Unfortunately, these expressions create permanent unwanted. The lines caused by this are known as Marionette lines, and can often produce a sad, miserable-looking expression. I am happy that I found this place. Although frowning and weight fluctuations are thought to contribute to the problem, the real cause of marionette lines is the aging process. Fiorillo) Dermal filler treatments soften facial lines and restore lost volume for a rejuvenated appearance. They get their name from the mouth shape seen in marionettes, string puppets or ventrilloquist’s dummies, where a block of wood opens and closes to simulate speech from the mouth. However, filler can most definitely treat marionette lines. Most Juvederm side effects are mild and usually resolve in 7 days or less. Ken Smart. 1 Botulinum toxin has been used off-label for relaxation of the depressor anguli oris (DAO) muscle, uplifting the lateral oral commissures and mitigating the rhytids created by frowning. As a person ages, the skin on her face begins to sag and these lines become more prominent - and more of a concern. Those are nothing but marionette lines that settle around the mouth. Many patients that receive Juvederm for marionette lines experience swelling and bruising. Chemical peels use an acidic solution to deeply exfoliate the skin and stimulate cell turnover, exposing a fresh, youthful complexion underneath. Various treatment options are available to improve the appearance of marionette lines. If you're using a Vitamin C serum, apply it to. 5ml and 1ml of dermal filler per side for this area (minimum 1ml total), however it’s good to be aware that this can vary according to your unique features, as well as the effect you wish to achieve. But the treatment isn't permanent like surgery, so you will have to undergo recurring procedures. This is depending on the area being treated, the severity of the concern being treated, the patient’s desired outcome, and the individual characteristics of the patient. The proof is in our real patient results, which you can see in our photo gallery. What is Marionette Filler Treatments? Marionette filler is a cosmetic procedure designed to smooth out the lines that extend from the corners of the mouth down towards the chin, known as the marionette lines. Place fat-fascial grafts into the lines (LiveFill) 2. . Answer: Filler and Botox for marionette lines. First published on. 3. Marionette lines are a common source of skin aging and are a very common problem for all ages. It is a biological volumizer that, once injected, triggers your body to produce long lasting collagen to fill the deflated areas around the lower corner of your mouth. Firstly, t hese lines can pull your smile down and make you appear older. Menu. Marionette lines, sometimes referred to as the melomental fold, are one of the primary treatment area for PDO threads. Marionette lines are a combination of facial tissues sagging and also loss of volume in the chin. 401. This clinically-backed skincare product contains powerful anti-aging ingredients like leuphasyl, argireline, matrixyl, and syn-ake that promote collagen development, diminish wrinkles, and give you Botox-like results. Products. The amount of filler needed can vary for each individual case. The area is cleaned. The proprietary hero ingredient, XEP 30, is a neuropeptide that — similar to. What is the best treatment for marionette lines? For lines around the mouth, marionette lines are often treated through dermal fillers. It also helps improve skin texture and tone, giving you a nice and even look. This mix is injected directly in the area of concern along with injection in structured/scaffolding areas that support a “pull up” on the marionette lines. From laser skin resurfacing to fillers to facelift surgery, people from London, Guelph, Kitchener, and beyond can discuss. Duration of Results. Chemical peels use an acidic solution to deeply exfoliate the skin and stimulate cell turnover, exposing a fresh, youthful complexion underneath. The choice between the two depends on your specific needs and the recommendations of your healthcare provider. A thread lift is a simple non-invasive procedure that involves lifting the skin using dissolvable threads with cogs hidden under the skin’s surface. The easiest and most accessible treatment available are facial fillers such as Restylane or Juvederm. None. Corrects nasolabial folds or laugh lines running from the nose down to the sides of the mouth. Individual results may vary. Prevention and. Skin Diet. In recent times, skin tightening techniques have grown in. Here is an elaboration of the causes you mentioned: Smoking : Smoking causes constriction of blood vessels, which deprives the skin of oxygen and nutrients. We can use botox in conjunction with dermal fillers to maximise the improvement. 