plump certain areas such as lips, cheeks, nose and chin. The injected hyaluronic acid will smooth and fill lines and wrinkles, and add volume to the face naturally. As hyaluronic acid can be naturally metabolised and will not remain in the body, there are no side effects of injecting HA. Also, having repeated courses of HA injection is safe and effective for long term results.

How does it work?

To smooth nasolabial folds, medium molecular weight hyaluronic acid is injected into the skin at the nasolabial folds, the dented area at the outermost wings of the nose, and the corners of the mouth. The injected HA will group with the body hyaluronic acid to plump the nasal base and smooth the nasolabial folds. Hyaluronic acid injection is a safe treatment providing an instant effect of wrinkle removal and face rejuvenation.

Procedure:

1. Face-to-face consultation: Confirmation of a detailed plan of injection areas and dosage after fully understanding the client’s conditions and desired results.

2. Pre-treatment preparation: Clean and disinfect the injection areas. Confirm the injection solution has not been opened.

3. Injection: Injecting hyaluronic acid at the assigned areas. Massage the injection areas while injecting to smooth the lines evenly.

4. Post-treatment care.

Duration: 30-45 mins

Who is it for?

• People who have nasolabial folds caused by a dented nasal base;
• People who have shown signs of aging, sagging face, or worsen nasolabial folds;
• People who want to smooth and fill the nasolabial lines in a natural and quick manner;

B. Wrinkles Removal by Botulinum Toxin

What is it?

Botulinum toxin is a protein that can block the signal communication between nerves and muscles, and hence paralyses/relaxes the muscles temporarily, resulting in releasing the muscles pressure at the nasolabial folds and smoothing the folds. It is only suitable for eliminating dynamic wrinkles.

How does it work?

Botulinum Toxin paralyses the superficial muscles of both lip levator muscle and levator labii superioris alaeque nasi muscle (the muscle connecting upper lips and wings of the nose), weakening their muscle contraction ability, and hence fill and smooth the nasolabial folds. Botulinum Toxin and Dermal Fillers can be combined in one treatment.

Procedure:

1. Face-to-face consultation: Confirmation of a detailed plan of injection areas and dosage after fully understanding the client’s conditions and desired results.

2. Pre-treatment preparation:Clean and disinfect the injection areas. Confirm the injection solution has not been opened.

3. Injection: Injecting at the dynamic lines. Massage the injection areas while injecting to smooth the lines evenly.

4. Post-treatment precautions.

Duration: 30-45 mins

Who is it for?

• People who have developed early dynamic nasolabial folds due to over facial movement/expression
• People who want to eliminate both dynamic and static nasolabial folds with hyaluronic acid;
• People who want to smooth and fill the nasolabial lines in a natural and quick manner;

C. MERZ ULTHERAPY 

What is ULTHERAPY:

MERZ ULTHERAPY®is a non-surgical aesthetic treatment. It enables high-intensity ultrasound to precisely focus on the SMAS layer, stimulate the self-renewal mechanism of skin tissue, resulting in a series of rejuvenation effects such as tightening, increased elasticity, lifting, wrinkle reduction, whitening, and pigmentation reduction.

How does MERZ ULTHERAPY® work:

ULTHERAPY engages precise ultrasonic energy to go 4.5MM, 3.0MM and/or 1.5MM skin deep, triggering cellular friction to generate high thermal energy at pinpointed thermal focal points. The heat generated at these focal points will stimulate tissue self-renewal mechanism, collagen regrowth, and an increase in collagen fiber and elastic fiber. Providing instant reverse of signs of aging.

Procedure:

1.Face-to-face consultation: Confirmation of a detailed plan of ULTHERAPY after fully understanding the client’s conditions and desired results.

2. Anesthetic: Apply Anesthetic externally. Clean and disinfect the treatment areas.

3. Pre-treatment preparation: Draw markings on the face to define treatment areas. Adjust treatment parameters based on the client’s signs of aging on the face.

4. During treatment: Perform the MERZ ULTHERAPY treatment. Focus on the areas of the double chin and the jawline.

5. Post-treatment repair: Medical-grade facial repair mask + QDEL Phototherapy mask to nourish and repair the skin.

6. Post-treatment caring.

Duration: 1.5-2 hr

Who is it for:

• People who have shown severe aging nasolabial folds.
• People who have deep nasolabial folds due to face sagging.
• People who have shown signs of aging and deep nasolabial folds.
• People who have experienced disappointing results from injection treatments and shown repeated appearance of lines.
• People who want to eliminate nasolabial folds and remove wrinkles/lines in the long run.
• People who do not rush into immediate results and are looking for long term treatment with sufficient financial support.

D. THERMAGE

What is THERMAGE:

Thermage uses radiofrequency technology to heat the dermis layer. The localised dermis layer will be damaged and hence stimulate the skin self-healing process. The healing process promotes the formation and remodeling of collagens that will tighten, smoothen and lift up the skin. Similar to ULTHERAPY, Thermage also has a face slimming effect, tightening drooping skin and restoring a better defined contour.

How does THERMAGE work:

Thermage is a radiofrequency treatment. The patented applicator will touch your skin and deliver the accurately set radiofrequency to the dermis layer, and heat it up to 65℃～ 75℃. The high temperature will stimulate the self-repair mechanism. A large amount of collagen in the dermis layer will be regenerated, and result in an instant firming effect.

