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Nasolabial Folds and Marionette Lines: A Doctor Diagnoses the Causes | [Official] Smart Skin Clinic Group, Tokyo and Yokohama
Nasolabial Folds, Marionette Lines, and Gorgo Lines
That line is,
Due to a single cause
It hasn't been done.
The appearance of lines around the mouth varies depending on which of the following has changed: muscles, skin, fat, or bone. Even for the same “nasolabial folds,” the necessary treatment differs from person to person. At our clinic, we begin by identifying the underlying cause.
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Concerns
That "line,"
where is it bothering you?
The underlying structure varies depending on the specific area in question.
A line that runs from the sides of the nose to the corners of the mouth. It becomes more pronounced as fat in the cheeks sags and pushes the skin outward. The assessment of the cause varies depending on whether the line appears only when smiling or remains visible even when the face is expressionless.
A line extending from the corners of the mouth toward the jaw. It results from a combination of loosening of the depressor anguli oris and orbicularis oris muscles, tension in the masseter and sternocleidomastoid muscles, and sagging of the skin around the jaw.
A line that runs diagonally from just below the inner corner of the eye to the center of the cheek. This is primarily caused by a loss of skin elasticity, as well as a reduction in cheek fat and a shift in its position. This line can easily make a person look tired.
Cause
The true nature of that line is,
is not just one thing.
There are four factors related to lines around the mouth. The treatment you choose will depend on which one is the primary cause.
Muscle changes
When the depressor anguli oris and orbicularis oris muscles become lax, it becomes difficult to lift the corners of the mouth, and furrows form along the muscle borders. A well-developed masseter muscle and a weakened platysma muscle also contribute to sagging around the jawline.
Skin changes
As collagen and elastin in the dermis decrease and the skin’s firmness and ability to retain moisture decline, the skin sags and lines become permanent. Cumulative exposure to UV rays also plays a role.
Fat changes
When fat in the cheeks decreases or shifts downward, the upper part of the cheeks becomes sunken, and folds form in the lower part. This accentuates the shadows along the contours.
bone atrophy
As we age, bone density in the upper and lower jaws decreases, reducing the foundation that supports the skin and fat. This is why results from superficial treatments tend to be short-lived—because these changes to the underlying structure remain.
In fact,It is not uncommon for multiple factors to be involved simultaneously.That is why our clinic offers a comprehensive approach that combines three methods: injections to improve skin quality, injections to restore volume, and threads to physically lift the skin.
Treatment Options
For nasolabial folds,
Three Approaches.
Which ones are needed depends on the assessment of the cause.
Profhilo, Jubeluck, Renisna, and others. These treatments target the dermis to rebuild the foundation for firmness and elasticity. Ideal for use when lines are still shallow, or as a preparatory step for other treatments.
GOURI, etc. It compensates for the loss of support from within and makes the shadows themselves less noticeable. For those with both moss and lines.
Shopping Lift and Thread Lift. These procedures physically lift sagging areas. They are recommended for individuals whose sagging is primarily caused by skin laxity and who tend to experience a relapse after treatment with injections alone.
From the Doctor
Unilaterally,
I wouldn't recommend it.
“I want to get rid of my marionette lines right away,” “I’m concerned that I look grumpy”—these are comments we often hear from clients seeking advice about the area around their mouths.
However, even for the same line, the required treatment varies greatly depending on whether the cause is muscle, skin, fat, or bone. For some people, simply filling the surface area is not enough, as the results tend to fade quickly, while for others, injections alone are sufficient.
First, we conduct an examination to determine exactly what is going on, and then we explain several possible options to you. Rather than simply recommending something one-sidedly, we aim to be a trusted beauty advisor. That is our philosophy.
We do not have counselors at our clinic; our doctors will listen to your concerns from the very beginning. We also welcome patients who come in just for a consultation.
General Director, Smart Skin ClinicKota Ishii
Let's start with a consultation.
Our clinic makes a "promise to our patients" that we do not engage in sales tactics. Please feel free to consult with us while you are still at the stage of simply wondering.
Book a Free ConsultationRegarding Treatment
Risks and Side Effects
- Redness, swelling, pain, and bruising at the injection site
- Temporary stiffness, asymmetry
- In thread-based treatments, tightness and indentations
- The extent of the results and the duration of downtime vary from person to person.
Those who are not eligible for the treatment
- Women who are pregnant or breastfeeding
- People with impaired immune function or those undergoing immunosuppressive therapy
- People who are prone to keloids, hypertrophic scars, or pigmentary disorders
- People with a tendency to bleed or those taking anticoagulants or similar medications
- Individuals with sunburn, eczema, dermatitis, or severe inflammation in the treatment area
About Fees
Treatment for the mouth area varies depending on the underlying cause. Therefore, fees differ for each procedure. During your consultation, we will explain the necessary treatments and provide a total cost estimate. We will not make any additional recommendations.
Legal Notices
The treatments described on this page involve the use of drugs or medical devices that are not approved in Japan. The drugs and devices used for treatment have been imported through personal import procedures based on the judgment of our clinic’s physicians. There are no domestically approved drugs or medical devices with the same ingredients or performance characteristics. Please refer to the Ministry of Health, Labor and Welfare’s website for information on drugs and medical devices that require caution when imported through personal import procedures.