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MARIONETTE LINES Q&A

DERMAL FILLERS

There have been some recent changes on some of the terminology that can be used when discussing aesthetic treatments. Dermal fillers will now be referred to as “Volume replacers”, “Volume replacement” or “Re- volumising” treatments.  With any cosmetic treatment a detailed consultation is required first, and during that time the treatment for volume replacement will be discussed in detail.

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Question 1.

How do dermal fillers (volume replacement products) work for treating marionette lines?

 

How Do they Work for Treating Marionette Lines?

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Volume replacement products offer an effective solution for reducing marionette lines, but how exactly do they work?

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Understanding the Mechanism

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They are an injectable volumising gel designed to restore lost volume in the skin and therefore softening the wrinkle.  These often contain hyaluronic acid, a substance naturally found in the body known for its ability to retain moisture. By attracting and holding water, hyaluronic acid enhances skin’s volume and hydration.

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What is hyaluronic acid and what role does it have?

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Approximately 50% of the body’s total hyaluronic acid is present in the skin.  As we age these levels decline, leading to a loss of hydration and in addition possibly UV exposure, leading to the formation of wrinkles.

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Hyaluronic acid can improve skin firmness, hydration and elasticity, and decrease the depth and degree of wrinkles.  Hyaluronic acid is found in our skin, eyes and joints and is known to heal wounds faster. It is also a main ingredient in skincare products.

 

Stimulating Collagen Production

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When re- volumising products are into the targeted areas, they do more than just add immediate volume. They stimulate the production of collagen, a crucial protein in maintaining skin's firmness and elasticity. Over time, increased collagen helps to support the skin structure and reduce the appearance of marionette lines, which are primarily caused by volume loss in the lower part of the face.

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Quick and Targeted Treatment

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Administering and replacing lost volume is a relatively quick process, often completed in a single clinic visit. The precise application allows health care practitioners to focus on specific regions where marionette lines are most pronounced. This targeted approach ensures effective and natural-looking results, smoothing out creases, replacing lost volume, softening the wrinkle and restoring a youthful contour to the face.

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Benefits of Volumising treatments

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  • Immediate results: Noticeable improvements can often be seen immediately after the procedure.

  • Long-lasting effects: Results can last several months, with some up to a year, depending on the type of product used.

  • Non-surgical solution: No incisions or lengthy recovery times, making it a convenient option for many.

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In summary, volume replacement products rejuvenate the skin by replenishing lost volume and encouraging collagen growth, thus effectively treating marionette lines.

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Question 2.

What precautions should be taken when choosing a health care practitioner for replacing lost volume?

 

What Precautions Should Be Taken When Choosing a Practitioner for Replacing Lost Volume in the Marionettes?

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Validate Credentials and Experience

Before committing to a volume replacement treatment, thoroughly investigate the credentials and experience of potential health care practitioners. Meet with your potential practitioner and ask questions about the treatment. Therefore, verify their medical or nursing background and ensure they possess adequate training in the field.

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Understand the Types of Volume replacement Products

Volume replacement gels come in various forms, each suitable for different purposes and skin types. There is a lot of variability among them, so discussing the types and the clinical research behind them is important to have a better understanding of how they work.

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A competent health care practitioner will have comprehensive knowledge of these options and assist you in choosing the most effective product for your specific needs, taking into account your unique facial anatomy. Sometimes, they may recommend an alternative treatment if it offers a better outcome, or if based on your medical history you are not suitable to have a volumising treatment.

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Key Considerations When Choosing a Practitioner:

  • Check qualifications: Ensure the practitioner holds relevant medical or cosmetic nursing certifications.

  • Seek experience: Choose professionals with extensive experience in facial aesthetics.

  • Evaluate their knowledge: Discuss different volume replacement types and look for informed recommendations.

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Taking these precautions not only enhances your safety but also improves the chances of achieving your desired aesthetic results.

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Question 3.

Should you choose surgery to treat marionette lines?

 

Should You Opt for Surgery to Treat Marionette Lines?

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Deciding whether to undergo surgery for marionette lines can be challenging. While surgical procedures are available, they are generally seen as a last option with many deciding on alternative treatments to treat the marionette lines first.

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Some patients with excess skin, and a loss of skin elasticity, might be referred to a surgeon as an alternative, to give the best aesthetic result.  Every treatment carries risks and all the treatment options specific to individual goals and facial anatomy should be discussed during the consultation process.

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Consider the Drawbacks of Surgery

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Surgical options often come with numerous downsides and risks. These include:

  • High Costs: Surgery can be expensive.

  • Invasive Nature: Procedures typically require a general anaesthetic.

  • Extended Recovery: Post-surgery recovery can be lengthy, with potential time off work needed.

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Furthermore, surgical methods often involve cutting and repositioning the skin, which might not align with those seeking a more natural appearance.

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Explore Non-Surgical Alternatives First

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Before opting for surgery, consider non-invasive or minimally invasive treatments. These methods can effectively enhance skin volume and elasticity by boosting collagen and elastin production. Benefits of these alternatives include:

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  • Lower Cost: Typically, more affordable than surgery.

