Yes, pictures would have been great to see what he actually means. Because I had my marionette-folds filled and it looks really great. Perhaps they haven‘t been too deep.
I agree. I'm 54 and I have the marionette lines, and have always had a downturned mouth. My entire life I have heard, "What's wrong? Why are you upset/sad?" And that assumption couldn't be farther from the truth. I hate the fact that my face says one thing about me when I feel completely different. Arrrg!
Me too, when younger I got fed up of hearing 'Cheer up' {Patronising, sexist & totally mistaken} Fillers didn't work for me, now I'm looking at this; th-cam.com/video/VDEjsl3Rol0/w-d-xo.html
@@robinlynn2503 what I've learned is to keep a very small smile going, just enough to "lift" the corners of my lips which helps. I must disclaimer that I'm 49 and my marionettes are about an inch long and not that deep. Hopefully it'll stay that way. I'm not ready to age yet so I've taken up using Olay microsculpt and their 7 way face cream and hope it'll help some.
I'm a nurse injector and I find your videos very helpful … I as well spend a lot of time adjusting peoples expectations instead of injecting more and more
@@viccosmeticinstitute Sorry, but I disagree from the perspective of the model you use. Why not use an older woman who ACTUALLY HAS MARIONETTE FOLDS!! Then we could see before & afters. This use of perfect young faces is ridiculous. If you are so sure of your technique, which is interesting for sure, use a model who has the physical 'defect' you are speaking of. Thanks.
Love the education. Also very happy to hear of that there are still ethical doctors out there turning down patients because it’s not in their best interest to just fill the area. I always wonder how there’s all these people particularly celebrities but also just regular people walking around with their faces full of filler and looking really weird, almost disfigured and definitely not looking younger. It’s good for both patients and medical professionals to be educated about this. Thank you for the content, very helpful
Please add before and after images to see the improvement. Would love a video on tear troughs hollowing out and what you do. Thanks for the great videos!
@@viccosmeticinstitute But what if I have those folds or lines quite prominent due to deep bite (overbite), and Im only 31 so I cant have facelift at this age...
Wonderfully informative. I’m someone who went for the face lift (at 66) and I am so very pleased. I’ve never had fillers or Botox - I’m just one of those people who believe that sometimes the most extreme solution is the best - and in the long run less expensive and gives best results. Mind you - I did my research and made sure i was in the hands of someone highly respected and with a great track record - in Halifax, Nova Scotia, Canada ( my hometown) . It was a 4 hour surgery (had dermabrasion and fat from tummy used for volume and my neck tightened, all at the same time) and cost 15,000 Canadian - that was in March 2016. I was kept overnight in a beautiful waterfront clinic , had a private nurse and was given one year free follow up with the clinic esthetician - face massage, vit oils and facial ultrasounds. Would happily add a photo but can’t se how. :)
Thank you for sharing your experience with us. We don't always get to hear from patients who have had a facelift, as you are the minority, with the rest of us wanting one , but not being daring enough!
I agree with you! The most low-maintenance option is accepting the aging process but after that, it's having a facelift. Better than years of fillers and botox I think and a much more natural effect if you go to the right person.
It would be great if all cosmetic practitioners adopted such a down to earth, honest, and cautious approach to cosmetic injections as you do. This is very refreshing to see.
I love the medical info! But, I would like to see more before and after photos to compare the two procedures please. It would really help to see compared rather than just talking about it
I love his honesty. I have marionette lines and I can see while playing with my face that it may not work. A facelift would be needed for me at age 57. However, Ouch!!! In the wake of awakening, maybe we should let this crap go and just be happy from within. I look at these a bit then realize that this is living in the 3d earth and this is not what any of us are here to do. To be insecure and care so much about vanity. That is insanity. I will grow old gracefully and with acceptance and will honor the body that I choose to carry me on my path. I am grateful.
Getting older is no picnic. I watch these videos thinking that I wish I could afford to do these things but I can’t afford them. I asked my Husband about getting some fillers in my neck and face and he said no way! He said I don’t need it and that there’s nothing wrong with how I look. I’m 48 and I’ve noticed my neck getting more horizontal rings and a bunching, creepy area in the center of my neck that I don’t like. My neck bothers me more than anything. I really don’t have that many bad facial wrinkles. It’s hard to not feel inadequate compared to women who can afford all these treatments to look better. Guess I have to just work on my poetry and guitar and feel fortunate that my husband loves me the way I am and so do my kids and grandkids. There’s nothing wrong with aging, it’s something we’re all destined to do if we’re lucky enough to live that long. Good thing I don’t live in California!
Some people look older than their years because of stresses out their control, and although youth is king, I do not think a lot of, especially women, seek procedures out of vanity or insecurity; though society has always pressured women to fit a particualr image. I applaud those who just want a little correction, treating themselves as a reward to gain back just a few years for the ones they lost for whatever reason. Aging gracefully is easier for some, depending on their circumstances.
I couldn't agree with you more. Marionette lines.folds are a very common complaint in my practice, but fillers in this area don't look good over time. I agree with your approach. Thank you for sharing your vast knowledge!
I had botox to the downturn corners I couldn't pronounce words properly it was horrible now I have had filler and they are still not better. I don't know what to try next?
Do you think you will be able to smile constantly for it to have an effect? I mean, a third of your life is spent sleeping and it's going to be hard to smile during that period.
Thank you for helping me save money. 😊 I'm smart enough to realize that it takes a facelift to improve. I am 57 but with hair, makeup and good skin care, people think I'm my 40's. That is my most obvious aged spot. Not ready for a facelift yet, maybe never! Peace, love, good health and happiness to all!
My dermatologist told me she couldn't remove them but she could smooth them out. She did a fantastic job. Down side, like with all fillers it was temporary and only lasted about 8 months. There's hope but it has to be understood they will not be gone for ever and it will cost a pretty penny.
I can relate to this so much as an injector.I was never happy with my results there and have just started to explain to patients the difficulties in that area. I used to get frustrated expecting that I should be able to improve things. I guess it was about confidence for me. Confidence to say no to patients, not in my abilities. Thanks for the great video.
I never really fill marionette folds unless patients really insist doing so. Instead, I reconstruct the lower jawline by local liposuction plus lipolysis agents along with thread lift to give a much better facial structure for the best rejuvenated look. Great video, Dr. Chan !
Great video. Very informative. Sadly, I suffer from both down turned corners of the mouth and marionette lines. I try to have a slight smile on my face so I don’t scare people with my RBF
Victorian Cosmetic Institute , would you suggest doing the mouth corners fillers at the same time as you're having FaceTitle or AccuTite done in the jaw/lower face area ( followed by Morpheus8) or would you need to wait? Would one adversely effect the other?