4. While there are several treatments available to reduce the appearance of marionette lines, Botox has become a popular option in recent years. . Maybe try a different foundation and see if it affects the appearance of the lines. But, as the saying goes, 'prevention is better than cure'; Adequate care (skin and self) can always delay the appearance of marionette lines. The most successful serums for treating marionette lines focus on collagen building ingredients. When injected appropriately, hyaluronic acid fillers can smooth wrinkles and replenish lost facial volume. Hyaluronic acid (HA) fillers like Juvederm and Restylane will restore volume to the areas beneath the wrinkles, smoothing out deep lines and giving the skin a lift to create a younger-looking appearance. However, losing weight is crucial before conducting this procedure. It is important that you keep flooding your skin with moisture but also, have products in your routine that will help repair your skin’s water capture and retention capabilities. Like laser resurfacing and microneedling. Results in a happier, less tired appearance. Zena to treat these lines. You may get injections on either region or both. These oral folds extend from the downward corners of the mouth to the edge of the lower jaw. Menu Menu Location 610-647-3727 Contact. They are used to add volume to cheeks, under eyes, temples, lips, marionette lines, and nasal labial folds. Tell us about the filler product and tools you use for this treatment. 0203 514 8757; models@acquisitionaesthetics. Conscientious skin care with high-quality anti-aging lotions and serums is an option or addition to the dermo-cosmetic treatment of marionette lines. Marionette lines are grooves or furrows that run from the corners of the mouth downwards towards the jawline. An Ingredient. The fractional CO2 laser is a great laser because it allows for treating pigmentation, wrinkles and general sun damage on the face. Most dermal fillers cost between $600 and $1,000 per syringe. They are called marionette lines as they resemble the lines that run on the face of a marionette. The proof is in our real patient results, which you can see in our photo gallery. When placed strategically and precisely, the. Marionette lines take their name from marionette puppets, as the lines run from the corners of the mouth down to the chin and resemble the mouth of a puppet. Tip No. For JUVÉDERM ® VOLBELLA ® XC, dryness was also reported. Blog Posts, Uncategorized. Santa Monica, California. Dr Nyla clinics offer non-surgical treatment options for. However, the best option for a personal. Marionette lines are lines that run down from the corners of the mouth that often make an individual look unhappy or mad. Answer: Best way to fix marionette lines. Results are great as of now. Hyaluronic acid also has a high water-holding capacity, so. Using retinoid cream to reduce marionette lines can be effective if the lines are fresh. To address this concern it is important to understand the cause: loss of volume in the mid-face and loss of collagen in the skin. Non-surgical: Avoid the risks and downtime. Retinol for its proven ability to reduce the depth and visibility of wrinkles. Our expert doctors and registered nurses inject the aesthetic gel-based treatment into the marionette lines, to give you a natural-looking result. Maintenance of the treatment can also prevent deepening of marionette lines. Some of them, like marionette lines, can make the face appear long and droopy, which. Contact Us. Both Restylane Defyne and Refyne are dermal fillers from the Restylane family that can be used to treat marionette lines. Marionette Lines Treatment optionsThe number of units of botox required for marionette lines varies based on the severity and type of marionette lines you have. The treatment is safe and straightforward, and typically. People typically begin developing marionette lines in their late 30s or early 40s. Quality Skin Care: The best way to prevent signs of aging is to take care of your skin. The appearance of these lines can be greatly reduced with a dermal filler treatment. And if you’re ready to say goodbye to your marionette lines, request a consultation online or call us at (415) 445-9513 to schedule your appointment. The reason I’m calling this article back to basics is because treatment of these two indications with dermal fillers are quite literally the first thing Emma and I, as well as. Volume loss in the fat and soft tissue layers beneath the skin are also responsible for vertical lip lines. I felt like Bella Hadid after the treatment. Our goal is to help people look and feel younger. When people get older, we begin to experience depletion of skin tissue and facial volume loss that often results in. When the marionette line is. This treatment can also improve the appearance of marionette lines, but may require several sessions to achieve the desired result. Helpful 1 person found this helpful. By. Marionette lines are vertical skin folds or wrinkles which start from the corners of the mouth and head in a downwards direction, eventually reaching the chin. Ellansé is an injectable dermal filler that can help smooth facial lines and folds, while restoring