Tag: jowls

Marionette Lines

Marionettes are a result of the general facial aging process: volume loss and loss of structural support from shrinking facial fat pads, bone and mineral loss (particularly the bony resorption of the mandible), decrease in collagen and elastin production and hormonal changes that thin and weaken skin. Movement, genetics and bad habits also contribute to development and severity of marionettes.

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American Academy of DermatologyAmerican Society for Dermatologic SurgeryWomen's Dermatological SocietyTexas Dermatological SocietyTexas Medical AssociationBexar County Medical SocietyDermatology FoundationSan Antonio Dermatological Society
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