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106 High StreetStevenage,SG1 3DW

Dr. Harry Singh explains how to ‘turn that frown upside down’ with Restylane

Marionette lines are vertical skin folds or wrinkles which start from the corners of the mouth and head in a downwards direction, eventually reaching the chin. They get their name from the mouth shape seen in marionettes, string puppets or ventrilloquist’s dummies, where a block of wood opens and closes to simulate speech from the mouth.

As we age, marionette lines will get more and more pronounced, eventually creating this puppet-like mouth appearance in older age, yet women and men in their 30s, 40s or 50s will start to notice the appearance of this ageing effect on their faces, as small creases appear at the corners of the mouth. As well as being a sign of ageing, many people dislike these lines as they have the effect of an down-turned smile or ‘frowny face’, making the individual appear unhappy or sad, even when they are not. This can cause others to comment about their need to ‘cheer up’ or affect an individual’s self confidence, ultimately having an impact on their mental health and perhaps making their emotions match their face through unhappiness or depression.

Marionette lines conincide with a loss of skin firmness, elasticity and volume in the lower face, combined with the evil that is gravity. Restoring lost volume and structure to the face can help define and support areas of laxity, such as the appearance of lines around the nose and mouth. Genetics (natural ageing), sun exposure and smoking can all cause these lines to appear and get worse, often accelerating the effects. Like many other areas of facial ageing, such as nasolabial or nose-to-mouth lines, marionette lines can be addressed effectively with the use of dermal or soft tissue fillers.

In my clinic in Stevenage, Hertfordshire, I use the Restylane range of hyaluronic acid-based dermal filler products which are temporary, clinically proven and effective. Restylane products were first used in the mid-1990s and were originally developed in Sweden. I choose this range because they have such a long history of proven science and clinical trial data which shows how safe they are to use in cosmetic treatments; which I have been performing myself for over fifteen years.

Hyaluronic acid-based soft tissue fillers not only contain a synthesised version of a natural substance that our bodies make daily to keep our skin hydrated, but they come in different thicknesses of the hyaluronic acid (HA) gel which means that they have been created to last much longer in the body compared to our natural HA, which we metabolise daily. By placing different thicknesses or gel derivatives from the Restylane range, I am able to add long-lasting volume, definition or hydration to the areas that need it most, to plump out visible folds and depressions. During a consultation we can discuss the extent of your manifestation of marionette lines and the best treatment approach, in terms of the most appropriate type of Restylane product to use, and the quantity or number of syringes needed to achieve the level of correction of the lines at the corners of your mouth. It may be that a combination of aesthetic treatments or products will achieve the best results.

Restylane HA gels normally last between 6 and 9 months before they are completely reabsorbed naturally by your body, giving you a long-lasting result which we can maintain with additional treatments at repeat clinic visits during the year.

If you are worried about looking sad due to downward lines around your mouth then please call 0800 006 2266 to book an appointment to see Dr Harry Singh at Aesthetics in Stevenage, Hertfordshire.

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