With aging, anatomical changes are observed in the face. In the lower third, these
changes are expressed as ptosis of the angle of the mouth, lip enhancement groove
mentalis; decrease in concavity between the jaw and neck and very noticeable
platysmal banding. The repeated contraction of muscles of the lateral-chin together
with the band platysmal side form what are called a marionette groove. Treating the
whole lateral-chin area can result in a more harmonious aspect of the face when
compared with treatment of a marionette groove in isolation. In this paper we
describe combined treatment of the lateral chin area using botulinum toxin and
fillers.
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