Marionette lines or marionette folds are common signs of facial aging, forming as vertical creases that stretch from the corner of the mouth down toward the chin. The name for this cosmetic condition—which develops primarily due to repeated contractions of the depressor anguli oris (DAO) muscle—comes from the fact that the lines resemble the grooves that allow marionette puppets’ mouths to open and close.

The DAO muscle can also exert a constant pull on the sides of the mouth, creating an unhappy expression.

By providing a subtle lift to the mouth corners, DAO muscle BOTOX^® can help patients achieve a more neutral or positive expression. BOTOX^® for marionette lines can reduce the telltale wrinkles and provide a more youthful look.

• BOTOX^® for forehead wrinkles (frontalis muscle BOTOX^®) helps the forehead area look smoother and more youthful.
• Crow’s feet BOTOX^® addresses wrinkles (or “smile lines“) at the outer corners of eyes.
• Under eyes BOTOX^® reduces the wrinkles and muscle bulges that form below our eyes.
• A BOTOX^® brow lift elevates the eyebrows higher to help the eyes appear brighter and more open.
• BOTOX^® for bunny lines (corrugator muscle BOTOX^®) softens the lines that form on either side of the nose bridge.
• Procerus muscle BOTOX^® can treat a small horizontal crease at the top of the nose.
• A BOTOX^® lip flip relaxes specific muscles to allow the upper lip to unfurl slightly for a fuller look. BOTOX® for lip lines smooths the skin around the mouth.
• Chin BOTOX^® (mentalis muscle BOTOX^®) treats orange peel skin or dimpled or pitted skin on the chin area often referred to as “golf ball” chin.
• Face slimming BOTOX^®, also known as jaw muscle BOTOX^® or masseter BOTOX^®, shapes the jawline so that it looks slimmer and better defined.
• Neck BOTOX^® relaxes pronounced bands on the neck that pull the jawline area downward, resulting in a lift to the lower face. Another option, trapezius BOTOX®, gives the neck and shoulders a slimmer look.

Aside from cosmetic treatments such as DAO muscle BOTOX^®, there are also medical uses for this injectable, such as BOTOX^® for migraines, BOTOX^® for sweating, BOTOX^® for muscle spasms, and BOTOX^® for TMJ.

While searching for “DAO muscle BOTOX^® cost,” “DAO muscle BOTOX^® benefits,” or “DAO muscle BOTOX^® near me,” you may discover other types of complementary treatment options to enhance the appearance of the skin. Cirillo Cosmetic Dermatology Spa offers numerous aesthetic treatments that can be combined with botulinum toxin type A injections such as facial fillers from the Juvéderm^®, Restylane^®, and RHA^® (Resilient Hyaluronic Acid) families, microneedling, microdermabrasion, dermaplaning, and lasers and light treatments.