Restylane Defyne


Juvederm Ultra Plus


Marionette Filler Bellevue & Kirkland

Facial aging is inevitable. The face—since it is the part of the body most often exposed to the environment—tends to show age quicker than other areas. Additionally, the face performs several repetitive movements which over time can cause lines to form. While both of these aging factors can be treated and mitigated, aging will still occur. One of the first places to show aging is the lower face where features such as marionette lines may form. Often, the recommended treatment for marionette lines is dermal filler injections. The injectors at Northwest Face & Body provide the best marionette filler Bellevue and Kirkland offers.

Understanding Marionette Lines & Lower Face Aging

Some time in our mid-twenties, the aging process speeds up. This is due to several factors such as a reduction in collagen production, gravity, built-up environmental damage, increased stress, and slower healing. However, you will probably not notice marionette lines for at least another decade or two. Some people never develop them at all.

Marionette lines often become more pronounced as the skin around the jawline and chin begin to visibly sag. They are usually one of the first signs of more pronounced lower face sagging. Though, those with marionette lines may not qualify for a facelift because you can develop them before significant sagging sets in and as early as your mid-thirties.

Once you age enough to qualify for a facelift, the procedure will also likely eliminate your marionette lines, or at least soften them. Before then, non-surgical treatments are the best way to disguise, treat, and prevent marionette lines.

Dermal Filler Treatment For Marionette Lines

When marionette lines become visible, the most commonly recommended treatment is dermal filler injections. Marionette line filler—or simply marionette filler—plumps the area to disguise the appearance of marionette lines and help lift the corners of the mouth. Most fillers will not prevent future aging or treat the existing wrinkles, it hides them. Therefore, many people also undergo concurrent treatments to help prevent marionette line formation.

Dermal fillers are the preferred treatment method because they provide consistent and natural looking results. Other injectable treatments like Botox can sometimes help soften the look of marionette lines. However, plastic surgeons and injectors consider dermal filler to be the gold standard for treating unwanted marionette lines.


Marionette filler injections come with both benefits and risks. The benefits are numerous and may vary from patient to patient depending on their anatomy, goals, and chosen filler. Some of the benefits include:

  • Reduction in the appearance of marionette lines
  • Overall younger looking appearance
  • Disguise volume loss on the lower face
  • Help raise the corners of the mouth
  • Add volume to the lower face
  • May hold a more positive facial expression and look more approachable
  • Natural looking results
  • Can last several months
  • Various filler options
  • Treats mild to moderate marionette lines
  • Quick treatment
  • Minimal pain
  • Little to no recovery
  • Safe and low risk
  • Highly effective treatment
  • Performed by an experienced and skilled injector


Dermal fillers, in general, are considered safe. Though, patients should understand the full scope of the procedure before undergoing marionette line filler. Additionally, patients with certain medical conditions or histories may have more risk than others. Your provider will discuss the risks and how they pertain to you specifically during a consultation. Some of the risks associated with the procedure include:

  • Infection
  • Asymmetry
  • Unexpected results
  • Prolonged side effects
  • Blood vessel occlusion
  • Nerve damage

Major complications from any hyaluronic acid filler injection are exceptionally rare. Side effects and complications are generally completely treatable and preventable with a qualified and skilled injector.

Before & After

A Before and After photo of Filler injections at The Gallery of Cosmetic Surgery in Bellevue, Kirkland, and Lynnwood.

Before & After

A Before and After photo of Filler injections at The Gallery of Cosmetic Surgery in Bellevue, Kirkland, and Lynnwood.

Marionette Filler Options

There are several filler options available for the marionette folds. Ultimately, it is best to discuss the ideal filler for your injections during your consultation with an injector. However, understanding the available filler options can help you come into your consultation well informed. Below, you can find details about some of the more popular options for marionette line filler.

Restylane Refyne

Part of the Restylane family of fillers, Restylane Refyne is a hyaluronic acid filler designed for mild to moderate lines and wrinkles such as the nasolabial folds and marionette lines. It is primarily used for filling in lines. Refyne is a great beginner filler for those with only mild marionette line formation. Restylane Refyne lasts an average of twelve months.

Restylane Defyne

Also a hyaluronic acid filler, Restylane Defyne is the slightly thicker version of Restylane Refyne. It is designed for moderate to deep lines. Thus, for those with more prominent marionette lines and who want to stick with hyaluronic acid fillers, Restylane Defyne is a good option. Like Refyne, Restylane Defyne tends to last around twelve months.

Juvederm Ultra Plus

Juvederm Ultra Plus is a commonly used hyaluronic acid filler. It is versatile and tends to provide good results when injected into the marionette lines. One difference between Restylane and Juvederm is that Juvederm fillers retain more water which can promote a plumper look. Therefore, Juvederm Ultra Plus is a good choice for moderate marionette lines. Juvederm Ultra Plus lasts an average of twelve months.

