What are Marionette Lines | How to make them go away. Newport Beach Plastic Surgeon explains anatomy

[@robindabreu34]

I have these now. They only bother me when I look in the mirror.

[@cameliap1146]

🤣🤣🤣 throw away all mirrors !

[@ursulamullikin4723]

😂

[@ninasimone437]

😅😅😅

[@PH7018c]

🤣🤣🤣🤣

[@huiyingtanyayap]

Same here :|

[@romeoslover817]

I never had these until I lost weight. I look older now than before. So the old addage is correct: fat fills out wrinkles. I am okay with that. I wear my gray hair and skin creases like a badge. I earned it.

[@ironking76]

Same here. Started eating healthy, lost weight and my face changed. But I feel better...

[@darooh9815]

I had to check. I thought I wrote your post. Here’s to living the best life and loving it. I got mine when they removed my wisdom teeth.

[@karienslaven9095]

I know what your saying I earned my too an im proud of all of it

[@beeoneder6799]

Same here . As long as my body is healthy, I am Ok with gray hair and a few creases on my face - I feel liberated not hiding my grays and creases 😂😂😂

[@pjsmith4369]

I have noticed ( now that I’m 68 ) that many people who lose weight when they are older, lose fat in their faces. I keep telling my female sibs, who are in their 50’s and trying to keep a very slim figure, that they do need fat on faces. They seem to prefer being very slim to looking younger. In my case, I finally gained weight in my fifties because I had osteoporosis. It took a few years but I gained 20 lbs. It has made a huge difference to my face. But I glad to read that so many women do not care about the wrinkles, etc. I shows we love ourselves just as we are. ☺️♥️

[@Weeflowerofscotland]

I have lost 84 pounds and my once full face has taken a hit. I feel it’s almost melting downwards. I’m a smiler and don’t mind my smile lines but I now have the marionette lines and a bit of a turned down mouth. I look tired when I feel the best I have for years. Thanks for a great explanation.

[@loralieisa]

Try facial exercises the least invasive type of fix that only costs only time.

[@MG-mj6zi]

When I was a kid nobody cared. The elderly was just that, the elderly. Now it seems to be a crime to have aging lines and wrinkles. If all of these procedures were free to everyone then by all means go ahead and make everyone feel some type of way for having signs of aging. We live in artificial times. Eat right, exercise and keep a healthy attitude. Have hobbies and interests. Don't sweat the small stuff.

[@cameliap1146]

" The elderly was just that, the elderly" . Right. Now, the elderly want the spot light also. Was not enough on early times,when young. They want the kake and eat it too.

[@MG-mj6zi]

@@cameliap1146 They had the spot light in their own way. It was rare to put emphases on the looks of aging back then. Young folks are getting things done as well. Lots of things done to their natural looks. Folks can't even make a decent expression anymore. Walking around looking like mannequins these days.

[@lite403]

Ditto

[@rusmagonzalez2649]

Facial surgery is fantastic if you have money is ok you feel better is ok .

[@MG-mj6zi]

@@rusmagonzalez2649 I agree only if you are not stuck on stupid with it. I'd rather spend my money on someone hungry. At the end of the day it is after all the individual's choice.

[@lindaallen8800]

I am happy to have lived long enough for these lines to show. I don’t like them, but many people don’t live long enough to get them.

[@TheYayoii]

I don't think is age related, they do get worse with age, but I've had them all my life

[@karinap1949]

What the hell

[@Emmelly2023]

😂😂

[@Nellis202]

Finally ! Someone who has their priorities right. Be grateful you got there. DON’T GET OLD you say ? Better to get there than not to get there!

[@sg-uk3zu]

I've decided to embrace them and become a professional puppet. You don't even need to throw your voice!

[@septemberwright8042]

😁

[@PH7018c]

Facial yoga.. it might help.. give it a try

[@wayankartini2091]

Wise decision.

[@melindachisholm6418]

My lower lift and face lift did not get rid of this issue. Only made it slightly better

[@wayankartini2091]

@@melindachisholm6418 A very famous and loved Italian actress would say during the make-up sessions: do not remove my wrinkles, it took me a lifelong time to create them.

[@pantoponrosegoatoe4129]

I appreciate your dry sense of humor ❤️ I’m starting to see this on my face!