volume and mildly firming skin. Apply a small amount to the affected area twice. The PDO threading treatment is well tolerated by patients as only local anaesthetic is required. Mohs Micrographic Skin Cancer Surgery in Seattle. These occur when upper and lower lip wrinkles develop and the corners of the mouth draw downwards, into what appears to be a permanent frown. iS Clinical Youth Serum ($150 in the shop) specifically targets two main aging concerns:. Hold for 15 seconds and repeat 4–5 times. Understanding the causes of marionette lines is important as it can help in making informed decisions about preventive care and treatment options. Three treatments are recommended and will help tighten skin while treating fine lines as well. To learn more about nonsurgical anti-aging treatments, schedule a consultation with a board-certified plastic surgeon. For a treatment or a free and non-committal consultation you can contact us at our central telephone number or fill in the contact form on our appointments page. (480) 422-2058. Would you like to take your radiant and youthful look back and regain your self-esteem? You can do it naturally with the Face Yoga program from Natalia Brobe. Softens and smooths marionette lines. Fillers are frequently recommended as options for treating marionette lines. A chemical solution, made from a carefully formulated acid, is applied to your face. Marionette lines can be treated through the use of dermal fillers, fat transfer injections, or lower facelift surgery. The second technique is by injecting the dermal filler product directly in the. The fillers work to safely replace lost volume that. Preventing Facial Creases Such As Marionette Lines. Marionette lines, also called “smile lines,” are age-related lines that look like lower face skin wrinkles and sagging lines around the mouth, nose, and chin. However, there are some alternative options. . Marionette lines can be treated effectively using dermal filler. Coupled with dermal fillers, this simple treatment can lift the corners of aging lips. Intense Pulsed Light Treatment; Chin Augmentation; Sclerotherapy; Laser & Radio Frequency Treatments; Conditions & Solutions; Combination Treatments; Skin Care &. Federal Way Office. Awesome, friendly staff and clinic is in Sandton City which is great. I was treated by Dr Roba for neck wrinkles, marionette lines, stomach wrinkles on and above my belly button, and hyperpigmentation. to the face. The severity, depth and length of your marionette lines will determine the amount of filler required for your treatment. co. Skin Treatments. Marionette lines appear as we age. Multiple sessions are required for this treatment, but the results are worth it. Marionette lines, or oral commissure lines, are a common concern among patients seeking facial rejuvenation. . It is a simple and quick skin treatment with minimal. I rarely see any lines I treat go away. It's very normal to develop some nasolabial folds and marionette lines. Price. 8:04 pm. There are a few things you may do on your own to prevent the growth or deepening of marionette lines and other facial wrinkles. Make an informed decision. This treatment allows the skin to present smooth and bright, resulting in fewer wrinkles thus improving the skin's overall strength, texture and youthfulness. Lost skin volume causes lines to turn into deeper. For mild to moderate depth marionette lines, injectable fillers may be a reasonable option albeit a temporary one. Plenty of non-invasive procedures can smoothen out the skin and make the lines less evident. Answer: Best Treatment for Jowls and Marionette Lines. As such, it’s much riskier than minimally invasive alternatives. BOTOX. ukCASE REPORT. Instead of pulling skin tighter as in traditional facelifts, marionette lines treatment and nasolabial fold treatment with dermal fillers helps to restore the fullness that the skin used to have. Reduces marionette lines appearing at the corners of the mouth and run down your chin. “Your face is affected by gravity every day. uk ;Immediate Rejuvenation: Dermal fillers provide instant results, reducing the appearance of marionette lines and giving the face a lifted and youthful look. Dermal fillers are gel-like substances that restore lost volume in the face, stimulate collagen production, and attract moisture to the treatment area. Marionette lines start at the corners of the mouth and extend down to the jaw. 09 AprMarionette lines can be treated through lower facelift surgery and dermal filler injections. Foods to eat include berries, leafy greens, apples, mushrooms, seeds, almonds, and eggs. Learn about marionette lines, the facial lines that form from the corners of the mouth to the chin as we age. Here it is 10 days later and the results are phenomenal I can't. Chemical Peels. Chemical Peels. Surgical Facelift. They are a result of the natural aging process of the skin, in which the loss of elasticity contributes to the sagging and loss of volume in the tissue. To be honest, the most effective and permanent treatment for laugh lines removal is the marionette line removal surgery, especially for those with deep lines. Like micro-needling,. Nose-to-mouth lines – also called marionette lines – are easily removed with hyaluron injections. 