Nasolabial folds or marionette lines are one of the most worrisome signs of ageing. Even more than wrinkles, they sort of distort your face and make you look very old. Botox injection does not work well for all types of Marionette lines and its effectiveness depends wholly on how you place your face while at rest or smiling.
Dermal fillers, however, have been tested and proven to be an effective treatment for Marionette lines. Sometimes, there may be a need to combine both Botox injections and dermal fillers to achieve total correction of Marionette lines. This situation often occurs when the Marionette lines appear as horizontal and vertical lines on the face. Dermal fillers are best for horizontal lines while Botox works well for vertical lines.