[@MO-vm2oc]

Facelift does not improve this part of face!!

[@bharathivinay3324]

Then...... How.? What is the solution

[@jessgarnerlewis]

I hateeee plastic surgeon videos but I actually enjoy yours!! They’re actually super specific and helpful thank you

[@jonathanzelkenmd]

Lol thanks? :)

[@jukyyyyy]

I used to not have super noticeable marionette lines but getting masseter botox made them PROMINENT. Not to mention it messed up my smile too and the corners of my mouth don’t go up anymore. I’m hoping it’ll all go back to normal soon 😔

[@lisaboxell670]

How long ago was it done? Was it only done once?

[@nicolerose7639]

Omg!!! Same!!!

[@user_abcxyzz]

Sounds like you traded one problem for another. You need to do better research and consider long term affects of any procedure

[@sharonalbanese8084]

Gosh that is concerning. Thanks for sharing that info. I've also heard radiotherapy can backfire too as it removes fat from the face if done too deeply, which is aging.

[@jengreeeen]

Great video 👍🏼 I’ve always wondered what that shadow was that was freaking me out. I don’t have the lines but I have full cheeks and this video explained it perfectly. You can tell you are an artist by the way you speak about the face and shadows in your videos

[@jonathanzelkenmd]

Thanks Jen. My job is to make shadows go away. Or appear. :)

[@lightningandthunder2861]

@@jonathanzelkenmd excellent video 🙏👍🌸

[@lightningandthunder2861]

@@jonathanzelkenmd please do a video on jowls

[@bettyhiatt8820]

⁵

[@Auggies1956]

It accentuates who I am, someone who never smiles.

[@thegentlesheepbarn3578]

I thankfully found your videos online. They are extremely helpful.

[@sharonalbanese8084]

You explained this so well, thank you so much. I don't have marionette lines as such but I do have slightly downturning on my mouth corners. I have found facial massage very helpful. I am concerned that lipo and also radio frequency would lessen fullness in the face, which is, in itself, also aging.

[@jonathanzelkenmd]

Glad it was helpful!

[@nikkil764]

The model Paulina Porizkova has a great video on KZbin about the invisibility of older women. She points out that real people have lines and movement in their faces. It’s called expression and is a critical part of communication. The only people over the age of twelve without them, have nothing to say.

[@jonathanzelkenmd]

That’s a nice way of looking at things. I am all for accepting your appearance as you age.

[@yousun4177]

@@jonathanzelkenmd I do not like Botox in the marionette lines 👎🏻and I don’t like fillers 👎🏻 why does some doctors don’t do good Jobs? And that is #natural #looking #faces. People do not have to look like they are going in a motorcicle 🏍

[@inuhundchien6041]

She is more visible at 60 than most other women at 20 due to her still astounding beauty. She just feel invisible relative to her more explosive visibility in her youth. However much we get plastic surgery we can't even touch the corner of her natural beauty. Just browse plastic surgery pictures and who can replicate her jawline, her cheekbone, her eyeshape, and most importantly her goddang height? She can turn head just by standing still. Anyway, most people are invisible anyway. If you are old and you still want to be visible, become a politician.

[@Jasmine215100]

She has to be one of the most, if not THE most, beautiful woman ever born!! I have always admired her looks!

[@keetahbrough]

the imperfection exists only in your heads. i love an old worn in face. there's so much to see and the substance and warmth of humanity exists in these old faces. i have written off tom cruise as an actor because he might look the same but he can't move his face so he can't act anymore. Cruise now just looks like a caricature of his youngster self. Embrace age. Become human again. You really want to help your face, eat vegetables daily, drink ginger tea, hydrate, love people and animals. That'll get rid of those fkn marionette lines you're so concerned about. also ... stop looking at the mirror so much.

[@annacamila_]

“Embrace age. Become human again.” Thank you.

[@Adriana-ti5er]

Love it!! 💞

[@cameliap1146]

Oh please . I have more than enough with eating vegetables, lot of water, ginger the & co. Nothing stop ageing. So many gurus of aerobics/ healthy eating & co. are flabby or like a dried raisin. Genetics comes first. Eat what you want in small portion and do what you please. And if you want and afford it , why not plastic surgeries. Medicine is our servant. I see it like that. And no. Ageing not come always with wisdom, nice memories, understanding, gentleness & co. It's a myth. " La vieillesse est un naufrage" Charles de Gaulle

[@burntpopcorn7543]

Tom Cruise’s recent puffiness in his face could be due to steroids.