37,38 A COLLECTION OF FIRSTS Since 2006, JUVÉDERM ® has been a leader in HA dermal filler innovation. • Saggital lines: 2-4 units. If marionette lines have developed due to weight loss, with age due to a reduction in volume, or naturally there is an overbite, then fillers could be a treatment option. at Facelove Medispa. Marionette lines are a type of “static” wrinkle. The ideal treatment to address your marionette lines depends on your aesthetic goals and your needs regarding surgical and non-surgical care. Laser resurfacing can also be effective in reducing the. Restylane Fillers are available at Skin Renewal in Cape Town, Stellenbosch, Paarl, Sandton, Johannesburg, Pretoria, Centurion, Durban, Umhlanga & Ballito. Puckering the lips into a pouting motion. For the treatment of marionette lines only, a surgeon might recommend a partial rhytidectomy . Menu Menu Location (972) 334-0400 Contact. Marionette Lines Explained Marionette lines, or puppet lines as they are sometimes called, are the wrinkles or creases that develop on either side of the. Hyaluronic acid fillers are perfect for plumping the skin to smooth deep lines. Nasolabial and Marionette Line Softening. The amount of filler used depends on the. As we get older, we loose elasticity and collagen in our. The most commonly reported side effects with JUVÉDERM ® injectable gels were redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. Another common concern (particularly for women) is the formation of marionette lines, also known as a "mouth frown". Weight fluctuations and excessive sun exposure could undo the results of your procedure, so its important to talk to your surgeon about adopting healthy. When injected into the skin, they can help fill the deep lines caused by marionette lines, along with other other types of horizontal and vertical lines. The natural ageing process can cause the marionette lines, or folds, that run from the corners of your mouth towards your chin to develop. Dermal fillers placed with a needle in tiny amounts around the marionette lines can structurally. 2500 REQUEST A CONSULTATION . However, most people need to repeat the treatment every 3 to 4 months in order to maintain optimal results. Laser treatments can also be used to stimulate collagen production and reduce the. Call us on 0162 532 4244 or use our Contact Form for a free marionette line consultation. P at 1-855-425-8722 . That's about a quarter of what the same filling would cost with injectables, and they last longer. 635 Madison Ave. Marionette lines are just a work of art that comes with aging. The majority of anti-aging skin care products available today are designed to treat fine lines, wrinkles, and age spots. Options include a jowl lift (mini-facelift) which really treats the cause of the problem or direct excision of them which may be a. Results will improve over the next 10-14 days as the filler product settles and any bruising or swelling from the injections subsides. Read the Ultherapy book. Anti-inflammatory foods can help to reduce the appearance of marionette lines. Hello disappointed2064,Thanks for your question. lifting, if needed, with a “Lift & Fill” Facelift, and 3. Yet, these aesthetic procedures are just temporary. The best AHA products contain glycolic acid with a concentration over 10% and pH around 4 such as my Glycolic Acid Anti-Wrinkle Face Cream. Manage stress. Microneedling This treatment punctures the skin with little holes to stimulate collagen production and soften the appearance of wrinkles. P: 1300 458 491. "I saw significant plumping in those marionette lines. On average, one unit of Botox can cost around $10 to $20. Rhett Kent is a Board-Certified dermatologist who treatments patients of all ages, as well as treating skin of color. Vitamin C is an antioxidant that can help to boost collagen production to reduce the appearance of marionette lines. US-RES-2300034. . Soft tissue fillers and the. Botox can cause muscle weakness, drooping of the eyelids and neck, and may even. What are Marionette Lines. The most common types of marionette lines include: • Upper eyelid: 1-2 units. Our qualified cosmetic doctors use a range of premium dermal fillers. I have often combined facetite with liposuction of this area to get even better results. 