Marionette lines

The more severe the photoaging, the more important it is to consider the depth of the peel. The patient shown in Figure 5.7 has a light skin type that is sensitive to the sun s rays. She has developed a number of solar lentigines and fine wrinkles caused by UV rays. The eyelids are very wrinkled and the nasolabial folds and marionette lines are slack. 

Folds cannot be treated by peels, and require surgery, dermal fillers or thread lifts. Deep nasolabial folds and marionette lines do not always respond to phenol. 

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