Treat marionette lines with fillers in Berlin

Merkel lines – how this expression almost became a trademark

The term Merkel lines can be traced back to the appearance of former Chancellor Angela Merkel. Due to her media presence, the term Merkel lines has become established. The emphasis on the corners of the mouth by these marionette lines creates in many of us the desire to do something about them.

Why do we speak of marionette lines?

This is not surprising. The lines run from the corners of the mouth down into the chin area and dig deep into the skin, like the movable part of a marionette's face, with which a puppeteer controls the facial expressions of a doll.

A distressing appearance at the corners of the mouth for many affected individuals

When we look in the mirror, we cannot ignore these lines. They overemphasize our chin and spread bad mood. At some point, they can no longer be covered by make-up. Under certain circumstances, they may even be further emphasized because product settles in the lines. However, there are treatment options to have marionette lines removed.

Removing marionette lines in Berlin

At Dottore Caletti, we offer you the cosmetic treatment of marionette lines. The injection of the lines with hyaluronic acid is one of our routine tasks. The removal of marionette lines in Berlin shows a great result for many, which lasts for a longer time. In complicated cases, a wrinkle injection is no longer sufficient, and a facial lift should be considered for the treatment of marionette lines.

Interesting facts about marionette lines

We have good news and bad news for you:

The bad news is that we all have to expect marionette lines at some point in our lives. The good news is that there are effective ways to treat wrinkles. We can also, to a certain extent, delay the formation of marionette lines with a combination of measures.

What are marionette lines?

As medical professionals, we refer to these wrinkles as mentolabial folds. This seemingly complicated word describes the location of these wrinkles around the mouth area, which extend downwards from the corners of the mouth. This distinguishes them from nasolabial folds, which are located higher up on the face and run from the nose towards the mouth.

In this area of the face, we develop our full range of expression. When we laugh or smile, when we grimace in disgust, or express other emotions, the muscles are in motion and are tensed. Over the years of our lives, this does not remain without consequences. Wrinkle formation can develop very intensely in many men and women. This has various causes.

Causes: Age, lifestyle, and genetics

Mentolabial folds have many causes:

In the natural aging process, the skin's firmness and elasticity gradually decrease. The body's own fat in the tissue breaks down. The cheeks sag.

The skin's collagen production also decreases. Collagens are chained proteins that significantly determine the elasticity of the tissue. Decreased collagen production makes the skin less elastic.

The body produces less and less water-retaining hyaluronic acid. The skin becomes drier and loses volume throughout the face. The loss of volume in the cheeks puts pressure on the area around the corners of the mouth. This promotes the development of marionette lines.

The severity of the marionette lines is also determined by genetics. Not all connections for genetic predisposition in wrinkle formation and marionette lines have yet been researched. Nevertheless, we can already observe that some of us struggle with intense marionette lines earlier in life.

An unhealthy lifestyle, characterized by stress, lack of sleep, an unbalanced diet, little exercise, insufficient sport, as well as the recreational drugs nicotine and alcohol also take their toll on our skin condition.

To a certain extent, however, marionette lines can be prevented.

How to prevent marionette lines

These are the usual suspects when it comes to skin protection: Sun protection against UV radiation should be on our skincare plan early on.

With high-quality facial care, we can do something for the skin's firmness and elasticity. Some cosmetic products also promise to support volume.

A nutrient-rich diet can help us delay the aging process. Giving up recreational drugs can do its part to preserve the beauty of our mouth and the surrounding skin areas longer.

Whether facial gymnastics can support the firmness of the surrounding connective tissue has not yet been clearly proven, but relaxing the muscles of the lower jaw could alleviate the appearance of the wrinkles.

Wrinkles at the corners of the mouth do not appear overnight

Overall, the development of marionette lines is a complex process. It proceeds somewhat differently for each of us and finds an individual expression around the chin region.

The main factor is predominantly the depressor anguli oris muscle (DAO), the so-called depressor of the corner of the mouth.

If this particular muscle is constantly tensed, the lower lip also appears to hang down, and the entire area around the mouth takes on a sunken, hollowed-out appearance.

