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About Dr. Joanna Day Procedures About Your Skin Our Facility Contact Us

Dr. Joanna Day
Dermatology & Laser Centre
Suite 103 - 2419 Bellevue Ave
West Vancouver, BC, V7V 4T4

Phone: 604-925-9798
Toll free: 1-866-933-7329


These downward folds that originate from the corners of the mouth are sometimes referred to as puppet folds or sad folds. They tend to make the face look drawn, fatigued or aged especially if accompanied by a downturned mouth. Marionette folds tend to occur gradually as they deepen over time. Genetic considerations such as facial features, muscle action and sun damage may also play a role.

Dr Joanna Day is extremely proficient in treating these folds painlessly using a filler injection (Restylane) to provide immediate improvement which is long lasting but not permanent. Following your procedure the treated region will appear more rested and restored. Permanent fillers/implants in this region are not recommended by Dr Day.