Facial folds are a common sign of ageing skin. Ligaments loosen, fat deposits become depleted and skin sags – all of these things combine to deepen the line where facial expressions occur. There is a genetic component to marionette lines, as there is with so many elements of skin health and development. If you are inclined to them, there isn’t a means of prevention, but rest assured that there are several viable treatment options available to you.
Before treating you, our team of Appearance Medicine experts will assess your individual case and advise a treatment plan suited precisely to your need.
While Botulinum toxin injections are often the treatment of choice for less pronounced lines, more established marionette lines are best treated with Dermal Filler injections. The specialised substance plumps the skin beneath the lines and softens their appearance.
As well as these injectable options, there are recommended day-to-day skincare routines to help preserve the skin’s collagen and elasticity. Our staff can provide a carefully tailored treatment plan, but in general the best course of action includes using broad spectrum, high SPF sunscreen daily to protect against UV-based degradation; along with vitamin C and vitamin A (retinaldehyde) products to stimulate collagen producing cells.
Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid. Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.
Restylane® is a gel containing hyaluronic acid and lidocaine that is injected by a healthcare professional into or below the skin to smooth facial wrinkles and enhance lips by restoring volume and fullness. Restylane is a Class III medical device and has risks and benefits. Restylane® treatment may result in some redness, swelling, pain or tenderness, itching and/or bruising which may last a few days. Inflammatory reactions can begin up to two to four weeks after treatment in rare cases. See your healthcare professional if any side effects concern you. Exposure to excessive sunlight or extreme cold should be avoided until redness or swelling has resolved. Restylane® should not be used in an area where there is a non-resorbable implant or in irritated or infected skin, Restylane® should not be used in people taking blood thinning medicines or who have an allergy to hyaluronic acid, lidocaine or other local anaesthetics. Caution if you take medicines that prolong bleeding time. Treatment lasts 12-24 months. Restylane has not been tested in pregnant or breast-feeding women. ALWAYS FOLLOW THE INSTRUCTIONS YOU ARE GIVEN. Galderma, Auckland. Distributed by Healthcare Logistics, Auckland
Botox® is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz . Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. Contains botulinum toxin A 50,100 & 200 units. Allergan (NZ) Limited, Auckland.