[@lite403]

❤❤❤❤❤well said, EMBRACE AGE :)

[@melinacopeland484]

That’s the best explanation ever! 👏👏👏

[@jonathanzelkenmd]

Thank you!

[@jeanellematthews5177]

I wish I lived near your practice. I'm getting ready to consult for a mini lift to correct my marionette lines.

[@BedfordFalls7]

I need this done. A mini lift. Is that the neck or face?

[@anononnl]

I think that people now look in the mirror way too much and see imperfections that are really just normal aging and they've been 'trained' to see this as something to be fixed. My opinion only.

[@malikahonthemove]

I have these and they are pronounced. I hate them and hope to get them fixed in the near future. Thanks for this video because I have seen another doctor that also spoke of not using a lot of fillers in this area. Most docs want to do lots of fillers and I now understand how that can make it worse.

[@TheYayoii]

Same, but somehow they got less noticeable afte some hyaluronic acid dermapen treatment

[@tillanienaber3081]

We should all grow old gracefully. Lines on the face show character earned over many years. With an 80 year old 'glance' in the eye and a perfectly tight face really looks scary.

[@citydrums7525]

The face of today just a scalpel away...

[@juliafish8832]

This is the best explanation of the marionette - a facelift is the only way to go nothing else lasts believe me I have tried them all!

[@jonathanzelkenmd]

Yes, an even a facelift may not make it go away away. Just better.

[@virginiabluebell2350]

Gravity is a cruel mistress smh

[@glendamartin8424]

Recently, I have lost some weight. I know age is just a number, I am 75 years young, but look a lot younger. My once youthful face now, has these marionette lines appearing on my face. Thank you for your tutorials. I am now a new subscriber and looking forward to your tutorials.

[@jonathanzelkenmd]

Thanks for sharing!

[@rosemorales795]

Thank you !! Very good info . Makes me clear and now I understand and what exactly I will do. Unfortunately I live very far away from California. I would love to get my plastic intervention with you. Sending you Light, Love and good vibes. ♥️🥰♥️🙏🤗

[@julia393n]

I started noticing marionette folds (not lines) when I lost weight, (as I tend to gain it on the lower face), and of course now I'm in my late 40s.

[@leelab8307]

I think that's about the age you get them anyway.

[@suzanneaubin7599]

Mine are here as well and started showing in my late 40’s. Nothing to do with weight loss.

[@royzlatanestevez9843]

I greatly agree. Filler is always only masking a problem, except for the indication of volume loss. It's the only legitimate purpose of filler to fix the volume loss.

[@janebraun4482]

He well explains what is happening beneath the skin. A face lift just pulls the skin up and back, but the under process goes on. Later you may need another face lift. There are some faces that don't really get jowls, but wrinkle, take your pick. To be sure it is all aging though. Best to undertreat as he says, for sure.

[@jonathanzelkenmd]

Thanks Jane for the solid interpretation

[@user_abcxyzz]

It's like faces age like quick sand, always sinking south

[@ゆうき-g7s7m]

This is very, very helpful. Thank you! You are awesome! Thank you, doctor!🥰Have a wonderful day!🌻

[@nonawolf7495]

You actually do have a perfect face! Thanks for the video :)

[@missvivian3809]

What about PDO threads? You went from Botox, fillers, straight to a face lift lol. The PDO threads is where it’s at! 👌🏼

[@jonathanzelkenmd]

Excellent point

[@liset4081]

I was thinking about that too. Both smooth pdo threads for collagen build and cog lifting threads for a more immediate lift. Isnt that a good option?