I just saw a plastic surgeon who told me this exact thing! I didn't have any crazy expectations, but am satisfied by the appearance of a softening of my lines with the corner mouth filler, etc. I look like a slightly younger version of me!
I had fillers in cheeks and around lips for marionette lines and the results were excellent! And the lines were distinctly formed but not extremely deep. Very happy with how it helped!
great information. thank you for being so honest. I did have my marionette folds filled and you are right it gave me a heavy chin. Not nice for a heart face. I love what you are doing now, I looks so much more natural
I was trying to learn about marionette folds and have concluded that volume loss due to fat and bone loss contribute and sagging of the mid face and skin laxity as well and your sharing just confirmed it... I have not found doctors here talking about marionette lines like you do, well there is another wonderful Dr I follow who does...that's about it. That said, I can't agree with you that filler does not work. I think a certain amount of filler can work (at least for a while) if it is fat and bone loss (if filler is placed at bone level is ideal) and it is very important to then improve skin quality. Even if a patient does a face lift but does not have lost volume replaced, she is going to end up with a smaller skinny face and still can look aged. So either filler or her own fats should be used to compensate the volume loss. Thanks for the video, Dr.
Ah thank you so much! I've had some fillers done recently and after doing my own research asked the doctor to inject right into the spots recommended by you! So happy
Very informative, thank you. Would you do a video talking about what a face lift is? What happens during one? What it can and can't do? Recovery time? Does it include eye lifts? etc. Thanks!
Best Dr I seen in youtube because most plastic surgeons don't care about how you will look like after the surgery, all they care about is the money. But Dr. Gavin Chan offers us a great explanation, I had so many false illusions about the standard of beauty and my flaws, now I understand things much better. Thank you, Dr. Gavin Chan, to begin honest and kind.
Thank you Angela. What a beautiful comment. We can only hope that this video helps to raise the standards of the cosmetic industry and promote a much more open and honest approach by doctors.
@@viccosmeticinstitute Your welcome Doctor it was my pleasure. I appreciate all your hard work. Your perspective is refreshing. You're a gift to those around you. best wishes. Sincerely. ^^
Fillers didn't work for me for the marionette lines but as he says at 4.32 Botox helps a bit imo. Microcurrent massage also helped. My face only has these lines on one side of my face, side I used to sleep on. Excellent video.
I would love to have this done. Everyone tells me I look miserable and I have really bad social experiences when people think I'm in a bad mood all the time.
Dr., You correctly mentioned hairdressers creating youthful appearances with specific hairdos. Very true & more time and money efficient and effective.🌹 Another method is makeup - specifically bronzers, concealers, and lip liners - Especially for the over 65 mature woman. Not only makeup for eyebrows & eyes (to draw attention to that part of a woman's face), but also contouring/ bronzing gels & powders that create a tanned/bronze look below the cheek & below the jawline. This contrast in shades and tones gived depths to the face.💃 Lipliners! When applied correctly, have the ability to hide wrinkles above the lip and create a fuller lower lip once again. The marionette lines are still there, but a woman has a much better chance of not being stuck with "balloon lips". With makeup, everyday or even every hour is a new beginning/ a new artistic drawing.💋 Because many women over 65 don't seem to hold the benefits of a facelift for long, & then begin to overuse fillers; I've decided to give "Aging Gracefully and with Class" a chance.🤗 Thank you for your candidness. I enjoy your videos. 👍
Your content is so informative and I love your approach. I know people tend to prefer instant gratification but I have seen amazing results on women who have been consistent with doing facial excercises(face 'yoga'). The volume loss is not just in the epidermis and bone but also the slackening of the muscles. When you start bringing back the muscle tone in the face it's amazing what it does to the shape and contour(just like the body obviously!). It gives an overall much more youthful appearance.
Nah it does not necessarily work for everyone especially for those who already are very 'cheeky' can't add more fillers to that area or will look like chipmunks or have wider face. It is the cheeks fat pats sagging and pulling downwards plus skin laxity with ageing. I have seen so many people doing cheeks but the marionette lines still stayed.
@@Dandelion_flight I didn’t say that it works for everyone.Fillers are for replacing the volume loss in these areas providing a more youthful look and definitely not making someone look fake or overdone.However if someone has a more significant skin laxity or sagging skin then threads or face lift might suitable for addressing these issues.Thank you
Dear LORD, that initial injection clip was enough to send me running for the hills, embracing natural aging and never speaking to a cosmetic dermatologist! YIKES!!
I really appreciate that you openly discuss what you've done in the past, and why it didn't work. In the USA, doctors are hypervigilant about avoiding saying anything that could be used against them in court when they get sued.
I’ve had that ‘smile lift’ with a pop of filler under each mouth corner just as the Dr described; it doesn’t erase all the marionette lines, but it provides support to the mouth corners and I found it made a big difference in my overall look. Now I just put a little concealer in the ‘shadow’ of the crease and it makes the marionettes almost disappear visually. also had Voluma done in the cheeks earlier this year and the injector put a little in my jawline near my ear, at first I didn’t understand why but this video explains it so well.
I agree I had the same and I'm very happy with results; the point of doing this is to look natural; I have a tiny weeny left but with a tap of concealer its looks great; the filler usually last a year; I feel that every year it becomes less and less probably because these muscle or area is being trained to do something different. I would think if you have very deep lines then a face lift is fine; but really when you get a certain age their is no denying it.
Doctor, you're brutally genuine and knowledgeable. I'm a novice to facial aesthetics but filling the marionette lines has never seemed a great idea to me for the exact same reasons as you have just discussed. Please keep this videos coming, I'm learning a lot here. Thank you
That's fantastic, but I would say you are the exception. I wanted to make sure people out there are informed properly so that they have realistic expectations and alternatives if necessary
I still had filler to this area even after watching this video. Initially it looked better but a month and half later it looks worse. I even had it done by a highly reputable doctor. I'm altogether done with fillers. Not worth the money for my face.
So informative. Just what I have been looking for. Wanted help but fearful that I would go and have the wrong procedure by the wrong person. Young people around me having procedures at 25 years old by nurses (I am an RN not running them down but this is my face thank you very much)and never seeing a plastic surgeon. Thank you for your honesty. I can not tell you how grateful I am to watch your videos.Thank you so much. The one thing this young girl said to me when I told her I had had my naso-labial folds and my laugh lines done and it didn't work very well was that the nurse who does hers would fill my cheeks and didn't that make sense?? You have just helped me understand what the process is and why it didn't work. and why the cheek fillers won't work either.
Not all marionette lines are caused from that movement. I have osteoporosis and lost my bottom teeth because of it and when I got bottom teeth replacements I'm still left with marionette lines now because of the Jawbone decrease. Plus, some is from just aging. I would like to see an example of an older women just like others have said.