In their full manifestation, a marionette line can be a disturbing sight. Here, gravity constantly exerts a downward pull.

Act against marionette lines in time

Early treatment of marionette lines is important to prevent deep furrows. Therefore, one should start injecting marionette lines in good time. If the marionette lines have already become too deeply etched, injections may no longer be sufficient, and surgical intervention with a facelift is necessary.

Therefore, pay attention to the region lateral to the mouth and the development of wrinkles there.

If you are among those who are very bothered by the sight of marionette lines, you should consider non-surgical, aesthetic measures in good time. But not every wrinkle is a reason for panic.

However, if the skin in this area permanently loses its elasticity or if the skin laxity consistently increases from the cheeks to the mouth area, an initial medical consultation might be worthwhile. At Dottore Caletti, we can remove your marionette lines.

Injecting marionette lines – which substances are suitable?

You may have heard of various substances for injection in another context. Hyaluronic acid and botulinum toxin are regularly discussed. For the treatment of marionette lines, hyaluronic acid is preferred. There are several compelling reasons for this.

Botox is a neurotoxin and permanently relaxes muscles. If it is used in the area of the frequently used corners of the mouth, the muscles in this area can freeze into a clown's grin. Even if the unwanted marionette lines recede into the background, we do not want that. In rare cases, however, a combination of a small amount of Botox and hyaluronic acid can yield a particularly good result.

Hyaluronic acid first

Hyaluronic acid is the favorite for injection into marionette lines. There are different products with slightly different intensities. Every hyaluronic acid for aesthetic applications stores a lot of moisture. The skin is plumped up and wrinkles are smoothed, literally uncreased. The result does not last a lifetime, but for several months, the marionette lines appear as if ironed out.

Hyaluronic acid is very well tolerated and leads to an excellent result with convincing durability.

Injecting marionette lines - method and technique

The result depends on the skill and experience of the treating physician. The physician decides whether to work with blunt or sharp cannulas.

Blunt cannulas have several advantages. The practitioner can use them to introduce the hyaluronic acid very evenly into the injection area. This prevents the accumulation of too much hyaluronic acid at a specific spot. Otherwise, this could destroy the aesthetic effect of the treatment.

With sharp cannulas, on the other hand, we can penetrate deeper wrinkles. We determine, tailored to you, how much hyaluronic acid we need for the wrinkle treatment.

Liquid lifting as a more comprehensive procedure

If your cheek area has already lost a lot of its own fat and volume, a so-called liquid lifting might be an option for you. This means that we not only inject the marionette lines but also include the cheek area in the treatment. This ensures that skin laxity and volume deficit do not put further pressure on the corners of the mouth. Such a treatment is a larger, non-surgical procedure. We will discuss the most important aspects of a liquid lifting with you on a case-by-case basis.

Likewise, the lower lip and the lip area can also be included. Ideally, the entire lower jaw appears tighter at the end. You can rely on our many years of experience in this regard.

In a personal consultation, we will also discuss the incurred costs with you.

Here you will find some answers to frequently asked questions about injecting marionette lines

Fundamentally, the well-being and satisfaction of our patients are our most important concerns in all treatments. This also applies to marionette lines of the skin. Therefore, the Caletti team places great emphasis on comprehensive consultation before every treatment.

In a detailed preliminary discussion, your desire for a specific result is paramount.

Here we rule out that in your rare case, treatment with injections is excluded for individual reasons.

In the following sections, we have compiled typical questions that we answer repeatedly. This will give you a first impression of the treatment of marionette lines in our practice.

Do I need to prepare specifically for the procedure?

Come to our practice as relaxed as possible. It is important to pause the intake of blood-thinning medications for about a week before the injection. We will discuss any further individual preparatory measures with you personally.

How will I feel after the treatment and when can I resume social activities?

Injecting marionette lines is now one of the routine tasks in aesthetic-surgical practice. As a rule, you will feel excellent again shortly after the procedure.

You may feel some heat in your face, and there may be some redness and swelling in the tissue.