[@missvivian3809]

@@liset4081 yes it’s way better option than going under the knife & anesthesia for a face lift. It’s also cheaper safer & there’s basically no down time. It’s a no brainer 👌🏼

[@MsBiz888]

Yes, but you have to do the theeads every year. It doesnt last long. And for what you will spend every year on threads, you might as well do the face surgery which lasts 10 years or more and its one time pain vs yearly

[@stinehansen191]

Because the treads dont really work. Just a waste of money

[@ventumloquitur8250]

“All the laxity caused by time and gravity . . .” That took my breath. I paused. I looked into the mirror that I have been purposely avoiding. I scream, Yes! Yes! I am a candidate for a full and complete facelift! Then, I reflect on the reasoning: to have a better appearance for myself, so that when I do walk past the mirror that I have been avoiding, the dog will no longer attack my shadow. Educationally, this video is inspiring. I accept myself in this present moment, and at this present time. And if by chance, money reigns, or rains, down upon me, I know where my next flight is taking me. Perhaps that’s next year. This master of aesthetic facial creation, the doctor - is taking the time to explain multiple types of procedures, the facial musculature, and other topic matter. He has a wry sense of humor which is followed by a dead-pan look into the camera. Hilarious. I would love a sculpted face - uplifted, and tightened with no rigidity in its form. Then, I smile, and think of a future when the dog stops attacking my shadow. Funny, I thought. Nota bene: Financing. I am comforted in thought. No. No. I pause: Audi A8 versus face lift. Which one? One day. . .maybe both. Reality sets in. Priority becomes apparent. Future goals . . . perhaps a flight, procedure, and vacation wrapped in one. I will be circulating this video to my many friends whose dogs also attack their shadows. Then, I will not feel so alone. Who knows, maybe my friends and I will get together and make changes for the next stage of life, before we are bed-ridden. Good grief. Tempus fugit. Do it now. Do not delay. Be happy now. In this moment. Whatever you look like and however you feel, changes can always be made, in heart, mind, body, and soul. And then . . . there is always a call to this doc’s office. Next year, I say.

[@jonathanzelkenmd]

This is a great comment. Thanks for your thoughts!

[@ventumloquitur8250]

@@jonathanzelkenmd People watch you. People listen to you. I am glad I found you. I will continue to listen and learn. Thank you.

[@goldenswallow5761]

Thank you for your educational videos! I like the way you demo with pictures & effects to explain. It's very helpful understanding! Thank you!

[@jonathanzelkenmd]

Thanks for the affirmation I’ll do my best to keep these coming

[@curiousone6129]

I had a deep plane face lift and fat grafting 6 months ago. This didn't make either nasal labia folds or marionette lines go away. Both are fairly deep. I'm having more fat grafting to my lips done in 2 weeks. Now I'm considering a little fat grafting to the nasal labia fold and marionette lines at the same time. Naturally I'm not going to get another face lift now, but still want to get rid of those lines. I've learned a bit about the anatomy in those areas from your video and understand why those lines form and why fat grafting there may remove the lines, but give the jaw a heavy look. Since I have a relatively small jaw, perhaps get a very moderate amount of fat grafting, to at least soften the lines a bit, without squaring my jaw too much. I would welcome your input, if you think this is a bad idea. Thank you for explaining thinks so clearly in layman's terms. This is exactly the kind of information I need in order to make informed decisions! You now have a new subscriber!

[@jonathanzelkenmd]

Thanks. I would have to see you in person to offer the insight you seek. In my experience, the best facelifts are superb for the neck, great for the jawline, good for marionette lines, and ok for nasolabial folds.

[@curiousone6129]

@@jonathanzelkenmd Thank you for your quick, helpful response. My face-lift did all the things you described, except the marionette lines had almost no improvement. The nasal labial folds did improve a little bit. Except for that, I'm perfectly happy with the results. Don't think it was a failing of my surgeons skill, because I should also point out that I was 72 years old when I got a deep plane face & neck lift, upper and lower bleths, fat grafting, brow lift, chin implant, and fat added to my lips. I look at least 15 yrs younger. If I can get the 2 problem areas improved, I think that will give me another 5 years restoration. 🙂 My surgeon did such a great job. Made me feel beautiful again. Love him for that! And love you for sharing your knowledge and enthusiasm for your craft with us! Your Before and After photos speak to your extraordinary skill. By far the best age restorations I've seen in the many, many photo from other surgeons websites I've visited. I've seen some Comments here complaining about the fees, but the best results and skills are seldom inexpensive. So worth it. Best wishes for your continued success!

