"Marionette" or "sad" lines are the two vertical lines that tend to appear when we reach our 40s and 50s. Once there, they are quite difficult to treat. They appear because our skin sags when we get older due to less collagen and elastin. UV and smoking has a large impact on the skin in this respect. Equally our fat pads in the face travel south as we age and tend to appear as a vertical band, like a sausage, on the side of the nose down to the jowls.
To reduce the marionette / sad lines, The Norup Clinic can tighten the skin through chemical peels and laser rejuvenation (IPL, Pixel or Er:YAG) and potent skin products such as Obagi and SkinCeuticals. It takes time and effort to reverse years of damage but improvement can certainly be achieved. Dermal fillers can be injected in the cheek area to lift the skin and directly in the marionette and jaw line.
In general once an optimum result has been achieved, a top-up is needed every six to twelve months in order to keep the optimum result steady.