
Marionette Line Treatment with Needle

Course Overview
Treatment type: Soft Tissue Fillers
Facial region: Perioral
Approach: Needle Injection Technique
Competency Level: Novice
Course duration: 11 minutes
Course type: Injection simulation on a human body donor performed by Prof. Sebastian Cotofana
Course Description
The Marionette line is a skin surface effect that occurs due to the difference in volume projection between the lateral face (= plenty of volume) and the perioral region (= volume deficiency). Due to this difference the illusion is created that the skin at the Marionette line is depressed and devoid of volume. The treatment therefore is to restore the local volume within the rhytid. Learn in this video how to perform this soft tissue filler-based treatment with an intra-dermal needle injection technique and how to avoid the perioral arteries that are locate din this region.
Learning Objectives
Describe the layered anatomy of the perioral region and its connections to the lateral face, the jawline, and to the neck
Appraise the complexities of the perioral vasculature especially in terms of depth and 3-dimensional anatomy
Describe correct needle advancement techniques for precise and safer product delivery.
Compare the dangers and benefits of using a needle versus a cannula technique to address the Marionette lines with soft tissue fillers

Customer reviews
Samantha Stacey, RN
“Cotofana Anatomy is an excellent resource for learning or refreshing facial anatomy. Prof. Cotofana delivers evidence-based knowledge and stays current, always acknowledging where further research is needed. His lectures never disappoint”.
Arnaldo Mercado-Perez, PhD
"Dr. Cotofana is the premier expert on facial anatomy worldwide. His track record of publications and invited commentaries makes this abundantly clear. Additionally, he is an excellent educator. He explains concepts in a way that is easy to understand. Excellent communicator. I especially like how he breaks down the material into broad, basic concepts and then builds from those into more thorough explanations. After his courses I am more knowledgeable and I have retained what I learned from him"
Scott Welch, PA-C
"Cotofana Anatomy is an essential resource that all healthcare providers, in my humble opinion, should be reviewing for their updated medical knowledge. If you’re looking for safe patient outcomes and information backed by science with one of the world’s foremost thought leaders of anatomy, you’re going to want to sign up as soon as possible!"
Mariana Calomeni, MD
"Complete anatomy course, focusing on basic and advanced levels. Lessons are available on the website to view as many times as necessary. A simple and practical way to learn from the best anatomist at the moment, Professor Sebastian Cotofana, who, with his vast experience and expertise in the field, teaches facial anatomy in a practical way, demonstrating layers, vessels and risk areas for procedures, providing greater safety and precision for injectable procedures. I highly recommend!!!! I'm looking forward to the next classes"
Faalie Asadi, MD
"I cannot express enough how impressed I am with Dr. Cotofana! He is an exceptional anatomist who has made a significant impact on the fields of cosmetic medicine and plastic surgery. His expertise and dedication to educating health professionals are truly commendable. Dr. Cotofana's deep understanding of anatomy and his ability to convey complex concepts in an accessible manner have been invaluable to practitioners aiming to refine their skills. His contributions have undoubtedly elevated the standards of care and outcomes in the industry. Thank you, Dr. Cotofana, for your outstanding work and unwavering commitment to excellence!"
Brian Biesman, MD
"Cotofana Anatomy is the absolute gold standard in aesthetic education. Every time I take a course taught by Dr. Cotofana I learn something new and valuable. As a direct result of his teachings, I have completely changed the way I inject, enhanced my understanding of facial anatomy (and I am an Oculofacial Plastic Surgeon), and helped me understand how to achieve better outcomes while minimizing the risk of adverse events. I give Cotofana Anatomy by absolute highest, unqualified rating and endorsement."
FAQs
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