Thank you for being so honest and saying the best thing for the lines pulling the lips down is a face-lift. I understand a lot of people don't want that but it is the only thing that can help those lines. You either accept it or do that... not stuff filler in it. Thanks- you are the best cosmetic doctor on youtube
I appreciate the in depth reasoning in this video of why fillers in the marionette lines don't work, and how it would take too much in the cheeks to get any lift, and would look ridiculous. I already have very chubby cheeks when I smile, so when someone tries to sell me on cheek filler for lifting of the nasolabial folds or marionette lines, I'm always skeptical. I've tried fillers in all 3 areas to no avail. And was not willing to get an excessive amount in my cheeks and look crazy. A little feedback: The girl in the video with what looks like blood is running down her face is creepy, it made me want to stop the video! But you are very honest and knowledgeable, and that I appreciate! I agree with others, use a more mature model. thanks! :) QUESTION: I landed here looking to see if lip fillers could help turn the corners of my mouth up a bit? Then I see that you put a tiny bit in the side for this. What type of filler, and how much on each side approximately? (I'm in Phoenix, Arizona, so I can't come see you) Would a little bit of plumping of the lips help distract from the marionette lines too? I have some drooping in the jowls, so I'm skeptical of any injections in the jaw line. Is there another treatment you'd recommend for that? I'm not ready for face lift, and a bit afraid of that too. Also...I have acne scars in the area where the marionette lines are, and I believe they contribute to the increased look of the folds, is there a fix for this? THANK YOU!
The contouring thing is so on point, so glad i watched this, lines and wrinkles is only part of it. Helen mirren is stunning and she has wrinkles as an older woman would ☺️
Thank you so much for the explanation, but I nearly passed out watching you inject that face. I just got a little more love for my formerly hated marionette lines!!
Just do buccal massage. It releases the muscles and gets the tension out of them. If you do it yourself it’s completely free, I’ve had great results doing this.
Dr one thing you forgot to mention is inward pointing teeth. As we age teeth, and lip support gets worse… and people with inward pointing teeth it makes the downward smile worse. As my teeth get worse and more inward facing, my marionette lines and downward smile gets worse. Braces is an option for me and fillers until the braces. Also you said fill the jaw? Do you mean so it lines up with the already hanging jowl? So then that makes the jaw bigger. Not sure I get that.
I love this so much!!! I use this "myomodulation" technique on my patients around the mouth and it makes such a beautiful difference. So glad that you talk about setting realistic expectations. So important for building a trusting relationship as well. Still hoping to come to Australia for a conference someday. Thank you for your work!
Please post a before and after of what you are talking about , maybe someone that has marionette folds so we can see the results , i have them would like to soften them like you are saying , but i would love to see the before and after of someone older !! Thank you :)
Getting a lower face lift got rid of the marionette lines, jowls, and lines around the lips...done in office with only local anesthesia (afraid of general)..doesn't make you look tight like you've had work done...cost about $10,000...Goal was not to look 19 but to look good for my age (66). Highly recommend.
What are your thoughts on perioral mound liposuction for those mounds that contribute to the marionette folds, if skin is otherwise firm? Some surgeons say it's very dangerous due to nerves, others say no nerves are in that perioral mound region. A video on this would be so helpful, as there's not much online about it! And thank you for all of your wonderful content!
I think I have perioral mounds that give the appearance of a pulled down mouth it's so irritating I'm 37 and it makes me look older. I have had a few consultations that said dermal filler in the area is best but watching this I'm not so sure.
I love you and the positive attitude and bed side manner that puts patients at ease. I have seen brilliant work from you. I agree with you on this topic, in the tear trough. Different approach is essential. I do believe that filler is excellent as a strut effect on the ligament. Example, 6 point or 8 point lifts. Or MD codes. I have fabulous results filling marionette lines. Had my jaw broken and 19 teeth knocked out. only used .5 total. The idea of "so much filler " is ridiculous. I keep wondering why the most expensive procedures are promoted . Instead of a facelift, Sculptra is an outstanding product. I can't promote off label usage, although in a artistic hand and longer reconstitution time, adding 6 MLS of local anesthesia and bacteriostatic water is a great approch. I have witnessed results that are mind blowing using 3 vials of sculptra, once, properly massages for months and then adding the "struts" of H.A. strategically 6 months later. I personally don't fill lips with H.A. until the entire structure is revived. Microneedling, and light acid peels make the dermal canvas beautiful. Of course ethnicity plays into the approach. I personally would refer a patient who is trying to look European. That is Another issue never discussed, and it is sad. Personally, I have only ,5mL in my marionette.(not in this photo) I'm almost 44. Not trying to look 24. There are a million options. I love Rebecca Fitzgerald and anyone who doubts the power of injection should watch the techniques that are nothing short of a masterpiece. She doesn't use "mounds" of filler. What about acne scaring? Bellafill is the best choice. I'm not sure lasers help, instead they worsen them by tightened dermis I am living proof. I am not meaning any disrespect. But this is a non invasive channel correct? Expose the risk of facelifts. And fat transfer is the number one procedure to cause occlusion. With so many new applications and products , you are only taking about the bad effect of filler, and suggesting VERY Invasive procedures. So much is out there, why not make a video of other options without saying h,a, is so horrible. Quit bringing it up. I have witnessed the amazing transformation you have done with H.A. so that was an optical illusion? You are very talented but this channel is so redundant. Any approach in the wrong hands is a disaster. Exciting time for aesthetics. Move on if you like. But I can assure your audience not ALL fillers are bad.lets see a "ponytail lift", if you are inclined to surgery. Minimal invasive and fabulous results. Top off with plasma for the surface. That's would be great 😊 I volunteer, lol. Thanks for the content. You are loveable.
I had lip and marionette fold filled a bit and am so very happy.. they also put some at the corners of my mouth and I did get some up turn of my lips... I think it’s all about expectations ... I did not expect perfection, just softening of the folds!!!
Loving your videos. You totally get it. I've been through all the filler mistakes through the years and more recently the jaw/tips of mouth technique you presented here, which unfortunately was overshadowed by the balloon cheek filler that was beyond mortifying. Thanks so much!!
Thanks so much Dr Chan, for all your priceless & wise advice! The scariest part is, you enter the cosmetic clinic, as you want to correct one or more facial regions which you don't like, but end up walking out of the cosmetic clinic, looking & feeling 10 or even 20 times worse! Truly scary & depressing to think about. IMPO, always, always do plenty of prior research & check all reviews, etc;. Speak if you can, to "real" people who've been to the clinic that you're interested in visiting. This may well help you, to steer away from a potential botch job. My best wishes sent, to all who wish to have some treatment performed.