[@lee3144]

I had the same procedure as you to address this problem afterwards it was still there like you said so this procedure doesnt work your just pennyless afterwards.

[@alysonsmith8046]

Just smile all the time

[@irasemaresendez2598]

Then you get those smile lines

[@alisonfraser3305]

This isn’t a problem in all but the most extreme cases. This is literally how people look. Don’t carve yourself up for no good reason.

[@andshewas296]

Their are more options and more surgeons that say other. Dude loves cha ching! You can see it in his face!

[@MaryHartmanMaryHartman]

@@andshewas296 🎯

[@josipag2185]

Ofc it is. It makes people look sad. Like glabelar wrinkles. Other wrinklers under eyes and mouth are normal, smiling. But those two makes people look in certain emotinal way.

[@user_abcxyzz]

It's not conventionally a beauty standard. People just want to revert back to an acceptable standard. That's why they don't appreciate the aging process. Youth features will always rein supreme against mature features

[@rajaeelyousfi8867]

Thank you! I always thought that it has something to do with my buccal fat.

[@TexasTinyHomesRock]

This is a great video that explains the why and how's, and I like how you show the various effects by using the tape on your face. Nice job!! Will doing some of the different facial exercises out there help solve the problem? It seems to be making some improvement for me after only doing them for a couple of weeks. Cheers!

[@sharonalbanese8084]

I agree, I've tried different things and found facial massage is very good. Plus smiling more!

[@annpringle8219]

Great video! Thanks for explaining in layman's terms for us.

[@angelicamimosa]

I think a strong piece of tape on each side of the face is a brilliant solution 😁

[@jonathanzelkenmd]

Thanks hahaha

[@shockwave1126]

Very affordable for sure, lol.

[@citydrums7525]

Super glue...

[@Sorchia56]

Use some brilliant foundation and boom, you’ve got an instant facelift! Or be like me and don’t give a rat’s bum! I’m old I’ve earned every line, wrinkle, scar…well actually my kids helped with the wrinkles and grey hair! 😂😂😂

[@loralieisa]

@@citydrums7525 Super glue would do the trick/ Brilliant!

[@sidayy2102]

I have been doing face yoga for the last 3 months and I look pretty good …. I’m not a puppet anymore 😬😁

[@nikkistahr7105]

SISTER do tell?

[@alyssaroberts2503]

Really? You made your marionette lines better with face yoga? Do you have a link to where you learned about it? Thanks!

[@sidayy2102]

@@alyssaroberts2503 blush with me-Parmita I’m one that will not do any surgical attempts to my face or Botox because TO ME. Seems like the skin starts looking more mature in a different way when you insert anything therefore I try to do it all with exercise and she has helped sooo much. I hope it helps you 💕

[@donnahyman7478]

The best exercise for the face is doing plank pose everyday. It tightens the jaw, neck and shoulders. Hold for several minutes. You will see results. Give it a try☺️

[@Seschal]

Super educational about the ligaments!!!!

[@nailabt]

I have a "baby shape" face and noticed these even when I was a teenager, they are still subtle now I'm in my early thirties. one doctor told me botox makes it worse in time, and one told me it helps prevent it worsening , what is your opinion? thank you

[@jonathanzelkenmd]

I do not like botox around the mouth in general. Sometimes, when you Botox the muscles that pull the corners of your lips down, it can soften the shadows somewhat but it’s not my favorite solution. Not risky, per se, just not likely to erase those lines.

[@tacobelle69]

I’ve had them since I was a young kid myself and I’m now 41. They definitely get worse. I personally liked getting Botox in my DAO’s but it doesn’t last long AT ALL and of Course it doesn’t fully take the problem Away

[@tacobelle69]

I misread your question. My dr said it helps prevent and he wish I got started sooner.

[@parisinthe30sx]

Sunken tear trough and marionette lines, now I know what these little SOB are on my face. I noticed them after I started having teeth issues. They've gotten worse.

[@kristennelson3190]

Yup! After I HAD to get a (closer to the front) molar pulled, I have an extreme marionette line - on One side of my face!🫤

[@yumbrella2788]

U R Awesome at this explanation of MY issue with my face... im59, black female... I wanna do this for myself. That lipo looked brutal, though it's probably MY best option! I'm in great shape, but.....these jowls 🙀I've Never had a single surgery in my life! I'm scared.... should I do this???

