Before And After Marionette Lines & Jowling Case 928

ABOUT OUR PATIENT
This gentleman traveled from Texas to Mabrie Facial Institute seeking comprehensive nonsurgical facial rejuvenation. Following significant weight loss and a previous mini facelift, he experienced facial volume loss and changes in skin support that made his lower face appear heavier and older than he felt. His primary concerns were the deep marionette lines and jowling around the mouth and jawline, which created shadows and interrupted the definition of his lower face. He wanted a smoother, stronger appearance without undergoing another surgery.

MFI TREATMENT PLAN
With our i360 Full Face approach, we looked at what was contributing to the appearance of the marionette lines and jowls—not just the folds themselves. By assessing volume, support, and facial proportions from the midface through the jawline, we developed a plan to rebuild structure in key areas and create a more supported lower-face contour.

• Marionette Lines + Jowls: Strategic filler softened deep folds, supported surrounding tissue, and improved contour along the jawline.
• Midface + Cheeks: Restored structural support and volume to improve overall facial balance.
• Under-Eyes: Softened hollowness and shadows for a more rested appearance.
• Chin: Added projection to strengthen the lower face and improve profile proportions.
• Nose + Lips: Subtle filler refinements enhanced facial harmony and softened vertical lip lines.
• Botox: Treated the forehead, frown lines, and under eye area to soften dynamic lines.

THE OUTCOME
After three treatments over ten months, his lower face looks noticeably smoother, firmer, and more defined. The deep marionette lines are softened, the appearance of jowling is reduced, and the transition from the mouth through the chin and jawline looks cleaner and more structured.

By restoring support throughout the face rather than simply filling individual lines, we achieved a result that looks refreshed, masculine, and naturally rejuvenated. His transformation demonstrates how a comprehensive nonsurgical approach can restore definition and balance—even after significant weight loss and previous facial surgery.