I got 2 ampules of filler in each cheek. I’m 55 and had some sagging around my mouth area. It really helped and the new cheekbones were attractive! Personally it didn’t totally remove the marionette lines completely but it really improved my appearance. A little dysport around the mouth helped relax the muscles...added plus it plumped my lips a bit. Total cost...$2400. Ouch! Worth it? Yeah it was. Painful...not really.
Hi i have been having Profhilo treatment for the last three years. I no longer have any filllers or botox as i find Profhilo just gives you a nice natural younger look. I have never heard you speak of this treatment and would like to hear your opinion. I am a 53 year old man.
I noticed my downward turned mouth immediately after having my braces removed. I’m sure it was because I had 2 teeth removed prior. (I think this was even more detrimental because I was an adult.) Please get a second opinion if you’re thinking about getting braces and they want to pull some.
Omg, this so true, I wore braces for 2 years and 2 teeth removed too to pull back my underbite. I loved my smile now but noticed the lines got worse. So sad.
I so wish that you were here in Toronto. I appreciate you providing me with the name of a good Montreal based doctor, however, I can't find that response now that I'll be heading to Montreal. Could you please let me know again? Love your artistry!
Doctor, thank you kindly for your illuminating comments on the “deep” subject of marionette lines. Would you be able to provide further ‘before and after’ shots of the solution you presented? The quick images were very helpful yet left me wanting a longer look. Much appreciation in any case!
Thank you so much for talking about this issue, my only problem. I hate needles and have never had anything done before. I have not needed anything done before so thank you so much Dr. Chan. I watch lots of doctors and you are the first to talk about this issue. I really appreciate that so thank you so much again.
Thank you very much for this video! I got to the same conclusion as client. I am 32, I have great skin and no wrinkles, but I started to develop marionette lines several years ago. I tried Botox and fillers for several times, but nothing had an impact. So, I understood that the only solution is a face lift. But I am still too young for it. May be, I will go for it in several years. Thank you very much for your advice!
@@TaxingIsThieving haha same. I am actually seriously considering it. I mean… al these celebs in their 20’s… how can they have such tight faces all of a sudden? Look at Bella Hadid for example. I don’t believe age is a thing, it’s about how you look, and most of all, how you feel.
@@PindakaasMetHagelslag Bella Hadid looks terrible, but I could really do with a mini one at least. All I know is, when I pin my skin to my flat cheekbones, the nasolabial lines disappear.
I had a face lift and an upper lip lift and also laser all around my mouth. But yes the gravity is still the winner! I go back next month to see what else my doc can do, other than going back into surgery to do another pull up of my face. I still find myself pulling back my face and neck, same as i did before my surgery. I just feel my doc has to try again. Plus my neck still has loose skin laxity and banding. I am 63-yrs old. The battle continues!
Thank you for sharing you knowledge, you're very humble to give honest opinions about treating marionette line. Ive been enjoying lots of your videos, and i hope all the best for you :)
My experience has been positive with dermal fillers to the marionette lines. I am 60 years old and have had them injected 3 times in the past 2+ years with substantial improvement. I've noticed that he does utilize a small amount at the corner of the lips, so maybe that accounts for part of it, but I have been happy with the results.
Wonderful info. Your video has changed my view on procedures I was contemplating (and would have been disappointed with). Many many thanks for explaining this subject!!!
A before and after picture of what you are talking about would have been great. Thank you.
Yes, pictures would have been great to see what he actually means. Because I had my marionette-folds filled and it looks really great. Perhaps they haven‘t been too deep.
Photos are worth a thousand words. Photos please !! All this talk cannot be convincing without photos to show it.
It makes the lower face heavier looking from my experience. A mid face lift is better
You have saved a lot of people a bunch of money. This is a great service to the public!
Like to see a video of a more mature lady getting this type of procedure done...thank you!
I agree. I'm 54 and I have the marionette lines, and have always had a downturned mouth. My entire life I have heard, "What's wrong? Why are you upset/sad?" And that assumption couldn't be farther from the truth. I hate the fact that my face says one thing about me when I feel completely different. Arrrg!
Me too, when younger I got fed up of hearing 'Cheer up' {Patronising, sexist & totally mistaken} Fillers didn't work for me, now I'm looking at this; th-cam.com/video/VDEjsl3Rol0/w-d-xo.html
@@TheMercury-13 Why didn't the fillers work?
@@TheMercury-13 thank you for the link! Looks very promising.
@@robinlynn2503 what I've learned is to keep a very small smile going, just enough to "lift" the corners of my lips which helps. I must disclaimer that I'm 49 and my marionettes are about an inch long and not that deep. Hopefully it'll stay that way. I'm not ready to age yet so I've taken up using Olay microsculpt and their 7 way face cream and hope it'll help some.
I'm a nurse injector and I find your videos very helpful … I as well spend a lot of time adjusting peoples expectations instead of injecting more and more
The best and most honest video I’ve ever seen on marionette folds!
Thanks Laura! Appreciate your comments
@@viccosmeticinstitute Sorry, but I disagree from the perspective of the model you use. Why not use an older woman who ACTUALLY HAS MARIONETTE FOLDS!! Then we could see before & afters. This use of perfect young faces is ridiculous. If you are so sure of your technique, which is interesting for sure, use a model who has the physical 'defect' you are speaking of. Thanks.
Love the education. Also very happy to hear of that there are still ethical doctors out there turning down patients because it’s not in their best interest to just fill the area. I always wonder how there’s all these people particularly celebrities but also just regular people walking around with their faces full of filler and looking really weird, almost disfigured and definitely not looking younger. It’s good for both patients and medical professionals to be educated about this. Thank you for the content, very helpful
Please add before and after images to see the improvement. Would love a video on tear troughs hollowing out and what you do. Thanks for the great videos!
I got fillers for my marionettes and did nothing, I wish I would've watch this before spending 1200 dollars 😒
That's a lot of money for filling the marionette lines...
i pay $400 for one syringe, works great.. plus adding another syringe to fill lip corners help eliminate the marionnetes
MEETUP SCHEDULE what substance did you use?
Kiki oh okay thanks have a good day :)
@@viccosmeticinstitute But what if I have those folds or lines quite prominent due to deep bite (overbite), and Im only 31 so I cant have facelift at this age...
Wonderfully informative. I’m someone who went for the face lift (at 66) and I am so very pleased. I’ve never had fillers or Botox - I’m just one of those people who believe that sometimes the most extreme solution is the best - and in the long run less expensive and gives best results. Mind you - I did my research and made sure i was in the hands of someone highly respected and with a great track record - in Halifax, Nova Scotia, Canada ( my hometown) . It was a 4 hour surgery (had dermabrasion and fat from tummy used for volume and my neck tightened, all at the same time) and cost 15,000 Canadian - that was in March 2016. I was kept overnight in a beautiful waterfront clinic , had a private nurse and was given one year free follow up with the clinic esthetician - face massage, vit oils and facial ultrasounds. Would happily add a photo but can’t se how. :)
Thank you for sharing your experience with us. We don't always get to hear from patients who have had a facelift, as you are the minority, with the rest of us wanting one , but not being daring enough!
