Most patients describe brief pinches from small injections; ice or numbing cream can be used for comfort.

The DAO muscle is partially relaxed to soften lines while maintaining natural expression.

Mild swelling, redness, or bruising may occur. Temporary lip asymmetry or drooling is uncommon and usually resolves within weeks.

Minimal downtime; most people return to routine activities immediately after treatment.

Dr. Fuzayloff’s Marionette Line Botox NYC – Smooth Lines, Lift Your Smile

Q: Is Botox safe for marionette lines long term?

When performed by an experienced practitioner, Botox is considered safe for repeated treatments over time.

Q: When will I see results, and how long do they last?

Improvement is usually visible within a few days, with full effect at about 2 weeks; results typically last 3–4 months.

Q: Do I need to prepare?

Avoid alcohol, aspirin, and anti-inflammatory medications for 24-48 hours before treatment to help minimize bruising.

Q: What can I do afterward?

Avoid pressing or massaging the treated area for several hours and follow provided aftercare instructions.

Marionette Line Botox NYC relaxes the depressor anguli oris (DAO) muscle, which pulls the corners of your mouth downward. By softening this muscle’s action, lines improve and the mouth corners lift slightly for a more refreshed, natural look.

Natural-looking results
Quick treatment with minimal downtime

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Before and after Marionette Line Botox NYC results

How Does Botox for Marionette Lines Work?

Marionette lines are caused by the DAO muscle pulling the mouth corners downward. When injected into the DAO, Botox relaxes this muscle → reduces downward pull → softens marionette lines → maintains natural expression.

Botox Dosage Guidelines for DAO Muscle

5 units

total

2.5 units per side

Women & Men

Individualized: Dosing depends on muscle strength, asymmetry, and treatment goals.

What to Expect During & After Marionette Line Botox

Consultation

Dr. Fuzayloff assesses your lower face, DAO activity, and personal goals.

Treatment

Precise Botox injections into the DAO muscle (about 2.5 units per side).

Aftercare

Mild swelling or redness may appear but fades quickly. Avoid rubbing or pressing the area for several hours.

Results Timeline

Early changes:

3–5 days

Full effect:

2 weeks

Duration:

3–4 months

Now that you understand the process, see the natural results our patients achieve.

Real Patient Results

BEFORE

AFTER

2 weeks post-treatment

Natural Frown Line Smoothing

Dramatic reduction of deep "11" lines between the brows while preserving natural facial expression and movement.

BEFORE

AFTER

10 days post-treatment

Eye Area Enhancement

Significant improvement in crow's feet and fine lines around the eyes with maintained natural eye expression.

BEFORE

AFTER

2 weeks post-treatment

Complete Facial Refresh

Comprehensive treatment of forehead lines and frown lines creating an overall refreshed, youthful appearance

Medical Disclaimer: Individual results may vary. Not all patients are candidates for this treatment. Results shown are not guaranteed and depend on individual anatomy, treatment adherence, and healing response. Consult with a qualified physician to determine if Botox treatment is appropriate for your specific needs.