  • Minimal Downtime: Recovery time is significantly shorter.

  • Natural Results: Aim to rejuvenate the skin without drastic alterations, by replacing volume lost due to the ageing process.

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Popular non-surgical treatments include volume replacement, reducing the appearance of wrinkles, laser therapy, skin needling, PRP (Platelet Rich Plasma), skin boosters and chemical peels. These alternatives can often provide significant improvements without the complexities and recovery involved in surgery.

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Ultimately, a thorough consultation with a healthcare professional should guide your decision, focusing on options that align with your personal needs, aesthetic, and long-term skincare goals.
 

Question 4.

How does anti-wrinkle treat marionette lines?

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There have been some recent changes in some of the terminology that is not to be used when describing some aesthetic treatments.  Dermal fillers are now called “Volume Replacement” and Anti-wrinkle is now referred to as “Reducing the appearance of wrinkles”. These terms will now replace these words.

 

How to Reduce the Appearance of the Marionette Crease and Treat Marionette Lines

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“Reducing the appearance of the marionette wrinkle” is a popular cosmetic treatment for reducing wrinkle size and depth. The marionette wrinkles run from the corners of the mouth down to the chin. Here's how it works:

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  1. Muscle Relaxation: This treatment targets the muscles responsible for creating marionette lines. By inhibiting nerve signals that cause these muscles to contract, the product effectively relaxes them.

  2. Wrinkle Prevention: The relaxation of these muscles prevents the lines from deepening over time. Unlike collagen-boosting treatments, reducing the appearance of wrinkles focuses on preventing the movement that contributes to wrinkle formation.

  3. Quick and Long-Lasting Results: Reducing the appearance of the marionette wrinkle session is relatively short, often completed in about 15-30 minutes. Despite its efficiency, the effects can last up to six months (depending on the area treated, dose, lifestyle, metabolism, medical conditions and skin quality) offering a long-term solution for wrinkle management.

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In summary, by reducing muscle activity that contributes to the formation of the marionette lines, and the down turned corners of the mouth with wrinkle reducing treatments, ultimately softens the lines and prevents them from becoming more pronounced.

 

Question 5.

How can you ensure natural-looking results from treatments for marionette lines?

 

Booking in for a consultation is the first step in your treatment journey.  This helps determine your suitability for the treatment, gives you the opportunity to see the clinic, and meet with your practitioner.  It allows you to ask all your questions and gather all the information needed to make an informed decision to decide if this treatment is right for you.

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Make an online booking by clicking any “Book Now” button on the website which will take you to the booking system to make your cosmetic consultation.

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To ensure natural-looking results, it's crucial to prioritise a treatment plan that addresses your unique facial structure and aesthetic goals. The initial treatment may involve relaxing the muscle that is associated with causing the corners of the mouth to turn down, followed by a combined strategy to soften and lift the marionette wrinkles with re-volumising treatments.

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The practitioner should choose the right product for the right area with a less is more approach, to enhances one’s natural beauty and not alter it. Choosing age-appropriate treatments will also help to ensure a natural result.

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This tailored approach is determined after assessing your face, reviewing your medical history, and discussing your treatment goals.

 

Expertise Matters: The skill and experience of your health care practitioner are paramount. They ensure the correct areas are targeted, with precise dosage and placement for both volume replacement products and also reducing the appearance of wrinkles treatment. Adhering to professionalism and patient safety at all times. This precision prevents ineffective results or overly dramatic outcomes, maintaining a harmonious and youthful appearance.

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Research and Reviews: Before committing to a clinic, conduct thorough research. Once reviewing before-and-after photos of previous clients was possible.  Now before and after photos are restricted to be posted on websites or social media pages to comply with the new advertising guidelines in aesthetics. These apply to dermal fillers (volume replacement) and anti-wrinkle treatments (reducing the appearance of wrinkles). 

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Looking for mentions of specific treatments for fine lines and wrinkles in testimonials was also possible but there are now restrictions on sharing these too.  Google reviews can be one way to research the clinic and the practitioner, ensuring you make a well-informed choice.  Ultimately the consultation is now the most important step in information gathering to make an informed decision about the clinic and the practitioner.

 

Why is it important to avoid an obvious look of ‘work having been done'?

 

Maintaining a natural appearance is essential, especially in highly visible areas such as the corners of the mouth, to avoid drawing unwanted attention and to ensure the results integrate seamlessly with one's facial features.

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Most patients are seeking a result that is not obvious to others, only to themselves. Working with individual patients’ goals is important as some patients do want to limit their facial movements and expressions more than others, so personalising each treatment to meet these individual aesthetic goals is crucial.

 

How can a potential patient evaluate a clinic's track record for treatments?

 

Prospective patients once could review before-and-after photos and online testimonials to assess the clinic’s effectiveness and reliability in performing treatments on fine lines and wrinkles. These are now in the process of being completely removed as clinics comply to this legislation.

