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How Can I Get Rid of Marionette Lines?

Effects of ageing, frown scowl linesFacial aging is all about the formation of various lines and creases. Some of them, like marionette lines, can make the face appear long and droopy, which is not a good look, to say the least. Marionette lines are the creases that start at the corners of the mouth and eventually extend downward to the chin. Sometimes they are called laugh lines. The cosmetic effect of these creases is no laughing matter, though. Here, we discuss what you might do to address them.

Skin Care for Marionette Lines

The aging face is in need of continual support. This comes from good sleep, hydration, and diligent sun protection. It comes from eating healthy foods and learning to manage stress. It also comes in the form of quality skincare products. When making choices for your skin, choose items with powerful ingredients such as:

  • Antioxidants. You want to eat or consume antioxidants, and you also want to apply them to your skin daily. Examples include vitamin C and vitamin E. These substances fight the oxidative stress that causes the skin to age more quickly.
  • Vitamin B3 or niacinamide. These ingredients help support optimal tissue elasticity.
  • Hyaluronic acid. A hyaluronic acid serum is highly moisturizing and also supports healthy collagen.
  • Collagen peptides can help address the natural breakdown of collagen in the skin.
  • Retinoids. You want retinoids in skincare products to help support cellular turnover.

Need an Intervention for Your Skin?

Once you start seeing marionette lines at the corners of your mouth, it's go-time. While your skincare routine can slow the process of aging, these creases may continue to worsen over time. A dermatologist can develop a personal treatment plan based on your needs and preferences. Here, marionette lines may be treated with:

Dermal Fillers

Dermal filler treatment takes less than half an hour and provides instant results. These are two of the prominent reasons that fillers are so popular. To reduce marionette lines using dermal fillers, the provider may inject the product directly beneath the creases, into the lips, and may also look at the cheek area. Lines around the nose and mouth may be worsened by deflation in the mid-face. By enhancing the contour and height of the cheekbones, dermal fillers may slightly elevate the skin that is contributing to marionette lines.

Botox or Dysport

Botox and Dysport are two of the most popular neuromodulator products used today. They are most known for smoothing dynamic wrinkles in the upper face. Rarely do we hear of their use in the lower face. Alas, marionette lines may be caused in part by the pull of the depressor muscles at the sides of the face. By relaxing these muscles, a neuromodulator can release the skin from its downward descent.


One of the primary reasons we experience the cosmetic side effects of aging is that our body stops producing adequate amounts of collagen. Without collagen, elastin, and hyaluronic acid production in high gear, the skin becomes thin and loose. Microneedling is an excellent treatment option for marionette lines because it stimulates a profound amount of collagen, which can help rebuild the skin and slow the progression of lines and wrinkles.

Marionette lines can be a frustrating cosmetic concern. They don't have to be so difficult to correct. With professional help, you can discover the perfect treatment or combination of treatments to keep your face looking fresh and vibrant. To schedule treatment for marionette lines, contact us at 206-859-5777 or book an appointment here.

Sail into the New Year Feeling Like Your Best Self

smiling woman in evening dress with glass of sparkling wine over night lightsA busy holiday season may have filled your cup to overflowing in numerous ways. While you may be riding high on the good vibes of time with family and friends, you may also feel somewhat depleted. You might look it, as well, but you don't have to. Here, we discuss some simple ways that you can sail into the new year feeling like your best self.

PRP Skin Rejuvenation

You may have heard of PRP microneedling treatment and have some idea of its value as an anti-aging service. PRP, Platelet-rich plasma is the component of the blood that is high in platelets. Platelets are the cells that the body uses to help heal wounds. These cells are very healing and regenerative because they contain numerous beneficial growth factors and cytokines that help remodel tissue and support adequate collagen integrity. PRP can be applied to the skin after microneedling to enhance the healing effects of the creation of dozens of tiny channels in the skin. However, it can also be added to services like laser resurfacing and photorejuvenation.

Fat Transfer

The moment that research determined that a person's fat could be harvested and used for anti-aging benefits, the world of medicine was forever changed. Fat transfer is a two-step treatment process that we perform in the office using local anesthetic. The doctor harvests fat from an area such as the abdomen or thighs utilizing a conservative liposuction technique in which fat is captured directly into a sterile syringe. The fat is processed in a centrifuge to separate pure fat cells from blood and other fluid. These fat cells are then injected into areas of the face, such as the cheeks and temples, where volume is needed. As the treatment has become more familiar, more people are choosing fat transfer for long-lasting facial rejuvenation.

Body Contouring

We're at one of those critical points in the year when people are looking more closely at how they want to look. A few extra pounds can be more difficult to shed than we think, which is why procedures like liposuction continually rank among the most popular. Maybe you're not ready to take the step toward liposuction but you're thinking of ways to maximize your healthy diet and exercise habits. CoolSculpting is a proven body contouring treatment that can set you on the right path. One of the benefits of CoolSculpting is that a brief series of convenient treatment sessions can enhance the time and effort you're already putting into sculpting your best body. The process works naturally over time, which can help you sustain the motivation you need in the gym, on the mat, or in the kitchen.

