Managing Marionette Lines

Kelowna Perlane

Tissue Fillers or Botox?

Marionette lines (lines that run straight downwards from the corners of the mouth) are a common frustration for the majority of patients and form as facial volume begins to deplete and deeper creases appear below the mouth.

Facelift surgery is one potential option for eliminating deep wrinkles such as marionette lines. However, for patients looking for less invasive procedures, there are a variety of non-surgical procedures such as tissue fillers and Botox available.

Managing Marionette Lines: Tissue Fillers vs Botox

If your marionette lines are relatively minimal or if you don’t wish to undergo facial plastic surgery, then you may wish to consider a non-surgical treatment option to rejuvenate your skin and get rid of any unwanted wrinkles.

  1. Botox For Marionette Lines

Botox injections can reduce the movement of the muscles around the mouth which cause marionette lines as well as the muscle that excessively pulls your mouth corner downwards.

How does Botox work? Botox temporarily blocks nerve impulses to the injected muscles, reducing activity that causes unwanted wrinkles.
What is the Botox treatment process? A few tiny injections of Botox will be directly administered into the muscles that cause the marionette lines.
Am I a suitable candidate for Botox?

During a personalized consultation, our skin care specialists will assess your medical history and determine whether you are suitable for the treatment.

Botox is NOT RECOMMENDED for patients who:

  • Are pregnant or breastfeeding
  • Have a history of neuromuscular disease
  • Skin disorders around the treatment site
  • Existing muscle weakness in the targeted muscle

Read More about our Botox Treatments


  1. Tissue Fillers For Marionette Lines

Tissue fillers are a simple and effective way to treat marionette lines. The treatment involves the injection of filler to plump up and fill the lines or folds, smoothening out the skin.

How do Perlane and Restylane work? Unlike Botox which works by relaxing facial muscles, tissue fillers eliminate wrinkles by creating volume in the treated area.
What is the Tissue Filler process? The tissue filler is injected using a fine needle in precise locations into the skin. The skin specialist will then massage the area to smooth the product for optimum results.
Am I a suitable candidate for tissue filler treatment

Because both Restylane and Perlane are composed of hyaluronic acid, a naturally occurring substance in the body, they work well for a wide range of patients.

In general, a good candidate for tissue filler treatment is someone who:

  • Is physically healthy
  • Does not smoke
  • Have realistic expectations for their aesthetic results

Book a consultation today with one of our skin care specialists to determine which tissue filler is right for you.

Read More about our Tissue Filler Treatment


Combination Treatment

An innovative new approach to aesthetic medicine is to use both Botox and tissue fillers in a combined approach to rejuvenation and correction.

Restylane and Perlane go very well together and work hand in hand with Botox to restore fullness to areas that are sunken or lined and help redefine overall facial structure.

By combining fillers with Botox, the volume of both substances can be reduced to achieve a more natural, harmonious look.


Learn More

To find out more about our safe and effective non-surgical procedures, contact our skin clinic today at 250-868-9290.


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