Face lift is the best option.i agree.
Can you please mention which surgeon you went to? I’m in Canada too. Thank you for sharing! 💜
I agree with you! The most low-maintenance option is accepting the aging process but after that, it's having a facelift. Better than years of fillers and botox I think and a much more natural effect if you go to the right person.
It would be great if all cosmetic practitioners adopted such a down to earth, honest, and cautious approach to cosmetic injections as you do. This is very refreshing to see.
I’ve resorted to smiling more, or just enough to turn my mouth up.
JoJo Rey did that work??
Jessica Lorenzana yes
I am ancient and my mouth turns up from smiling, and outer eye goes up, not horizontal.
Yeah mine all started 7 years ago and i havent smiled too much in 7 years. I think smiling helps ALOT.
@@maryem8263 same here. I quit smiling after getting married. The lines appeared soon afterward. Gotta try smiling again.
I love the medical info! But, I would like to see more before and after photos to compare the two procedures please. It would really help to see compared rather than just talking about it
I just looked at my face and what he said made perfect sense . I can see where I need just a little filler.
I love his honesty. I have marionette lines and I can see while playing with my face that it may not work. A facelift would be needed for me at age 57. However,
Ouch!!! In the wake of awakening, maybe we should let this crap go and just be happy from within. I look at these a bit then realize that this is living in the 3d earth and this is not what any of us are here to do. To be insecure and care so much about vanity. That is insanity. I will grow old gracefully and with acceptance and will honor the body that I choose to carry me on my path. I am grateful.
Getting older is no picnic. I watch these videos thinking that I wish I could afford to do these things but I can’t afford them. I asked my Husband about getting some fillers in my neck and face and he said no way! He said I don’t need it and that there’s nothing wrong with how I look. I’m 48 and I’ve noticed my neck getting more horizontal rings and a bunching, creepy area in the center of my neck that I don’t like. My neck bothers me more than anything. I really don’t have that many bad facial wrinkles. It’s hard to not feel inadequate compared to women who can afford all these treatments to look better. Guess I have to just work on my poetry and guitar and feel fortunate that my husband loves me the way I am and so do my kids and grandkids. There’s nothing wrong with aging, it’s something we’re all destined to do if we’re lucky enough to live that long. Good thing I don’t live in California!
Lisa Eischens Lisa hi have a google on youtube about PlaCo its way better than having stuff injected into our bodies
Lisa Eischens I am 55yrs, living in Orange County, CA. Its brutal!
@OnWingsOfHope How did you go? Are you happy with your look after the lift? Hope it went well for you. 🙂
Some people look older than their years because of stresses out their control, and although youth is king, I do not think a lot of, especially women, seek procedures out of vanity or insecurity; though society has always pressured women to fit a particualr image.
I applaud those who just want a little correction, treating themselves as a reward to gain back just a few years for the ones they lost for whatever reason.
Aging gracefully is easier for some, depending on their circumstances.
I couldn't agree with you more. Marionette lines.folds are a very common complaint in my practice, but fillers in this area don't look good over time. I agree with your approach. Thank you for sharing your vast knowledge!
I had botox to the downturn corners I couldn't pronounce words properly it was horrible now I have had filler and they are still not better. I don't know what to try next?
@@erniechipdouglas9779 try threads.
@@EnvoyPlayz thanks I've been looking into threads recently will have to go for a consultation
@@erniechipdouglas9779 Hi, have you tried threads in the end and have any good results? xx
I’m so glad I watched this. I was seriously considering getting filler here and now won’t. Smiling is the best for these lines, anyway.
Smiling reduces the appearance of these lines?
Do you think you will be able to smile constantly for it to have an effect? I mean, a third of your life is spent sleeping and it's going to be hard to smile during that period.
Yes, this works for me as well.
@@charmander1370 She means she looks better when she smiles- everyone does.
"Gravity always wins."
-Radiohead
I super love hearing the TRUTH and this man is preaching truth. Thank you
Thank you for helping me save money. 😊 I'm smart enough to realize that it takes a facelift to improve. I am 57 but with hair, makeup and good skin care, people think I'm my 40's. That is my most obvious aged spot. Not ready for a facelift yet, maybe never! Peace, love, good health and happiness to all!
The model is so young. Does she even need this treatment?
it's likely not for marionette lines specifically, just to improve the jawline itself
My dermatologist told me she couldn't remove them but she could smooth them out. She did a fantastic job. Down side, like with all fillers it was temporary and only lasted about 8 months.
There's hope but it has to be understood they will not be gone for ever and it will cost a pretty penny.
Thank you for this information. But, you need to show photographs of a mature lady having this done.
I can relate to this so much as an injector.I was never happy with my results there and have just started to explain to patients the difficulties in that area. I used to get frustrated expecting that I should be able to improve things. I guess it was about confidence for me. Confidence to say no to patients, not in my abilities. Thanks for the great video.
I never really fill marionette folds unless patients really insist doing so. Instead, I reconstruct the lower jawline by local liposuction plus lipolysis agents along with thread lift to give a much better facial structure for the best rejuvenated look. Great video, Dr. Chan !
I read thread lift doesn't work either.
Sounds like you might as well get a face lift.
@@isabelesponda4906 cost/benefit definitely not worth it.
I wish I lived in Australia. I'm in the USA I need a doctor like you. I'm taking notes to my doctor. Thanks you for your wonderful videos!
So far the best dermatologist on TH-cam. He is very honest and well spoken.
Great video. Very informative. Sadly, I suffer from both down turned corners of the mouth and marionette lines. I try to have a slight smile on my face so I don’t scare people with my RBF
I have often heard my patients tell me a similar story. Try the filler in the corner of the mouth. Makes a good difference without surgery
Victorian Cosmetic Institute , would you suggest doing the mouth corners fillers at the same time as you're having FaceTitle or AccuTite done in the jaw/lower face area ( followed by Morpheus8) or would you need to wait? Would one adversely effect the other?
Just scare them!
@@TaxingIsThieving 🤣🤣
I just saw a plastic surgeon who told me this exact thing! I didn't have any crazy expectations, but am satisfied by the appearance of a softening of my lines with the corner mouth filler, etc. I look like a slightly younger version of me!
I had fillers in cheeks and around lips for marionette lines and the results were excellent! And the lines were distinctly formed but not extremely deep. Very happy with how it helped!
Same. Mine worked great. I hate when they push expensive facelift at 50.