[@jonathanzelkenmd]

The decision is only yours. Remember, aesthetic surgery is purely elective surgery.

[@wem-c9f]

Very good explanation I completely agree with you.

[@rhythmicelegance4670]

The radio frequency skin tightening solution sounds the least invasive, though the lower lift seems like a close second in preferable adjustment method. I have small puffed perioral mounds while having a somewhat oval baby face, genetics I suppose, while I’m physically very slender. I look very young for my age in general. I have high defined cheekbones, but with the lower subtle mounds and I sometimes think my face shape from the front sometimes looks weird like a slightly bloated/subtle lower rectangle. My lower jawline looks different, somewhat sharper, at an angle compared to frontal view. Maybe partly a food allergy or something. When I was a kid, my lower face shape changed quite a bit at different ages, and was on and off more angular with a higher defined lower-jawline and other times more oval/puffier. It’s really annoying to me. I wouldn’t want the mounds turning into lines down there so I observe them closely on occasion and strive to take care of myself as much as possible. Unsure if it’s better to do something about it sooner before it drops to that point.

[@jonathanzelkenmd]

This is 100% a personal decision. But you are very thoughtful

[@missybeegood5359]

I love the way you are so through in your. Explanation.yes you look perfect ....,. No kidding!👍☑️☑️☑️☑️from Texas

[@jonathanzelkenmd]

Thanks dearly for the kind words from TX!

[@gailsmith3699]

Excellent video, now I understand 👏🏻

[@judithholleran6423]

Radio frequency was an interesting option. Like Red light therapy. Something to think about if you do not want to go thru surgery.

[@sevenirises]

You're so funny....and great at explanations. Thanks for this. Makes sense.

[@kimikiminurface938]

Wow at age 56 , I’ve now learned I have all three issues described here , sunk-in tear troughs , nasal labia folds and marionette lines .. I hope to find a Surgeon as well educated as you in my area to address these aging issues of mine .

[@teenas9775]

Please do your research before you hand your face over to a surgeon who will place it on a platter and hand it back to you for all the world to see. Good luck!

[@merelmp3]

i am 14 and i have them

[@Breathefreemylove]

This is sarcasm...right?

[@kimikiminurface938]

@@teenas9775 Geez Teena , it kinda scares me when you put it like that . I guess I've never considered a poor result.

[@kimikiminurface938]

@@BreathefreemyloveNooo , Im not being disingenuous , I've been saving up for about 2 years now - I'm the type of person if I can't pay cash , I don't need it . I'm almost at my goal .

[@karenwalker4476]

Lol…I like your humility.😁 I love your videos and humor. Aging is not easy, that’s for sure…in more ways than 1, however, thank goodness for Dr’s (specialists) like you!😁👍 By the way, do you sell that tape in your practice? 🤷🏼‍♀️

[@jonathanzelkenmd]

That is just postoperative paper tape. We use it for bandages and things.

[@karenwalker4476]

@@jonathanzelkenmd I was kidding…lol

[@bartbollen8166]

Wont liposuction of the jowl alone leave you with loose skin??

[@kirstenvigh776]

Very interesting, thank you.

[@Donna-cc1kt]

That one shot of liposuction made me love myself more. No thank you but I do appreciate the cold water in my face. I’m healthy!

[@theresapittman205]

Excellent description. Thanks.

[@HelloMalaka]

What is the price range for a facelift to fix this issue and neck laxity?

[@AlexG-pl3km]

I would think that it would be in the vicinity of $5000-$8000

[@treesawittmann4075]

You really explained that in an easily understandable way..

[@jonathanzelkenmd]

I try

[@barbarawentzel6202]

This very helpful.

[@racheljolley26352]

I’ve got these, had them as long as I can remember, am 69 now. When I was younger, people thought I was miserable all the time, always telling me to cheer up! I hated that 😔

[@LosAngelesLaura]

Do you have your own face on there???? SUBSCRIBED!!! 💀💀💀💀💀💀

[@jonathanzelkenmd]

Sometimes I take one for the team :)

[@bipbip9595]

Great content

[@grungestoryteller]

Hi. My ex in Hollywood is a LONG TIME good friend of Gwen Stefani. We all work in " the industry " both music and film. She has had several procedures. The word on the street so to speak, is that her label warned her. And it had something to do with her insurance. Singers vocals can be affected by too much lip surgery. And nose probably too. So think what you want, but its common knowledge that she's becoming " addicted " to surgery. That pillow face thing is pretty prominent without makeup but we'll never see her without makeup- ever. Lets see in 5 years if she still looks like a human or a robot.