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The initial consultation is now more important than ever to ask questions, meet with their practitioner, and visit the clinic.  There is no obligation to have a treatment but this can be the information gathering appointment to feel at ease, have all your questions answered confidently and thoroughly, and have a detailed and never rushed appointment.

 

What role does accuracy play in the application of treatments like re- volumising treatments or reducing the appearance of wrinkles treatment?

 

Accuracy in both dosage and placement is vital, as incorrect application can lead to results that are either ineffective or excessively dramatic, detracting from the desired natural appearance.

 

How important is the health care practitioner's experience and care in achieving natural-looking results?

 

The practitioner's expertise is crucial for ensuring treatments target the right areas effectively, which is essential for achieving results that look natural rather than artificial or overdone.
 

Question 6.

Why are consultations important for non-surgical procedures?

 

Booking in for a consultation is the first step to determine your suitability for the treatment and gather all the information needed to make an informed decision. Click the “Book Now” button on the website where you can make your online appointment for your cosmetic consultation.

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A consultation is more than just a preliminary step—it's an essential part of the treatment journey toward achieving your desired aesthetic goals. At reputable clinics, consultations are crafted to ensure the highest medical standards are upheld in every procedure. Here's what to expect:

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  • Personalised Discussion: This is your opportunity to discuss your concerns and motivations for seeking treatment. Whether it's about specific areas of your skin or facial features, a detailed conversation helps establish clear objectives.

  • Comprehensive Health Review: Your health care practitioner will assess your medical history, along with your current health and lifestyle. This ensures any treatment plan is not only effective but also personalised for your unique circumstances.

  • Tailored Advice: Based on your consultation, the practitioner can recommend a personalised plan of action. This may include exploring different treatment options that align best with your goals and lifestyle.

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By prioritising consultations, you ensure that your path to enhanced facial aesthetics is both informed and customised to suit your individual needs.
 

Why is it important to discuss concerns during a consultation?

 

Discussing your concerns allows your health care practitioner to fully understand your expectations and any specific issues you want to address, ensuring a personalised approach to your treatment plan.

 

What is the role of your medical history and lifestyle in treatment planning?

 

Your medical history and lifestyle choices are key factors in treatment planning. Practitioners consider these elements to ensure that the recommended treatments align with your overall health and lifestyle.

 

How does a practitioner use the consultation information?

 

Health care professionals utilise the insights gained from the consultation, along with reviewing your medical history and current health, to recommend the most suitable treatment plan tailored to your needs.

 

What happens during a consultation?

 

During a consultation, you have the chance to express your reasons for seeking treatment, discuss any concerns about your skin and face, and ask questions. This is a crucial step in understanding the treatment process.

 

Why choose reputable clinics?

 

Selecting reputable clinics ensures that you receive treatments that adhere to the highest medical standards. These clinics offer a diverse array of advanced procedures, providing peace of mind regarding patient safety and quality.

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Question 7.

How do skin tightening treatments help with marionette lines?

 

Improving the skin quality with skin needling, skin booster injections, or PRP (Platelet Rich Plasma) injections will also improve the appearance of the marionette wrinkle and the skin all around the mouth. Skin treatments work in harmony with other treatments to lift and soften the wrinkle, and those that relax the muscle that is causing the corners of the mouth to turn downward.

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These skin treatments work by applying targeted techniques that stimulate collagen production, essential for skin firmness and elasticity. For instance, microneedling creates micro-injuries that prompt the body to produce more collagen, effectively reducing the depth of marionette lines. Similarly, PRP injections utilise your body's own platelets to rejuvenate and tighten the skin around the mouth.

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Maintaining Results

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To sustain the improvements from these treatments, incorporating supportive therapies and skincare routines is crucial:

  • Chemical Peels: Exfoliate the skin to enhance texture and tone. There are a variety of peels from superficial to deeper peels.

  • Laser Treatments: Target deeper layers to promote collagen synthesis.

  • LED Light Therapy: Supports skin healing, reduce redness post treatment and boosts collagen production.

  • Active Skincare: Daily use of products containing retinoids or peptides helps maintain skin health.

  • SPF 50: Daily application protects against UV damage, preserving treatment results.

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This combination of targeted treatments and consistent skincare not only addresses marionette lines but also enhances overall skin health, leaving you with a rejuvenated and youthful appearance.

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What skin issues do these treatments address?

 

They target sagging skin by stimulating collagen production, which improves the skin's appearance, texture, and tone.

 

What specific technologies are used in these treatments?

 

The treatments employ technologies such as ultrasound, radiofrequency, microneedling, and high-intensity focused ultrasound (HIFU).

 

Are these treatments invasive?

 

No, these treatments are non-invasive, meaning patients can resume their daily activities immediately without downtime.

 

What are examples of skin tightening treatments?

 

Examples include Ultracel and Ultraformer. Ultracel uses a combination of ultrasound, radiofrequency, and microneedling, while Ultraformer utilises high-intensity focused ultrasound.

 

How do skin tightening treatments work?

 

These treatments operate by applying heat to the deeper layers of the skin, which enhances collagen production. This increased collagen helps to lift and firm the skin.

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