@@katemiller7874 totally agree the point being not to vanish the lines but it make them less prominent.
We appreciate industry leaders who take the time to educate. Great vid!
Thank you Modvellum Clinical!
@@viccosmeticinstitute 🦄
Another honest and strong video. Thank you for all your hard work and dedication, Dr Chan. I wish more Cosmetic Doctors were like you.
is it only gravity/aging? i had those lines as a child and see children with them now. of all different body weights.
great information. thank you for being so honest. I did have my marionette folds filled and you are right it gave me a heavy chin. Not nice for a heart face. I love what you are doing now, I looks so much more natural
I was trying to learn about marionette folds and have concluded that volume loss due to fat and bone loss contribute and sagging of the mid face and skin laxity as well and your sharing just confirmed it... I have not found doctors here talking about marionette lines like you do, well there is another wonderful Dr I follow who does...that's about it. That said, I can't agree with you that filler does not work. I think a certain amount of filler can work (at least for a while) if it is fat and bone loss (if filler is placed at bone level is ideal) and it is very important to then improve skin quality. Even if a patient does a face lift but does not have lost volume replaced, she is going to end up with a smaller skinny face and still can look aged. So either filler or her own fats should be used to compensate the volume loss. Thanks for the video, Dr.
Love this video! Can you do a video on filling temples please and show a demo too? Thank you!
Love you honesty. So many Doctors and Estheticians want to use alot of filler. I am going for the lower facelift❤
Ah thank you so much! I've had some fillers done recently and after doing my own research asked the doctor to inject right into the spots recommended by you! So happy
Very informative, thank you. Would you do a video talking about what a face lift is? What happens during one? What it can and can't do? Recovery time? Does it include eye lifts? etc. Thanks!
Sorry, but a surgical face-lift video is outside the scope of the type of videos we do.
Deep Plane face lift works best! Little down time for a BIG result!
This is the best explanation of how to tackle marionette folds! I’ll def be looking for a doctor who is educated like this!
Best Dr I seen in youtube because most plastic surgeons don't care about how you will look like after the surgery, all they care about is the money. But Dr. Gavin Chan offers us a great explanation, I had so many false illusions about the standard of beauty and my flaws, now I understand things much better. Thank you, Dr. Gavin Chan, to begin honest and kind.
Thank you Angela. What a beautiful comment. We can only hope that this video helps to raise the standards of the cosmetic industry and promote a much more open and honest approach by doctors.
@@viccosmeticinstitute
Your welcome Doctor it was my pleasure.
I appreciate all your hard work.
Your perspective is refreshing.
You're a gift to those around you.
best wishes.
Sincerely. ^^
Fillers didn't work for me for the marionette lines but as he says at 4.32 Botox helps a bit imo. Microcurrent massage also helped. My face only has these lines on one side of my face, side I used to sleep on. Excellent video.
I had botox it doesn't help it just makes your words difficult to pronounce
Doc delivering truth as always.Awesome info. 👍🙂
Could you read us some bedtime stories?! You have such a lovely, relaxing voice! :o)
Hahahaha! Thank you. What about the Three Little Pigs?
@@viccosmeticinstitute there is always Morgan Freeman's bedtime story, "Go the F*ck to Sleep"!!!
Victorian Cosmetic Institute Ha ha! The Three Little Pigs would do for starters!
AboutLondonandUK I agree I’m drifting off to sleep with the voice now lol
I would love to have this done. Everyone tells me I look miserable and I have really bad social experiences when people think I'm in a bad mood all the time.
Dr., You correctly mentioned hairdressers creating youthful appearances with specific hairdos. Very true & more time and money efficient and effective.🌹
Another method is makeup - specifically bronzers, concealers, and lip liners - Especially for the over 65 mature woman.
Not only makeup for eyebrows & eyes (to draw attention to that part of a woman's face), but also contouring/ bronzing gels & powders that create a tanned/bronze look below the cheek & below the jawline. This contrast in shades and tones gived depths to the face.💃
Lipliners! When applied correctly, have the ability to hide wrinkles above the lip and create a fuller lower lip once again. The marionette lines are still there, but a woman has a much better chance of not being stuck with "balloon lips".
With makeup, everyday or even every hour is a new beginning/ a new artistic drawing.💋
Because many women over 65 don't seem to hold the benefits of a facelift for long, & then begin to overuse fillers; I've decided to give "Aging Gracefully and with Class" a chance.🤗
Thank you for your candidness. I enjoy your videos. 👍
Your content is so informative and I love your approach.
I know people tend to prefer instant gratification but I have seen amazing results on women who have been consistent with doing facial excercises(face 'yoga').
The volume loss is not just in the epidermis and bone but also the slackening of the muscles. When you start bringing back the muscle tone in the face it's amazing what it does to the shape and contour(just like the body obviously!). It gives an overall much more youthful appearance.
I can't thank you enough for your honesty and professionalism. You are the best!
It’s all about balance.First cheek Augmentation then nasolabial folds and then marionette Lines.Thank you 😀
Nah it does not necessarily work for everyone especially for those who already are very 'cheeky' can't add more fillers to that area or will look like chipmunks or have wider face. It is the cheeks fat pats sagging and pulling downwards plus skin laxity with ageing. I have seen so many people doing cheeks but the marionette lines still stayed.
@@Dandelion_flight I didn’t say that it works for everyone.Fillers are for replacing the volume loss in these areas providing a more youthful look and definitely not making someone look fake or overdone.However if someone has a more significant skin laxity or sagging skin then threads or face lift might suitable for addressing these issues.Thank you
Dear LORD, that initial injection clip was enough to send me running for the hills, embracing natural aging and never speaking to a cosmetic dermatologist! YIKES!!
I really appreciate that you openly discuss what you've done in the past, and why it didn't work. In the USA, doctors are hypervigilant about avoiding saying anything that could be used against them in court when they get sued.
I’ve had that ‘smile lift’ with a pop of filler under each mouth corner just as the Dr described; it doesn’t erase all the marionette lines, but it provides support to the mouth corners and I found it made a big difference in my overall look. Now I just put a little concealer in the ‘shadow’ of the crease and it makes the marionettes almost disappear visually. also had Voluma done in the cheeks earlier this year and the injector put a little in my jawline near my ear, at first I didn’t understand why but this video explains it so well.
I agree I had the same and I'm very happy with results; the point of doing this is to look natural; I have a tiny weeny left but with a tap of concealer its looks great; the filler usually last a year; I feel that every year it becomes less and less probably because these muscle or area is being trained to do something different. I would think if you have very deep lines then a face lift is fine; but really when you get a certain age their is no denying it.
Doctor, you're brutally genuine and knowledgeable.