17 The 5-point photonumeric scale. Home;. It’s also a popular choice for under-eye hollows. Marionette Lines and Jowls Treatment. Unlike dynamic wrinkles, they are not affected by facial muscle contractions. But what about sagging jowls? It seems as though sagging jowls receive little attention in the world of anti-aging skin care, which is ironic since losing your sharp jawline can show your age like nothing else. The only permanent treatment for marionette lines is a surgical facelift. $154. Wear sunscreen with SPF 30 daily. Liposuction will NOT fix marionette lines. . Facetite can be used to treat the marionette lines. Read More about Dr. It. The cost is about $200-300 for a pair of laugh lines or marionette lines. The hyaluronic acid collects moisture to add volume to the skin to eliminate lines. The most common types of marionette lines include: • Upper eyelid: 1-2 units. Dr. Most often a combination is used. The skin around the mouth will be smoother and firmer without looking frozen or puffy. The first of which is due to the natural ageing process. This treatment works wonders on marionette lines as it helps remove the visible signs of ageing. Treatment options include: Botox. Once they have appeared, the only way to fix marionette lines is to get to the source of the problem. Fractional lasering fires the laser beam through a grid to create micro-channels of damage in the skin, which stimulate the growth of new skin. Getting Treatment for Marionette Lines. These lines are common, but often unwelcome. My experience. Gentler at-home chemical peels can be an, excellent method for softening shallow. Joseph A. Try eating more fruits, vegetables, fish, and unprocessed grains. Marionette lines – If you feel that your face looks sadder or angrier than it used to, it. Detailed Threads Overview. As you age, you naturally lose collagen and elastin, proteins that create supple, smooth and hydrated skin. Menu Menu Location (714) 879-4312 Contact. These days, one of the most-requested facial problem areas is a small shadow that originates from the corner of the mouth and angles downward. If you want a safe and effective treatment for vertical wrinkles, call RareV and learn about PDO thread lifts in Las Vegas, NV. Chemical peels. STE 300 , Edina, MN 55435To learn more and schedule a consultation, call us at 206-324-1120. At MFI, we have mastered the art of erasing marionette lines with filler and BOTOX. Medical Aesthetics Specialists. People typically begin developing marionette lines in their late 30s or early 40s. Injectables. Can lift the corners of the mouth to turn that frown upside down. The aesthetic gel-based filler is based on a naturally occurring bodily substance, a sugar molecule. Very professional, clean and excellent throughout. The fillers are either injected to lift the cheeks and/or the skin around the jawline. • Saggital lines: 2-4 units. The release of these properties aid in repairing the texture and resiliency of the skin. Treatment of marionette lines includes filler injection, structural fat grafting, microfocused ultrasound (MFU), thread lift, mini face lift, and facelift. Below are the three most common non-surgical treatments that help remove marionette lines. Severe Marionette Lines Treatment Options. They form for two reasons: the first collagen in the cheeks weakens as we age, allowing the cheek to become sallow and sag down the face as fatty tissues become thinner. These deep lines running from the corners of the mouth to the jawline can give a sad or aged appearance, impacting a patient’s self-esteem and confidence. So yes to the other comments re: filler, micro needling, retinoids. 364 likes. Botox (also known as Botulinum Toxin) injection improves the appearance of marionette lines by relaxing muscles that cause wrinkles around the mouth and eyes. (855) 410-2401 ext: 61694 1960 Appleby Line, #25, Burlington, L7L 0B7. Erasa's Xep 30 Extreme Line Lifting and Rejuvenation Concentrate is drill-sergeant-tough on fine lines and wrinkles. Vitamin C serum: As you know, collagen is the protein that gives your skin its structure and firmness. The marionette line filler is a non-invasive procedure that uses dermal fillers to smooth the appearance of marionette lines around the corners of the mouth. When you shop for. Home;. 2. The use of hyaluronic acid dermal filler produces fast results. Treatment Options for Marionette Lines By info on December 29, 2015. Dr Nyla clinics offer non-surgical treatment options for marrionete lines. Marionette lines are the lines that go from the corners of the mouth to the jawline. They are used to add volume to cheeks, under eyes, temples, lips, marionette lines, and nasal labial folds. Facelift This is for women with very deep Marionette Lines. Whether it be sagging skin on the face or body, sun damage, or fine lines and wrinkles, Dr. Marionette and Laugh Line Filler Pricing. Helpful. Botox injections cause temporary skin relaxation, which corrects the appearance of marionette lines. Dr Doyle and his team are dedicated to the best care and excellence in plastic surgery and education in face, nose, neck and eye surgery. Reach out to Metropolitan for an effective marionette lines treatment like filler or laser in Edina, MN. These unwanted creases look like the lines on a marionette puppet. What Are the Treatment Options for Reducing Marionette Lines? Various treatment options can minimize marionette lines. Monday - Friday I 10:00 AM – 6:00 PM Saturday I 8:00 AM - 2:00 PMSkin tightening lasers