[@anononnl]

ROFL! Your reaction! Really like your channel!

[@ennisgunns]

Yes. Lectures. Thank you. Subscribed.

[@jonathanzelkenmd]

Thanks I’ll get back to video production soon.

[@d.fattyadams1313]

Oh my goodness!!! After seeing that (cutting in a person's face), my face would have to be down to me knees before I'd consider this. Looks painful. And what about botched procedures?!?

[@bernadettegreen7134]

I totally agree with you, D.

[@bernadettegreen7134]

I totally agree with your remarks. When I saw the large cutting being done, I was done with the viewing.

[@clarissadavila917]

Great info!

[@jonathanzelkenmd]

Glad it was helpful!

[@alandastevens9889]

I saw people who done plastic surgery an still have them.i used flax seed gel it help

[@jonathanzelkenmd]

Thanks - will look into that

[@AvsFan32]

Isn’t that normally for hair? I would love to know what product you use for your face. Thanks!

[@sanne2145]

@alanda Stevens thanks for your comment. Do you mean it softens your marionette lines? What brand do you use?

[@OoMASEoO]

Gordon Ramsey's chin improvement is a perfect case study. It looks dramatically smoother from fillers apparently.

[@sharmilaghosh374]

Even i have. What is the cost of surgery and how long time it will take during operation ? I am curious.

[@Rosary716]

I hate those lines. I’ve tried everything. Fillers were useless. I have very little wrinkles but I do have those and hate it.

[@laurelcreagh9419]

Some people say that face yoga can help with this type of concern.

[@jolanhowes3604]

There are face exercises on youtube that specifically address these lines.

[@nathalienurse3336]

Excellent video, expressed extremely well. BTW you have gorgeous surgeons hands. Wished I lived in Cali, I would have you do my face…….🤗🇨🇦

[@jonathanzelkenmd]

Hahah why thank you. Glad my calloused hands didn’t scare you off.

[@plefeuvre3426]

Great explanation. Would buccal fat removal help with marionette lines on an aging formally chubby cheeked face?

[@katz3182]

From my experience No. I have marionette lines due to chubby cheeks. Got buccal fat pad removal. It only caused my face to look much more aged.😭😭😭 like hallow cheeks but at the same time chubby cheeks from the area where the marionette lines are... and i still have those annoying marionette lines. Maybe im thinking about getting liposuction near that area. Buccal fat pad removal was a huge waste of my money and I dont like how I look.

[@plefeuvre3426]

@@katz3182 Thank you for this!

[@katz3182]

@@plefeuvre3426 no problem hope this helps. 🙂

[@melz6625]

@@katz3182 thank you for your experience! Always had chubby lower cheeks and a fleeting chin. Been wondering about buccal fat removal. Now I know this wouldn’t be for me

[@brittanyadams746]

Preventatively, neurotoxin in the marionette lines to reduce the chances of this happening too early on😁 great video!

[@taylors5069]

Do you believe in no surgery routes like massaging or facial exercises?

[@jonathanzelkenmd]

You can certainly try them

[@seviregis7441]

Some people get rid of them with weight loss, others by also using different targeted facial exercises.

[@rob-profoundlydapper1619]

I'm 25% body fat, do you reckon I could get rid of it if I reduced that percentage?

[@AhChoua]

Ty for this I always had this and wondered what it was. Sometimes it shows more on other days . Sometimes it bothers me and sometimes I don’t even think of it. Thought about Botox

[@mjbrownlee7979]

Informed, thanks

[@ThePsychicGodfather]

You look Gr8 as you are !!