I'm a novice to facial aesthetics but filling the marionette lines has never seemed a great idea to me for the exact same reasons as you have just discussed. Please keep this videos coming, I'm learning a lot here. Thank you
Thank you Katarina... will keep the videos coming too!
Honestly, I’ve had fillers in marionette folds, and I thought it made a huge difference.
That's fantastic, but I would say you are the exception. I wanted to make sure people out there are informed properly so that they have realistic expectations and alternatives if necessary
I’ve learned so much from you. I wish I lived closer so I could see you.
I still had filler to this area even after watching this video. Initially it looked better but a month and half later it looks worse. I even had it done by a highly reputable doctor. I'm altogether done with fillers. Not worth the money for my face.
Tear troughs please ... I always look stressed
Consider it done!
So informative. Just what I have been looking for. Wanted help but fearful that I would go and have the wrong procedure by the wrong person. Young people around me having procedures at 25 years old by nurses (I am an RN not running them down but this is my face thank you very much)and never seeing a plastic surgeon. Thank you for your honesty. I can not tell you how grateful I am to watch your videos.Thank you so much. The one thing this young girl said to me when I told her I had had my naso-labial folds and my laugh lines done and it didn't work very well was that the nurse who does hers would fill my cheeks and didn't that make sense?? You have just helped me understand what the process is and why it didn't work. and why the cheek fillers won't work either.
Not all marionette lines are caused from that movement. I have osteoporosis and lost my bottom teeth because of it and when I got bottom teeth replacements I'm still left with marionette lines now because of the Jawbone decrease. Plus, some is from just aging. I would like to see an example of an older women just like others have said.
Excellent information Doc 👍🏼thank you very much 😊... Now I'm re-evaluating my thoughts about fillers.
Thank you for being so honest and saying the best thing for the lines pulling the lips down is a face-lift. I understand a lot of people don't want that but it is the only thing that can help those lines. You either accept it or do that... not stuff filler in it. Thanks- you are the best cosmetic doctor on youtube
That imagery of the gouging injection at the intro was brutal looking.
My thoughts precisely and I'm a nurse! Had to quickly look away.
I’ve stopped filling my marionette folds. Such a great informative channel. Less is more.
I’m from Brazil and I wanna thank you so much Dr!!
I appreciate the in depth reasoning in this video of why fillers in the marionette lines don't work, and how it would take too much in the cheeks to get any lift, and would look ridiculous. I already have very chubby cheeks when I smile, so when someone tries to sell me on cheek filler for lifting of the nasolabial folds or marionette lines, I'm always skeptical. I've tried fillers in all 3 areas to no avail. And was not willing to get an excessive amount in my cheeks and look crazy.
A little feedback: The girl in the video with what looks like blood is running down her face is creepy, it made me want to stop the video! But you are very honest and knowledgeable, and that I appreciate! I agree with others, use a more mature model. thanks! :)
QUESTION: I landed here looking to see if lip fillers could help turn the corners of my mouth up a bit? Then I see that you put a tiny bit in the side for this. What type of filler, and how much on each side approximately? (I'm in Phoenix, Arizona, so I can't come see you) Would a little bit of plumping of the lips help distract from the marionette lines too? I have some drooping in the jowls, so I'm skeptical of any injections in the jaw line. Is there another treatment you'd recommend for that? I'm not ready for face lift, and a bit afraid of that too. Also...I have acne scars in the area where the marionette lines are, and I believe they contribute to the increased look of the folds, is there a fix for this?
THANK YOU!
The contouring thing is so on point, so glad i watched this, lines and wrinkles is only part of it. Helen mirren is stunning and she has wrinkles as an older woman would ☺️
Thank you so much for the explanation, but I nearly passed out watching you inject that face. I just got a little more love for my formerly hated marionette lines!!
Too funny!
Just do buccal massage. It releases the muscles and gets the tension out of them. If you do it yourself it’s completely free, I’ve had great results doing this.
Dr one thing you forgot to mention is inward pointing teeth. As we age teeth, and lip support gets worse… and people with inward pointing teeth it makes the downward smile worse. As my teeth get worse and more inward facing, my marionette lines and downward smile gets worse. Braces is an option for me and fillers until the braces. Also you said fill the jaw? Do you mean so it lines up with the already hanging jowl? So then that makes the jaw bigger. Not sure I get that.
I am 57 y old and I did face lift last December 2021 and I have now marionette folds. So what to do then ?
I love this so much!!! I use this "myomodulation" technique on my patients around the mouth and it makes such a beautiful difference. So glad that you talk about setting realistic expectations. So important for building a trusting relationship as well. Still hoping to come to Australia for a conference someday. Thank you for your work!
amanda scott What is myomodulation technique?
Please post a before and after of what you are talking about , maybe someone that has marionette folds so we can see the results , i have them would like to soften them like you are saying , but i would love to see the before and after of someone older !! Thank you :)
Getting a lower face lift got rid of the marionette lines, jowls, and lines around the lips...done in office with only local anesthesia (afraid of general)..doesn't make you look tight like you've had work done...cost about $10,000...Goal was not to look 19 but to look good for my age (66). Highly recommend.
I'm not motivated to cut on my face. Thanks for the information! 😊
What are your thoughts on perioral mound liposuction for those mounds that contribute to the marionette folds, if skin is otherwise firm? Some surgeons say it's very dangerous due to nerves, others say no nerves are in that perioral mound region. A video on this would be so helpful, as there's not much online about it! And thank you for all of your wonderful content!
I think I have perioral mounds that give the appearance of a pulled down mouth it's so irritating I'm 37 and it makes me look older. I have had a few consultations that said dermal filler in the area is best but watching this I'm not so sure.
Excellent presentation! Very informative and helpful in re-framing cosmetic {procedure} expectations, Thank you Dr!
