How do dermal fillers treat marionette lines?
As the body ages, it slows production on many proteins that are essential to keeping the skin firm, elastic, and plump. As these substances, such as elastin, collagen, and hyaluronic acid, become less abundant, the skin becomes weaker and begins to loosen and sag, causing lines and wrinkles to form.  Dermal fillers are able to treat marionette lines because they add volume back into the skin, and some fillers even replace some of those essential substances within the skin that have become sparse. The added volume from the implanted dermal filler gel lifts up the skin, smoothes out lines and wrinkles, and adds a youthful plumpness to the skin that has been lost due to the process of aging and other harmful environmental factors.

Duration of effect of Juvederm vs Radiesse for marionette lines
Aside from the difference in ingredients, the biggest difference between Juvederm vs Radiesse is the longevity of the effects of treatment. Juvederm offers much longer lasting results than many other hyaluronic acid-based fillers currently available on the market. On average, Juvederm fillers last from 12 to 18 months, with some patients even seeing results up to 2 years after treatment. Radiesse fillers can last anywhere between 9 months to 18 months, but patients may experience longer lasting results as the newly formed collagen will continue to strengthen the skin even after all of the filler has been absorbed into the surrounding tissues. It is important to note that the longevity of results will always vary by patients and will depend on a number of factors, including the lifestyle and age of the patient, as well as the severity of correction required and the injection technique used during treatment.

Effectiveness of Juvederm vs Radiesse for marionette lines
Juvederm and Radiesse can both be used to treat marionette lines and provide effective results. Hyaluronic acid fillers like Juvederm are great for the marionette lines because they are easy to inject and results are reversible if the patient is unhappy. Juvederm also helps to hydrate the skin and assist with the intracellular structure. It is most effective on marionette lines that are superficial to deep, and provide filling effect without the patient looking overstuffed or frozen. Juvederm is favored for its ability to give patients natural-looking results.

Radiesse is also an effective filler for marionette lines. Unlike Juvederm, which is simply a wrinkle filler, Radiesse is a stimulatory filler, as it helps to stimulate the production of collagen, and that collagen remains even after the filler is metabolized. For deeper marionette lines, Radiesse may be the best option, as it is thicker and provides more lifting capabilities. One study comparing Juvederm Ultra Plus and Radiesse found that Radiesse required less filler to achieve desired effects. While Radiesse does provide some immediate effects, optimal results come on gradually, as the collagen is produced over time.

The answer to whether Juvederm vs Radiesse is the more effective filler is more complicated than it may seem. Different patients will require different treatments, and what will work best for one patient may not be the same for another. An experienced injector will be able to assess which dermal filler will be most suitable for their patients based on the desired results and the patient’s facial anatomy.