[@jonathanzelkenmd]

Thanks - just setting the stage

[@pennsylvaniapatti1835]

Some people grow old gracefully. Not me. I'm growing old ungracefully 😆😆

[@dittohead7044]

Such a way with words, a real charmer doc. Are you still single? 😂

[@jonathanzelkenmd]

Thank you, but I am not. :)

[@shelleytripp3137]

We must love and accept ourselves the way we are. Be authentic- wrinkles and all. It’s ok. It’s free! Be happy. 🥰

[@wulfsorenson8859]

If you feel that way you should not be watching videos about plastic surgery you fool 😅

[@Emmelly2023]

Nice video

[@jiyakhan5027]

Hi it's very helpful video but I have a question if I use thread lift is it works for it?

[@edeetudor3677]

Individuals with a receding chin would benefit from a chin implant /or advancement as well.

[@jonathanzelkenmd]

Correct

[@GoodJuju.8D]

You helped inform me that I'm stuck with them. I can't afford a quality moisturizer let alone any type of surgery. I thought maybe jaw exercises or something, but thanks anyway. 😔

[@hamzemahmuod]

😂❤ ألذ دكتور بالدنيا You are nice I invite you to my clinic in Syria Doctor. Katia You made me laugh from my Harte You are amizing🎉❤

[@yeseniareyes1936]

I lost weight to feel look good and noticed skin sagging in the sides of my mouth 😔

[@angelikakopek]

I love the explanation but I would have like some more natural solutions like face exercises instead of invasive surgery’s!

[@lilianasotres9415]

Wow! Very well explained.

[@phina8392]

Mine go away when I smile❤

[@jonathanzelkenmd]

The best solution there is :)

[@charlottaahmed4486]

OK. I need it all...face lift, eye bag removal, eyelid lift, Botox, Lipo....you name it! All this while keeping my gorgeous white hair. Right!!!

[@euphoricleo]

Would filler also work for nasolabial folds? Would buccal fat removal also be a solution for nasolabial folds? For someone in 30's?

[@shirleypark5587]

Hate it and I fill with fuller- love it

[@stephanieperalta8728]

I’m kinda of fit and I have these, I was never overweight I’m not sure what can help? Also I’m 20, Maybe spf everyday? I do have chubby round cheeks and I’ve been thinking about a buckal fat removal lately but I’m not sure what can help

[@jonathanzelkenmd]

Yes this is often the case, and I may be able to help but would beed to examine you to determine the appropriate strategy

[@nvb455]

Hi doc! Great channel!! What would you recommend for someone having the first signs if sagging? Like subtle nasolabial folds and jowling starting to appear from excess facial fat on the cheeks and jaw? Squaring of the face so to say. Who has thick skin/ mid 30s. Facetite?

[@jonathanzelkenmd]

There are many options. For nasolabial folds we may begin with injectables at the base of the nose to soften the folds. For jowling, Facetite may be a great option for someone in her 30s.

[@ludmillabaier6983]

@@jonathanzelkenmd Herr Dr. ich glaube verstanden zu haben das sie Gesichts Joga bzw. Gesichts Muskel Training nicht nur für sinnlos halten sondern sogar kontraproduktiv? Warum eigentlich? Sind doch phantastische Erfolge zu sehen. Eine Australierin hat auch so einen Kanal auf KZbin. Sie heisst Peta und sieht mit 60 Jahren aus wie 35. Nur durch ihre Ûbungen. Wûrde so gerne noch mal ihre Meinung dazu hören. LG. Ludmilla

[@Jenny-vq3bj]

What would you call this type of surgery? Is it buccal fat removal?

[@jonathanzelkenmd]

Buccal fat removal is one component of lower facial sculpting. I would call this surgery lower facial sculpting as a catch all phrase.

[@agnesjodes3222]

Hi Dr. Zelken, if one gets a facelift, would she/he feel a pulling feeling consistently under their face? would it be uncomfortable?

[@jonathanzelkenmd]

This is a great question. In the early healing period there can be a sense of tightness or pulling, especially in the neck, but the sensation subsides with time.

[@romanaabo3664]

I had a face (MACS) lift, but that perioral mound of fat wasn't lifted, which in hind sight makes sense to me, because that fat pad wasn't removed. What do you think?

[@jonathanzelkenmd]

I think MACS lifts are inherently limited and liposuction + ligament release is an important adjunct.

[@romanaabo3664]

@@jonathanzelkenmd Thank you. Do you think liposuction could still help?