Juvederm Vollure

Juvederm Vollure is similar to Juvederm Ultra Plus, but meant to treat more severe facial wrinkles. It is thicker and only approved for adults 21 and over, unlike other fillers which are approved for all adults. Juvederm Vollure lasts longer than other hyaluronic acid marionette filler options at an average of 18 months.


Radiesse is a dermal filler made from calcium hydroxylapatite. It is a semi-permanent filler that is not dissolvable like hyaluronic acid fillers. However, it helps stimulate collagen production to stimulate longer lasting results and natural looking results. Radiesse lasts an average of two years. Collagen produced from Radiesse treatments may last longer.


Sculptra is another semi-permanent filler option made from poly-L-lactic acid. It was specifically made to address facial fat loss and is commonly used in severe cases of wrinkles and volume loss. Like Radiesse, it is not reversible and does stimulate collagen production. It lasts an average of two years.

Frequently Asked Questions

How Long Does Marionette Filler Last?

The amount of time your Bellevue marionette filler lasts depends on several factors including the filler you choose, biological factors, and environmental factors. On average, based on the dermal filler, marionette filler lasts between six months and two years.

Are There Other Treatment Options?

Yes, filler is not the only option to disguise marionette lines. However, it is the most effective non-surgical option. Some patients may use more than one method to help treat and prevent marionette lines. Since dermal fillers—unless opting for semi-permanent fillers—do not prevent further formation of wrinkles or provide skin tightening. Other treatments you may consider in addition to or instead of marionette filler include:

Are Marionette Fillers Painful?

The injectors at Northwest Face & Body use topical numbing cream before the treatment to help minimize pain. Most of the filler choices also contain small amounts of lidocaine. This helps soothe the treated area during and after the injections. Also, your injector may also use a vibration device that helps distract your brain from the feeling of the injections. Overall, patients usually tolerate marionette line filler injections well and with little pain.

What Should I Not Do After Filler Injections?

Your injector will provide you with aftercare instructions, including what not to do after injections. Patients are not required to make major changes and can typically return to their full routines in about two days. Some activities your injector may advise against immediately after filler injections include:

  • Exercising to the point of sweating
  • Drink or smoke (drinking is okay after two or three days)
  • Take aspirin-based painkillers (unless prescribed or otherwise okayed)
  • Submerge the treatment area
  • Purposefully go into hot or wet environments such as saunas or hot tubs
  • Sleep in a position other than your back
  • Bend down for around four to six hours after treatment

How Much Are Marionette Line Fillers?

The cost of marionette line fillers in Bellevue depends on your choice of filler and how many syringes you need. You can expect marionette fillers to range between $389 and $950 for one syringe based on the chosen filler and provider. We do work with Allē rewards and other similar programs. 

Northwest Face & Body does also work with outside financing companies such as Care Credit. You can find more information on the financing tab of our price list. You can also see our full range of pricing on our price list. Finally, you can use Price Simulator to add together multiple procedures you are interested in for a preliminary quote.

Dr. Khezri helped steer me in the right direction when it came to picking out the right filler for me. I love how fast and painless he made the whole process! Would definitely recommend going to him


Dr Shahriar Khezri is amazing!! He went through the process (non surgical rhinoplasty and chin filler) with great detail and addressed my questions. The procedure itself was painless and the results are beyond my expectations! Thank you Dr Shahriar Khezri!


I did a consultantation with Dr K and he is really experienced and nice. Facility is clean and front desk staff are nice as well!


Everyone here was so nice and helpful, really made me feel nice. Offered complimentary drinks and everyone was so friendly. My nurse was soooooo great she made me feel beautiful!


The Best Marionette Line Fillers In Bellevue

Using dermal fillers to treat marionette lines requires a highly trained injector with experience performing marionette filler injections. The injectors at The Gallery of Cosmetic Surgery have years of experience providing cosmetic injections including various filler procedures such as lip filler, smile line filler, under eye filler, and marionette line filler. Using quality, safe dermal fillers and combining aesthetics with medicine, The Gallery of Cosmetic Surgery’s injectors offer the best marionette line filler Bellevue and Kirkland provide.

Located just off I-5 in Lynnwood, The Gallery of Cosmetic Surgery features private, comfortable treatment rooms. Their waiting room is luxurious and features amenities not often seen in a medical office such as coffee and freshly baked cookies. We do not rush patients and want to ensure that every patient feels at home in the office.

To learn more and schedule a consultation, call us at 425-775-3561. You can also connect with us online using Price Simulator®, chat, or our contact form.