Dr. Xu's Real Patient Cases — Marionette Line Treatment
The following four cases were treated personally by Dr. Dan Xu at our Markham/Toronto clinic and are reproduced with signed Media Release Form authorization. Marionette lines involve a complex interplay of volume loss, reduced skeletal support, muscle pull and skin laxity; individual responses vary, and outcomes should be assessed during a personalized consultation.
Case 1 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- Dermal fillers + Restylane® (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months, with a maintenance session to prevent further descent of the buccal fat pad
Case 01: Marionette Lines / Downturned Corners of the Mouth — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto · Markham
Case 1 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later for hyaluronic acid filler re-treatment
Case 01: Marionette Lines / Downturned Corners of the Mouth — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto · Markham
Case 2 · Marionette Lines / Corner Mouth Droop — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- Thread Double Eyelid + Botox® + neuromodulator wrinkle treatment + dermal fillers, and 11 other treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-dose maintenance every 4 months + hyaluronic acid lip line refinement
Case 02: Marionette Lines / Corner Mouth Droop — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 14 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Thread Double Eyelid, and 13 other treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-dose maintenance every 4 months + hyaluronic acid lip line refinement
Case 14: Marionette Lines / Oral Commissure Descent — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Markham/Toronto