Alleviation of redness and swelling

We will provide you with recommendations for cooling the skin and also equip you with mild painkillers, should the treated skin areas be somewhat painful. In most cases, you can immediately resume public life.

Some rest initially

It is advisable to rest the skin in the weeks following the procedure. You should definitely avoid sports, saunas, and sunbathing after the procedure.

For the continued care of your skin, effective protection against UV radiation is a must. Products that support skin moisture are recommended. We are happy to help you choose the right care for the facial region.

Does the injection of marionette lines have risks and side effects?

Hyaluronic acid injections are generally low-pain and low-risk procedures in our practice.

Therefore, with a normal course of treatment, you do not have to expect lasting side effects. The redness and swelling already described do not last long.

You can trust our experience and continuous training in hyaluronic acid injections.

A convincing result

Negative treatment results are often due to treatment errors. For example, the result may not be convincing if too much hyaluronic acid is injected into one spot.

In unusual cases, errors in handling hyaluronic acid can also lead to the muscles around the corners of the mouth changing into a stiff, grimace-like expression.

However, this only happens with serious technical errors or an incorrect application method.

Is the treatment and injection painful?

With the help of an anesthetic cream, we can always ensure numbing of the skin areas where our injections are made. You do not have to fear pain. Overall, injecting marionette lines is considered a low-pain procedure.

What about the durability of the treatment results?

How long the effect of a hyaluronic acid treatment against marionette lines in the tissue lasts depends on many factors. These are individual. Therefore, we avoid standard statements at this point. 8-10 months can be considered average values for an injection.

Marionette lines can be reinjected after a few months. We are happy to advise you on this.

What does it cost to inject marionette lines?

That depends entirely. Significant cost factors are the depth of the corner of the mouth lines, the area of the treatment region, and some other aspects. Costs can range from a few €300 for a simple injection to amounts beyond that. Cost transparency is very important to us.

Therefore, we also include the costs individually in the preceding personal consultation. You will always know what costs to expect and can decide after the preliminary discussion whether you want to have such a treatment performed from a cost perspective.

Isn't it very superficial to worry about marionette lines on your face?

We believe everyone must decide for themselves how they deal with their appearance. Today, there are treatment options for many wrinkles, including marionette lines.

Why should you feel older than you are and suffer from drooping corners of your mouth on your face? Every day, many patients come to us who no longer want to put up with marionette lines. We all have the right to feel comfortable in our bodies and with our faces.

Our appearance and facial expression are not insignificant for our general well-being. We are happy to remove the marionette lines for you.

So don't worry about what other people might think about your desire for more youthful beauty. Many people we have treated here in Berlin enthusiastically report positive reactions from their personal environment.

Do I have to expect you to recommend a facelift if I might not even need one?

Here at Team Caletti, we have made it our mission to always choose the least invasive method for your beauty. Therefore, we will not recommend surgical procedures if there are other options for treating marionette lines.

Our consultation clarifies this question.

Together with you, after weighing all circumstances, we will decide which treatment is likely to achieve the best results for your individual marionette lines. Moreover, the final decision for or against a type of treatment always rests with you.

I hate my marionette lines, but I'm very afraid of the treatment. What can I do?

We adapt to your individual concerns and fears. For anxious patients, we also take more time for consultation if necessary. You can also take your time to decide.

More security through a conversation

We recommend getting an initial impression of the individual possibilities for treating your face in a first conversation. Those who know how skin treatments work usually immediately have less fear of a measure against wrinkles.

We will answer all your questions in detail. You can confide all your concerns and fears to us at any time.

Don't be ashamed.

Why a treatment for marionette lines at Caletti practice?

The team around Dottore Andrea Caletti is dedicated to your beauty every day. We are subject to medical ethos even in aesthetic procedures. Aesthetics is a matter of the heart for us. People entrust us with their youthful appearance. We are aware of the responsibility that comes with it every day.

Book a consultation now

Marionette lines don't have to dampen your mood. Today there are effective treatment methods to no longer feel like a marionette after looking in the mirror. Book a consultation now in our practice and let us work together for your most beautiful smile without marionette lines.