Marionette lines are lines that originate at the corners of the mouth and can continue down to the chin and jaw line. These lines can cause the corners of the mouth to droop and make patients in Danville look sad and/or angry. With age, elastin and collagen components in the skin begin to weaken. This allows the skin to become thinner and to have more stretch resulting in lines and hollowness especially around the corners of the mouth.

In addition, the face contains many fatty layers deep under the skin. In young women, these fat layers are in well-defined areas and are abundant throughout the skin. They are also the primary determining factor in facial shape and curvature. Over time, these layers tend to decrease in volume, or atrophy. Around the mouth, they can lead to deepening of the marionette lines and hollowness around the mouth.

For mild to moderate lines, dermal fillers can be used to not only eradicate these lines but also add volume to the hollowness around the mouth. In addition, direct injection into this area can reverse the droopiness seen at the corners of the mouth. Danville patients believe that this procedure helps make them look less grumpy and angry. JUVÉDERM Ultra Plus XC is the most common dermal filler to treat this area and, during the procedure, is injected into the surrounding areas of the marionette line to provide structural integrity. Patients can expect the results to last up to one year.

For moderate to severe marionette lines, dermal fillers can be injected into the corner of the jaw. This pulls away, or lateralizes, the fullness around the mouth resulting from fatty atrophy. As a result, the folds around the corners of the mouth are pulled away from the corner of the mouth. JUVÉDERM VOLUMA® is the best filler to achieve this result and can last up to two years.

For severe lines, patients require a combination of the above therapies. Ideally, JUVÉDERM VOLUMA is used first, and patients are rescheduled three to four weeks post procedure to evaluate the marionette lines faceresults. In most cases during this office visit, JUVÉDERM Ultra Plus XC is injected directly into the marionette area to lessen the lines and add volume to the area around the corners of the mouth.

Interested in learning more? Danville patients please contact Dr. Manios at (925) 989-6560 to schedule a consultation.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Christopher Manios MD, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

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5.0/5
May 29, 2021
I only went once , would like to come back. Friendly and highly professional crew and doctor. I am waiting , or looking for a promotion to come, because I like their services. I can’t afford regular charge, Thank you May
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5.0/5
May 29, 2020
I have been going to Dr. Manios for 6 years now. At first I was only going for a little Botox here and there and it seemed to last me for 5 months or so. I had a few years where I didn’t get any because of pregnancy. Then I started up again and it’s like I never left. I have tried a few other places over the years and Dr. Manios’s technic seems to work the best for me. I’ve also used filler in my smile lines twice, it lasts over a year for me and recently I tried filler under the eyes and I love how it looks. Definitely took out that sunken in look of overly tired and warn out. 100% recommend!!!
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5.0/5
Feb 15, 2020
Dr Christopher Manios is amazing. He explained everything so thoroughly and made me feel so comfortable and confident. 10/10 definitely reccomend.
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5.0/5
Feb 7, 2020
Dr. Manois is efficient, extremely flexible scheduling, gives honest good advice and provides the best I injections I’ve ever received’
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5.0/5
Jan 28, 2020
Dr Manios is very knowledgeable about your medical skin care! He really takes his time and listens to your needs. I would definitely recommend him highly! Anne P.
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5.0/5
Nov 29, 2017
Christopher really cares for his clients, he explains everything very clear and works with clients for the results they want. I highly recommend dr. manios, extremely professional with a great consultative approach.
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5.0/5
Mar 25, 2017
Best botox appt I've ever had. Very gentle and friendly. Will use again �
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5.0/5
Jan 25, 2017
Had a really good treatment here
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5.0/5
Sep 12, 2016
I love the way he made my lips look. My lips look full and plumped,the way I wanted them to look. Also the dr cares enough to tell you the truth what is needed and not needed. I'm ready for another appointment;)