I have extremely deep marionette lines. I have heard of the hyaluronic acid filler, Juvederm, and would like to know if this is a good filler for my facial wrinkles. Are the effects seen immediately with this filler or does it take time?

For extremely deep marionette lines, hyaluroic acid filler such as Juvederm may help. I also think combining it with deeper filler such as Radiesse often gives better result. A surgical procedure such as a lower face and neck lift to sharpen the jaw line as well as dermabrading these facial lines may further augment the result.