effectively reduce the presence of lines and wrinkles for a smoother, more youthful appearance. The patient sits back on a bed with the backrest up. One of the most popular skin boosters is Profhilo injectable moisturiser. The laser also causes vaporization of the skin, which will lead to tightening. It addresses loose skin and excess fat in the lower face and neck, thereby resulting in a smoother, firmer appearance. Ultherapy is a non-invasive, FDA-cleared treatment that uses ultrasound energy to lift and tighten the skin on your face and neck. Hi, thank you for your question! I would recommend a full face consultation to evaluate how you can address your marionette lines. Other beneficial laser treatments have proven to work on marionette lines, like CO2 and Erbium lasers. Pronounced facial expressions can promote the formation of marionette lines. Spa Luxe Med Spa. Anesthesia: Apply a topical. A marionette lines treatment starts from $369 to $449 for 1ml, depending on the product used. Dermal fillers. Botox work by relaxing. Our skin’s volume shrinks as collagen. Donaldson and Dr. 1ml of dermal filler treatment from just £175. View profile. Our team discusses dermal fillers, explaining how they are an excellent option for the treatment of marionette lines. Salveo Health& Wellness Centre, CNR William Nicol & Leslie Avenue Fourways, Johannesburg, Gauteng. Generally, we use about 2mls of dermal filler per side for treating the marionette lines. Prices are very reasonable and the location is pretty awesome. As with any medical procedure, there are risks associated with using Botox to reduce marionette lines before and after receiving the treatment. 2 from 79 votes ★ 5 verified patient reviews. They are a result of the natural aging process of the skin, in which the loss of elasticity contributes to the sagging and loss of volume in the tissue. Marionette Lines before and after image gallery. Botox and other neurotoxins are injectable medications designed to temporarily relax facial muscles and reduce wrinkling caused by muscle movement. Various treatment options are available to improve the appearance of marionette lines. Read our reviews; you'll like them. Marionette lines are a common concern for many people. This procedure requires general anesthesia rather than local anesthetic. 3. These qualities help address wrinkles, stretch marks, and scars by producing collagen to replenish the areas and improve elasticity. These side effects are consistent with other facial injection procedures and most will resolve within 30 days. Vitamin C for its antioxidant and anti-aging properties. One option is dermal fillers, where a gel is injected into the lines to. There are quite a few non-surgical cosmetic treatments that are easy, affordable, and most importantly, effective. Botox may cause minor bruising and irritation at the injection site. Hello and thank you for your question. 075 - 7578 - 8375; 20 Bradley Road, London, SW4 8FA; support@keemaesthetics. Dermal fillers can also be injected into marionette lines to help soften their appearance. 512. Find best Dermatologists for Marionette Lines near me & make an appointment online instantly! Marionette Lines appointments are guaranteed and free!. Hello and thank you for your question. All treatments carry risks and benefits, which will be discussed in your consultation. Sagging marionette lines can give a face a defeated and weathered look. Some patients may see added benefits by combining their thread lift procedure with facial filler injections. No good can come from any marionette lines treatment if you aren’t in the habit of drinking enough water to hydrate your skin. Delve into our comprehensive guides to non-surgical procedures to enhance your natural beauty with precision and grace. The number of units required for your treatment affects this cost, as outlined by your treatment plan. Botox injection. One simple remedy for marionette lines,and nasolabial fold is to massage coconut. Reconstructs the lower and upper eyelids. A 40-year-old woman unhappy with her marionette lines sought therapy (Fig. Best of luck, Dr. There’s a wide range of cosmetic treatments that can reduce marionette lines – And the majority of these treatment alternatives being non-invasive in nature, do not require any incisions or cuts. I think you might also have a makeup issue, I saw on both this and a previous post that you have a kind of thick matte foundation, which probably emphasizes lines and dryness. When people get older, we begin to experience depletion of skin tissue and facial volume loss that often results in. . Non-surgical Skin Tightening. ” You can stop shipments anytime by calling customer service at 1-800-347-1558, from 7am to. They make the mouth appear downgoing and sad. To report a side effect with any Restylane® product, please call Galderma Laboratories, L. 1. There is no one best filler for marionette lines. The procedure works by making surgical incisions to tighten the skin and lift the tissue in the lower face.