Take Control of Your Appearance with Our Help

The team at Pacific Dermatology is passionate about patient-centered care. To schedule a visit with us in Renton or Seattle to discuss medical or cosmetic dermatology concerns, call 206-859-5777 or click here.

How to Get Your Complexion Back On Track

The signs of aging get a lot of attention. Primarily, we worry about lines and wrinkles developing on the various parts of the face. Sure, frown lines and worry lines can be frustrating and may need treatment at some point. However, one’s complexion may begin to affect appearance even before other signs of aging become apparent. Here, we discuss why our complexion may change over time and what we can do to address concerns like dark spots and hyperpigmentation.

What Causes an Uneven Complexion?

Uneven skin tone most often occurs when an area of the skin has an excess of melanin. Melanin is what gives the skin its color. It can build up as one smaller spot or as diffuse discoloration as a result of several factors, including:

  • Sun exposure. The primary cause of uneven skin complexion (and poor texture) is exposure to UV light. Sunlight is the leading source of UV light that we see over and over again. This type of harmful light is also what is used in tanning beds. 
  • Hormonal changes. Estrogen and progesterone are female hormones that are involved in the production of melanin. Women are susceptible to discoloration and melasma at certain points in life, such as pregnancy or menopause. 
  • Air pollution. We don’t often think of how the air affects our skin, other than when it is dry or humid. The air carries various pollutants, including carbon dioxide and chemicals, that all touch the skin. Microparticles of debris can seep into the pores, triggering a defensive response that includes heightened production of melanin. 
  • Inflammation. The production of melanin is part of the body’s repair process so, if the skin becomes inflamed due to rash or sunburn, for example, complexion may be affected. 

Treatments to Improve Complexion 

In our Seattle and Renton offices, patients can find several treatments that can improve the tone and texture of their skin. Examples include:

  • Chemical peels
  • Infini RF Microneedling
  • Clear + Brilliant laser treatment
  • Laser skin resurfacing
  • BBL Forever Young broadband light treatment
  • HALO hybrid fractional laser treatment

If you have begun to notice small spots, freckles, enlarged pores, melasma, or other discoloration on your face, arms, shoulders, or other areas, you could benefit from a consultation with a board-certified dermatologist. We’d love to see you! Contact us at 206-859-5777 to schedule a visit. 

What Can I Do about Forehead Lines?

At some point in most people’s lives, forehead lines become something to worry about. They’re fine when raising the eyebrows but, when the face is at rest, horizontal lines do nothing but age the face. Here, we discuss how we help patients address this frustrating cosmetic problem.

What Causes Forehead Lines?

The simple answer to why we get lines and creases is that the skin changes with age. We cannot avoid this, but we can address it when we understand the mechanisms at work in the skin. Forehead lines form for two reasons. One is the decrease in collagen and elastin in the skin. As these chemicals decline, the skin gets thinner and less stretchy. The upper face is an area that moves a lot. Movement such as raising the eyebrows causes visible creases. When the eyebrows are relaxed, the creases disappear. This type of crease is referred to as a dynamic wrinkle. Over time, many dynamic wrinkles become static. They remain visible even when the face is at rest simply because they have become ingrained.

Is it Possible to Prevent Forehead Lines?

As much as we wish all lines and wrinkles could be avoided with good habits, they cannot. However, good habits can support the skin as the body ages. The key is to foster resilience for as long as possible. We can do this by:

  • Avoiding too much sun exposure. SPF 30 sunscreen is a must, even when it’s cloudy. The UV light in the sunshine breaks down collagen fibers, making the skin age more quickly.
  • Avoiding habits that age the skin. Smoking is a big skin-ager. The habit puts pollutants into the air right in front of the face. These pollutants can get absorbed by the skin where they degrade collagen more quickly. Drinking also ages the skin. This habit does so by dehydrating the body. So, if you drink alcohol or even caffeine, you must be mindful about staying hydrated.
  • Eating nutritious whole foods. Fresh leafy greens are especially beneficial for the skin thanks to their antioxidants. Healthy fats like avocado and olive oil support cell vitality, as well.

Treating Forehead Lines

You don’t have to wait to see forehead lines before you see a dermatologist for cosmetic treatments. There are ways to postpone the formation of these worrisome creases and to smooth them once they do appear. Common options include:

  • Botox, which smooths wrinkles by relaxing the muscle that causes them.
  • Dermal fillers, which plump lines by binding to water molecules in the skin.
  • Microneedling, which creates tiny injuries in the skin to provoke collagen regeneration.
  • Fractional laser resurfacing, which affects superficial layers of tissue to accelerate tissue remodeling.

Pacific Dermatology offers several services that support aging skin. To schedule a visit to our Renton or Seattle office, call 206-859-5777.

Can Beauty be a One and Done Event?

Many of the people who visit our Seattle and Renton offices ask the same question. “Will I see results after one treatment?” This can be a tricky question to answer. In some cases, yes, results are immediately visible (oh, how we love you, dermal fillers!). However, even in this case, it is necessary to repeat treatment at some point.  Here, we discuss why beauty is not a one and done event.

