Perioral lines, also known as marionette lines, are often the first signs of aging we notice as we move into our late 20s. Running vertically between the mouth and the chin, these pesky lines become more prominent as our natural ability to produce collagen diminishes.
While marionette lines are a normal part of the aging process, new dermatological advances have opened up a range of treatment options for individuals looking to banish fine lines and wrinkles.
Here are a few of the most popular approaches to achieving smoother skin.
1. Botox
Popular throughout the U.S., from Los Angeles to Boston, Botox is one of the least invasive and most affordable ways to treat the appearance of marionette lines. Though less traditional than fillers to address static wrinkles, a skilled cosmetic injector with Botox training can artfully inject small amounts of Botox into the muscles responsible for pulling down the corners of the mouth. Reducing the tension in this area helps you achieve a natural lift that will soften marionette lines and give the mouth a more upturned appearance. For the best results, this treatment may be used in conjunction with filler. Treatment should be repeated every 3-4 months, as needed.
2. Filler
Filler is another highly effective, though slightly more costly, method to tackle perioral lines. Start by making an appointment with a qualified cosmetic injector or dermatologist who can assess the appropriateness of fillers and whether they align with your treatment goals. Once a treatment plan has been made, your practitioner will inject hyaluronic acid-based dermal fillers into the areas surrounding your marionette lines. The filler will cause a plumped-up appearance that mimics the function of natural collagen, filling in and smoothing out the lines to reduce their visibility. The treatment can be completed in as little as 15 minutes and often lasts over 6 months.
3. Chemical Peels
Another option to tackle static wrinkles, like marionette lines, is a chemical peel. The treatment typically lasts 15-30 minutes and involves the application of an acidic solution (often glycolic, salicylic or trichloroacetic acid) to the face. The solution acts as a deep exfoliator, lifting dead skin to promote the rapid turnover of new cells. Chemical peels are most effective at treating new or minor marionette lines, so it’s important to speak with a trained practitioner to see if the treatment is suitable for you. It’s also best to avoid at-home treatments as incorrect usage or application of trichloroacetic acid or retinols can lead to severe skin damage or burns.
4. Retinoids
Retinoids, such as retinol, are a non-invasive and long-term solution to managing wrinkles. Retinols are a type of Vitamin A that are associated with the renewal of skin cells and the production of collagen. When incorporating retinols into your skincare routine, whether through over-the-counter skincare or prescription creams from a dermatologist, it’s important to do so gradually to avoid redness, peeling and irritation. Once your skin has adapted, you can increase the concentration.
Retinoids are a great choice for individuals wanting to address minor lines and improve overall skin texture. However, for more severe marionette lines, approaches like Botox or filler may be more appropriate.
5. Lifestyle Changes
While lifestyle changes can’t undo any damage that has already been done, making some minor adjustments can help you reduce the frequency and severity of future perioral lines.
A major contributing factor to marionette lines is frequent pursing of the lips, whether this is from regular smoking or drinking through a straw. By reducing the amount of puckering you’re doing, you can discourage lines from deepening. Marionette lines are also exacerbated by sun exposure, so consistent application of SPF 50 + sunscreen when outdoors is vital for reducing wrinkle development.
Diet also plays a significant role in our overall skin quality and the formation of lines. Research has shown that a diet rich in dark leafy greens, nuts and fatty fish can help to fight the free radicals that contribute to aging. Foods rich in omega-3, like salmon and avocado, also encourage collagen production for plumper, more nourished skin.
Developing perioral lines as we age is completely normal. However, if your marionette lines are diminishing your confidence, the treatments above can help you quickly and easily reduce their appearance for a more youthful, radiant look.