Best Doctor on here
I am 56 and I will do a mini face lift.. can’t afford pay lots of money every 4 to 6 months for fillers
I love you and the positive attitude and bed side manner that puts patients at ease. I have seen brilliant work from you. I agree with you on this topic, in the tear trough. Different approach is essential. I do believe that filler is excellent as a strut effect on the ligament. Example, 6 point or 8 point lifts. Or MD codes. I have fabulous results filling marionette lines. Had my jaw broken and 19 teeth knocked out. only used .5 total. The idea of "so much filler " is ridiculous. I keep wondering why the most expensive procedures are promoted . Instead of a facelift, Sculptra is an outstanding product. I can't promote off label usage, although in a artistic hand and longer reconstitution time, adding 6 MLS of local anesthesia and bacteriostatic water is a great approch. I have witnessed results that are mind blowing using 3 vials of sculptra, once, properly massages for months and then adding the "struts" of H.A. strategically 6 months later. I personally don't fill lips with H.A. until the entire structure is revived. Microneedling, and light acid peels make the dermal canvas beautiful. Of course ethnicity plays into the approach. I personally would refer a patient who is trying to look European. That is Another issue never discussed, and it is sad. Personally, I have only ,5mL in my marionette.(not in this photo) I'm almost 44. Not trying to look 24. There are a million options. I love Rebecca Fitzgerald and anyone who doubts the power of injection should watch the techniques that are nothing short of a masterpiece. She doesn't use "mounds" of filler. What about acne scaring? Bellafill is the best choice. I'm not sure lasers help, instead they worsen them by tightened dermis I am living proof. I am not meaning any disrespect. But this is a non invasive channel correct? Expose the risk of facelifts. And fat transfer is the number one procedure to cause occlusion. With so many new applications and products , you are only taking about the bad effect of filler, and suggesting VERY Invasive procedures. So much is out there, why not make a video of other options without saying h,a, is so horrible. Quit bringing it up. I have witnessed the amazing transformation you have done with H.A. so that was an optical illusion? You are very talented but this channel is so redundant. Any approach in the wrong hands is a disaster. Exciting time for aesthetics. Move on if you like. But I can assure your audience not ALL fillers are bad.lets see a "ponytail lift", if you are inclined to surgery. Minimal invasive and fabulous results. Top off with plasma for the surface. That's would be great 😊 I volunteer, lol. Thanks for the content. You are loveable.
This is my first time watching your video, seem like a very nice doctor with tones if knowledge. Time to binge your channel.
Hope you are enjoying the channel!
I had lip and marionette fold filled a bit and am so very happy.. they also put some at the corners of my mouth and I did get some up turn of my lips... I think it’s all about expectations ... I did not expect perfection, just softening of the folds!!!
Loving your videos. You totally get it. I've been through all the filler mistakes through the years and more recently the jaw/tips of mouth technique you presented here, which unfortunately was overshadowed by the balloon cheek filler that was beyond mortifying. Thanks so much!!
Thanks so much Dr Chan, for all your priceless & wise advice!
The scariest part is, you enter the cosmetic clinic, as you want to correct one or more facial regions which you don't like, but end up walking out of the cosmetic clinic, looking & feeling 10 or even 20 times worse! Truly scary & depressing to think about.
IMPO, always, always do plenty of prior research & check all reviews, etc;. Speak if you can, to "real" people who've been to the clinic that you're interested in visiting. This may well help you, to steer away from a potential botch job.
My best wishes sent, to all who wish to have some treatment performed.
Fantastic! Thank you. Definitely sharing so others can see your work 👏👏 Keep it up. I love you videos.
Thank you Jenna! Thank you for sharing
I got 2 ampules of filler in each cheek. I’m 55 and had some sagging around my mouth area. It really helped and the new cheekbones were attractive! Personally it didn’t totally remove the marionette lines completely but it really improved my appearance. A little dysport around the mouth helped relax the muscles...added plus it plumped my lips a bit. Total cost...$2400. Ouch! Worth it? Yeah it was. Painful...not really.
Very honest, very informative, very good. Thanks!
Hi i have been having Profhilo treatment for the last three years. I no longer have any filllers or botox as i find Profhilo just gives you a nice natural younger look. I have never heard you speak of this treatment and would like to hear your opinion. I am a 53 year old man.
You are so wise. Highly bingeable content
I noticed my downward turned mouth immediately after having my braces removed. I’m sure it was because I had 2 teeth removed prior. (I think this was even more detrimental because I was an adult.) Please get a second opinion if you’re thinking about getting braces and they want to pull some.
Very wise advise re teeth. Thank you.
Omg, this so true, I wore braces for 2 years and 2 teeth removed too to pull back my underbite. I loved my smile now but noticed the lines got worse. So sad.
Agreed! I wish they had never pulled my teeth, I feel like it changed my face so much
I so wish that you were here in Toronto.
I appreciate you providing me with the name of a good Montreal based doctor, however, I can't find that response now that I'll be heading to Montreal.
Could you please let me know again? Love your artistry!
Doctor, thank you kindly for your illuminating comments on the “deep” subject of marionette lines. Would you be able to provide further ‘before and after’ shots of the solution you presented? The quick images were very helpful yet left me wanting a longer look. Much appreciation in any case!
Thank you so much for talking about this issue, my only problem. I hate needles and have never had anything done before. I have not needed anything done before so thank you so much Dr. Chan. I watch lots of doctors and you are the first to talk about this issue. I really appreciate that so thank you so much again.
Thank you very much for this video! I got to the same conclusion as client. I am 32, I have great skin and no wrinkles, but I started to develop marionette lines several years ago. I tried Botox and fillers for several times, but nothing had an impact. So, I understood that the only solution is a face lift. But I am still too young for it. May be, I will go for it in several years.
Thank you very much for your advice!
Try in 20 years! You're way too young for a facelift
@@undercoverhamster2549 Mate I need a facelift and I'm 24.
Don’t do it. Too young
@@TaxingIsThieving haha same. I am actually seriously considering it. I mean… al these celebs in their 20’s… how can they have such tight faces all of a sudden? Look at Bella Hadid for example. I don’t believe age is a thing, it’s about how you look, and most of all, how you feel.
@@PindakaasMetHagelslag Bella Hadid looks terrible, but I could really do with a mini one at least. All I know is, when I pin my skin to my flat cheekbones, the nasolabial lines disappear.
I had a face lift and an upper lip lift and also laser all around my mouth. But yes the gravity is still the winner! I go back next month to see what else my doc can do, other than going back into surgery to do another pull up of my face. I still find myself pulling back my face and neck, same as i did before my surgery. I just feel my doc has to try again. Plus my neck still has loose skin laxity and banding. I am 63-yrs old. The battle continues!
Thank you for sharing you knowledge, you're very humble to give honest opinions about treating marionette line. Ive been enjoying lots of your videos, and i hope all the best for you :)
Thank you Jenifer. Appreciate your comments.
My experience has been positive with dermal fillers to the marionette lines. I am 60 years old and have had them injected 3 times in the past 2+ years with substantial improvement. I've noticed that he does utilize a small amount at the corner of the lips, so maybe that accounts for part of it, but I have been happy with the results.
Good to know I was doing right by my patients even back twenty years ago.
Can you please make a video on the best treatment for nasolabial folds? I would really appreciate your input on this topic! Thank you
I wasted 1,700 dollars on getting Juverderm Voluma in mine and it didn't change one thing.
Wonderful info. Your video has changed my view on procedures I was contemplating (and would have been disappointed with). Many many thanks for explaining this subject!!!
Thank you for the information. Could you discuss eye troughs. The hollowing and how to correct it.
Dr. Chan... you are the bees knees! Thanks for keeping it real!