Marionette lines for beginners — volume and approach?
How are people approaching marionettes at foundation level? Volume per side and any tips to actually lift the corners?
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Marionettes are the downward folds at the mouth corners that can make people look sad. As taught: • Cannula, mid-to-deep dermal plane, advance and inject slowly on withdrawal, fanning for even spread. • Guide volume ~0.25 ml per side — small. The aim is to replace lost volume and gently support/lift the corner, not to overfill. Big practical point: marionettes are usually a combination job. The downward pull often comes from the DAO muscle, so a couple of units of toxin to the DAO plus a little filler in the crease works far better than filler alone. There's a good toxin thread on DAO/mentalis if you want the dosing.
- Dr Elena Rossi★ 35
The tox+filler combo for marionettes is night and day versus filler alone. Manage expectations that an established crease won't fully vanish in one session.
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