Aesthetic medicine / Lower face

A softer shade.
While maintaining the character of the face.

Nasolabial folds and marionette lines are not just a change in the skin in the place of a visible crease. Their appearance is influenced by facial proportions, facial expressions, tissue quality and loss of support in other areas.

Chorzów / KatowicePlan after consultation
01Needed before treatmentWe don't start with the name of the preparation.
02Medical suitability assessmentWe are assessing indications and safety.
03Natural planThe scope remains in harmony with the face.
04Conscious decisionWe discuss possibilities and limitations openly.

Nasolabial folds and marionette lines - where to start?

Nasolabial folds and marionette lines are not just a change in the skin in the place of a visible crease. Their appearance is influenced by facial proportions, facial expressions, tissue quality and loss of support in other areas.

A description of the appearance or sensation is a conversation starter, but is not a diagnosis or indication for a specific procedure. The decision is influenced by anatomy, health, previous treatments, tissue quality and the expected nature of the change.

What might attract attention?

  • a deepening shadow running from the side of the nose to the corner of the mouth
  • lines descending from the corners of the mouth towards the chin
  • the appearance of a sad or tired facial expression
  • asymmetry of refractions visible at rest or while speaking

What do we evaluate before choosing a method?

  • facial expressions and the work of the lower facial muscles
  • support for the middle floor and cheek
  • skin quality and elasticity
  • previous fillers and the risk of excessive tissue load

Not every visible change requires surgery. Sometimes it is more appropriate to care, observe, consult another specialist or consciously refrain from the procedure.

What directions might be considered?

Hyaluronic acid

It may be considered for subtle support of selected areas, not always directly in the groove itself.

Combined or staged plan

Sometimes it is more appropriate to combine improving support with working on the quality of the skin.

The final scope, preparation, number of stages and cost are determined individually after medical qualification.

Why do nasolabial folds and marionette lines develop?

Nasolabial folds are a natural element of anatomy and facial expressions. Over time, they may become more visible due to changes in skin quality, tissue displacement, or weakening of mid-section support. Marionette lines appear lower and may affect the appearance of the corners of the mouth and the lower part of the face.

In aesthetic medicine, the goal is not to completely erase every line. Directly filling the furrow with hyaluronic acid is only one option and does not always give the most natural result. Sometimes the plan starts with improving the proportion or quality of tissue in an area that affects visible shadow.

What does it look like to make a decision?

The conversation covers your goal, health status, medications, allergies, and previous procedures. Then Dr Małgorzata Osikowicz analyzes indications, contraindications, alternatives and possible limitations. The treatment does not have to take place on the same day.

Important

The content is educational and does not replace an individual examination or medical qualification.

The most common
questions.

Is the furrow always filled directly?

No. First, its cause and the support of adjacent areas are assessed. Direct administration of the preparation is only one possible method.

Is it possible to completely remove the marionette lines?

The goal is usually to soften shadows and improve harmony, rather than promising to completely erase natural facial lines.

Can I choose the treatment myself?

You can indicate the need and expected direction of change. However, the selection of the procedure requires examination and qualifications.

Can the procedure be performed during the first consultation?

It may be possible, but it is not an assumption. The most important things are safety, time for an informed decision and the right plan.

Will the result be identical to someone else's photo?

No. The anatomy, tissues and response of the body are individual. Photos may illustrate direction but do not guarantee identical results.

When will I know the exact cost?

After defining the scope and stages. The current price list shows approximate prices for individual procedures.

Let's start with
calm conversation.

You don't have to come with the name of the treatment ready.

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