Procedure:

1、Face-to-face consultation: Confirmation of a detailed plan of THERMAGE after fully understanding the client’s conditions and desired results.

2、Pre-treatment preparation: Clean and disinfect the treatment areas. Draw treatment areas on the face. Confirm the package of the new tip of the applicator has not been opened.

3、During treatment:Proceed the treatment based on the assigned treatment areas to remove wrinkles and tighten skin.

4、Post-treatment repair: QDEL Phototherapy mask to nourish and repair the skin.

5、Post-treatment caring.

Duration: 1.5-2 hrs

Who is it for:

• People who have severe aging nasolabial folds.
• People who have deep nasolabial folds due to face sagging.
• People who have shown signs of aging and deep nasolabial folds.
• People who have experienced disappointing results from injection treatments and shown repeated appearance of lines.
• People who want to eliminate nasolabial folds and remove wrinkles/lines in the long run.
• People who do not rush into immediate results and are looking for long term treatment with sufficient financial support.

E. Facial Thread Lift

What is thread lift:

Thread lift is currently the most effective face lifting technique. By embedding threads (that can be absorbed and degraded in the body) to the dermis layer, which lifts the face according to the direction and interval of the threads, it stimulates the skin, and further activates fibroblasts to produce collagen. Thread lift is suitable for people who want to restore skin’s lifting ability, reduce signs of sagging, and stimulate regrowth of collagen.

How does it work:

Thread lift treatment enables embedding threads in the skin to stimulate regeneration of collagen. These new collagen will contract naturally and lift cheek and sagging skin to create a youthful look. Also, embedding threads in a big V shape can lift the drooping skin at the lower part of the face to regain a tightened face. Doctors will customise treatment plans for individuals based on their condition and desired results.

Procedure:

1. Face-to-face consultation: Develop a unique treatment plan based on the client’s condition and desired results.

2. Apply anesthetic: Apply anesthetic externally. Clean and disinfect the areas to be embedded with threads.

3. Pre-treatment: Fully understand the treatment plan. Check the quality and quantity of the threads.

4. During treatment: Proceed with the treatment plan to embed threads.

5. Post-treatment precautions.

Duration: 45-60 mins

Who is it for:

• People with nasolabial folds due to dented nasal base;
• People who have shown signs of aging, sagging face, or worsen nasolabial folds;
• People who want to smooth and fill nasolabial folds with hyaluronic acid;
• People who want to smooth and fill the nasolabial lines in a natural and quick manner;

F. Radiofrequency (RF) Microneedling

What is Radiofrequency (RF) Microneedling:

Radiofrequency (RF) Microneedling is an innovative technology integrating matrix application, microneedling, and radio frequency technology. During the treatment, a device with fine needles creates tiny punctures in the skin. The RF energy is then delivered via the small needles into the dermis to stimulate the production of new collagen and elastin. Results can include improved skin texture and firmness, as well as skin resurfacing.

How does it work:

A sterile treatment tip with a matrix of non-insulated, 24k gold-plated microneedles is used to mechanically and biologically stimulate the skin’s natural healing process. Also, the thermal stimulation to the dermis from the RF energy further enhances the production of new collagen and elastin. RF microneedling is an advanced technology of microneedling providing accumulative and ongoing benefits of skin tightening, lines removal and collagen stimulation.

Procedure:

1. VISIA examination: Access skin condition or existing skin problems with assistance of data analysis and picture analysis.

2. Face-to-face consultation: Develop unique treatment plan based on client’s condition and desired results.

3. Apply anesthetic: Apply anesthetic externally. Clean and disinfect the treatment areas.

4. Pre-treatment preparation: Draw markings on the face to define treatment areas. Confirm the package of the new tip of the applicator has not been opened.

5. During the treatment: Perform the treatment as planned, precisely adjust the RF energy output and depth.

6. Post-treatment repair: Medical-grade facial repair mask + QDEL phototherapy mask to nourish and repair the skin.

7. Post-treatment care.

Duration: 1-1.5 hrs

Who is it for:

• People who have shown early sign of nasolabial folds or who want to slow down the formation of nasolabial folds;
• People who have shown signs of aging, sagging face, or worsen nasolabial folds;
• People who want daily skin conditioning, and gradually remove nasolabial folds;
• People who do not rush into immediate results but want to improve the skin texture and firmness;

Reduce Marionette Lines,come to Ai Beauty Clinic,
for safe and professional medical treatment.

Ai Beauty Clinic is a CQC accredited clinic based in London, and also is strongly supported by Cynosure(the owner of Ulthreapy) and Cynosure (the owner of PicoSure).

With rich experience of treating clients of various conditions, led by a famous British medical chief trainer, practiced by doctors and nurses who are GMC/NMC-registered and worked in NHS national hospitals, Ai Beauty provides certified and safe medical beauty treatments.

Ai Beauty always puts safety first. Not only are all medical staff insured by independent medical policy, each client who comes to Ai Beauty Clinic is also insured by £5 millions medical insurance. This full insurance coverage allows clients to have a concern-free treatment experience.

Ai Beauty Clinic has served over 15,000 clients from all around the world, been covered by some famous media such as European Times and CW Television, and established trust and an excellent reputation among them.

Enquire About Marionette Lines