I have extremely deep marionette lines.

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Question: I have extremely deep marionette lines. I have heard of the hyaluronic acid filler Juvederm and would like to know if this is a good filler for my facial wrinkles? Are the affects seen immediately with this filler or does it take time?

Answer: Juvederm is an excellent choice for treatment of marionette lines and the results are instant.  In fact that is how we determine how much filler to place in the area due to the fact we get a what you see is what you get result.  Once the marionette line is completely filled we can go to the opposite side and do the same maneuver.  Patients can see the results immediately and then I recommend that they ice the area for next 15 to 20 minutes just to minimize any slight swelling or redness as well as minimize the risks of bruising.

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