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Marionette Lines Treatment
Marionette lines take their name from the string puppet with the hinged jaw — the vertical creases that run from the corners of the mouth down toward the chin. They typically begin to appear by around age 40, though they can show up as early as the late 20s, and are caused largely by gravity pulling aging skin downward as it loses volume and elasticity. Left untreated, they can lend the face a perpetually downturned, frowning look. Dr. Erez Dayan offers marionette lines treatment at Avance Plastic Surgery Institute in Reno/Tahoe, NV.
Softening marionette lines convincingly takes precise product selection and placement — and few injectors are as credentialed as Dr. Erez Dayan. He serves as a key opinion leader and clinical investigator for Allergan and Galderma, the makers of leading neurotoxins and dermal fillers, and co-authored the textbook Facial Danger Zones: Staying Safe with Surgery, Fillers and Non-Invasive Devices, which surgeons reference for safe injection technique. A board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute, Dr. Dayan completed the Harvard Plastic Surgery Program — serving as Chief Resident at Massachusetts General Hospital — before being chosen as one of only two surgeons for the elite aesthetic fellowship at the Dallas Plastic Surgery Institute. He has published and presented his work more than 150 times worldwide. Marionette lines treatment is one of the practice’s facial filler treatments.
What Causes Marionette Lines?
Marionette lines develop as the natural aging process and gravity take their toll. Over time, facial skin degrades and loses volume, and the downward pull of gravity allows folds and creases to form between the corners of the mouth and the chin. Sun exposure, genetics, and lifestyle can all influence how early and how deeply they appear, which is why treatment is tailored to each patient.
“Marionette lines can make someone look perpetually unhappy, even when they feel great. Combining a little muscle relaxation with precisely placed filler softens that downturn and gives the lower face a lift — without surgery.” — Dr. Erez Dayan
Marionette Lines Treatment in Reno/Tahoe
Dr. Dayan typically combines several complementary treatments for the best result. Neurotoxin injectables relax the muscles that pull the mouth downward, allowing embedded wrinkles to soften. Dermal fillers restore volume and fill the lines and troughs for a smoother appearance. Skin-tightening treatments are often added to trigger collagen production for firmer, healthier-looking skin that helps keep the lines at bay longer. He recommends the right combination after a private consultation.
Why Choose a Plastic Surgeon Over a Spa?
Many spas offer fillers and injectables, but they don’t have the anatomical knowledge or surgical expertise of a board-certified plastic and reconstructive surgeon. The precise placements and measurements required for safe, natural-looking results are exactly where that training matters most. With Dr. Dayan, your treatment is performed — or directly overseen — by a surgeon who literally helped write the reference on injectable safety, so your cosmetic facial enhancement is in the best possible hands.
Frequently Asked Questions About Marionette Lines Treatment
What are marionette lines?
Marionette lines are the vertical creases that run from the corners of the mouth toward the chin. Caused by aging, volume loss, and gravity, they can give the face a downturned, frowning appearance.
When do marionette lines appear?
They typically begin to show by around age 40, though they can appear as early as the late 20s depending on genetics, sun exposure, and lifestyle.
How are marionette lines treated?
Dr. Dayan often combines neurotoxins to relax the muscles that pull the mouth down, dermal fillers to restore volume and fill the lines, and skin-tightening treatments to boost collagen for longer-lasting results.
Why see a plastic surgeon instead of a spa?
A board-certified plastic surgeon brings the anatomical knowledge and precision that safe, natural injectable results require. Dr. Dayan co-authored a textbook on injectable safety, an expertise most spa providers can’t match.
How long do results last?
Results are long-lasting but not permanent, with periodic touch-ups maintaining them. Duration depends on the products and combination of treatments used, which Dr. Dayan will review with you.
Is there any downtime?
There’s little to no downtime. Any minor swelling typically fades quickly, and most patients return to normal activities right away.
Why Choose Avance Plastic Surgery Institute for Marionette Lines
- Injectable Safety Authority: co-author of “Facial Danger Zones” and a clinical investigator for Allergan and Galderma
- Harvard Chief Resident Training: completed the Harvard Plastic Surgery Program at Massachusetts General Hospital
- Elite Aesthetic Fellowship: one of only two surgeons selected for the Dallas Plastic Surgery Institute fellowship
- Combination Approach: neurotoxins, fillers, and skin tightening blended for lasting results
- Surgeon-Led Care: the anatomical precision a spa simply can’t offer
Schedule Your Marionette Lines Consultation in Reno/Tahoe
If marionette lines are giving your face a tired or downturned look, Dr. Erez Dayan can soften them with a tailored, non-surgical approach. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule a confidential consultation. Virtual consultations are also available for patients traveling from out of town.