It is easy to say that we need to keep up with our skin because it is constantly aging. This is true. Studies suggest that our fibroblast cells become nearly dormant after age 30. We don’t see or feel this at first because the body has built up the skin-firming proteins these cells have provided since childhood. About age 40, however, we begin to see the effects of the 1 to 2% annual breakdown of collagen and elastin. Knowing this, we can see just why the skin requires ongoing support. The question is not whether or not treatments should be repeated, it is how many treatments are needed at what intervals.

Several nonsurgical treatments have been developed in recent years to target fibroblast cells; to wake them up, so to speak, so they continue producing collagen and elastin. Each time a treatment is performed, fibroblasts may activate for up to 6 months. Then they will go dormant once again. To rebuild a tissue foundation that has degraded over a few decades may take several collagen-building treatments. Generally, patients can expect to need one treatment for every decade they have lived. The average 50-year-old may need a series of 5 skin-tightening treatments to reset their baseline. After this point, one or two treatments a year may be sufficient.  Of course, this can also depend on the type of treatment that a patient chooses.

Now is a Great Time to Manage Beauty

Whether you are a 30-year-old who wants to begin addressing collagen-loss before the signs of aging develop or you are a 70-year-old who wants to correct mild to moderate tissue laxity and discoloration, we have treatment options that can help you. Come talk with us about your beauty goals and we will develop a treatment plan to achieve them. Call 206-859-5777 to schedule a visit to our Seattle or Renton office.

Drop that Holiday Planning List and Look in the Mirror!

The holiday season is upon us and it will catch many people off-guard. If you move swiftly, your time of revelry can be marked by your best sense of confidence. Have you been endlessly checking items off your holiday-preparation list, only to neglect even looking in the mirror? Could your skin use a refresher to keep you as radiant through the holidays as Old St. Nick himself? Let's talk.

At Pacific Dermatology, we are all about beauty. And skin health is the foundation for appearance, at least when it comes to the face. To assist our patients in looking and feeling their best, we have equipped two office locations with state-of-the-art modalities that have been proven to diminish the signs of aging, acne, and other problems. Here are a few ways we can help you get ready for the holiday season without taking a huge chunk of your time or holiday budget.

Refreshment At Its Finest

If you can't remember the last time you exfoliated your skin, chances are your radiance is hidden beneath layers of dead and damaged cells. If your skin is in relatively healthy condition and the signs of aging have either not occurred yet or not yet become bothersome, your pre-holiday beauty treatment may be a professional chemical peel. This quick treatment will remove all of the cells that are blocking your best skin (and also blocking your skincare products from absorbing) and will give you a glow to enjoy throughout the holiday season.

What better way to refresh the skin's foundation than by calling in the troops? By troops, we mean collagen and elastin. In recent years, devices have been developed to take the old dermal rolling concept to a whole new level. Microneedling is an efficient form of collagen induction therapy that is routinely performed to treat acne and acne scars, fine lines and wrinkles, mild sagging of the skin, enlarged pores, even melasma. Patients see results after one treatment and may arrange more to dramatically rejuvenate the skin.

Pacific Dermatology & Cosmetic Center has the full spectrum of medical and cosmetic dermatology services that can make your skin the shining star of the holidays. Contact us to schedule treatments like:

  • Botox
  • Dermal fillers
  • Liquid facelift
  • Blepharoplasty
  • Nonsurgical nose job
  • Liposonix body contouring
  • And more

Call 206-859-5777 to schedule a visit with us in Renton or Seattle.

Save the Date for our Evening of Beauty!

In this issue: Save the Date for the Event of the Season! Evening of Beauty in Renton on Wednesday, December 5th, 8:00am-4:30pm and Northgate on Thursday, December 6th, 4:30pm-7:30pm. Join our esteemed doctors and staff for our most popular event of the year--featuring savings and celebration in the spirit of the Holiday season.

Evening of BeautyBotox

Learn more by reading through our specials or contact us at 206-859-5777 or via our contact page.

Cool Transformations: August Specials and Events

In this issue: cool transformations! Attend our coolevent and transform your figure, treat acne before school starts for a confidence boosting transformation, get rid of sun and age spots, long-lasting sculptra can transform your look for up to two years, and be all smiles with no frown lines.

Learn more by reading through our specials or contact us at 206-859-5777 or via our contact page.

4 Reasons we LOVE May: Events and Specials

May specials and events are here! In this issue: 4 reasons we LOVE May! Skin cancer awareness month, summer is coming (Cellfina), May 24th Evening of Beauty, Welcoming new dermatologist - Dr. Finesmith, and more.

Learn more by reading through our specials or contact us at 206-859-5777 or via our contact page.

New Year Spring Specials and Events

New Year Spring Specials and Events are here. Join us for our Spring Filler Event with bonus gifts and up to $1000 in savings on Thursday, March 15th and Monday, March 19th: preserve & fill; smooth, lift, & prevent; and restore & lift. Plus, FREE bonus fits for any package. Learn more by reading through our specials or contact us at 206-859-5777 or via our contact page.

Request an appointment

Thank you for choosing Pacific Dermatology & Cosmetic Center, we look forward to providing you with the very best skin care.