Quick Facts
  • Marionette Lines are the vertical lines from the corner of the mouth to the chin.
  • As we age marionette lines become deeper.
  • Dermal Fillers can improve the appearance of marionette lines.
  • Cheek and lower face volume loss can exacerbate Marionette Lines.
  • Formation of Marionette Lines is a complex mix of multiple aspects of aging.
Marionette Line 01

What Are Marionette Lines?

Marionette Lines are the lines that appear at the corners of the mouth and extend down to the chin. It is named after a marionette which is a puppet pulled by strings where the mouth outline is exaggerated. These lines are common creating a sad or harsh appearance. The corners of the mouth may turn downward exacerbating the sad, angry appearance.

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Marionette Lines Treatments

What Causes Marionette lines?

Marionette Lines develop for a variety of reasons. As you age, you lose facial structure and support on all levels. Skin, fat, muscle, and bone all lose collagen and shrink. This loss of support and volume cause marionette lines to develop. The loss of elasticity and strength in the skin results in thin wrinkled loose skin. Over time the Marionette Lines become more etched into the skin and the skin begins to fold forward creating the sad tired look.

Volume loss in the lower face and in the cheek area worsen marionette lines and are often addressed at the same time when treating Marionette Lines.

In addition, overactivity of specific muscles in the lower face pull down on the corner of the mouth further deepening the Marionette Lines.

Marionette Lines can be exacerbated by other factors including:

  • Hereditary, as it can run in families
  • Excessive sun exposure causing further skin damage and wrinkling
  • Rapid weight loss or frequent fluctuations in weight
  • Smoking

Dermal Fillers treatment for Marionette lines

Dermal Fillers can be used to lift and soften marionette lines. It restores volume in the affected areas and smooths out lines. The volume loss from the shrinking bone and soft tissue is treated with a thick filler and the wrinkles and skin aging is treated with a finer thinner filler. The mouth corners can be lifted leading to a more refreshed appearance.

Surrounding areas are also assessed as they often contribute to deepening Marionette Lines. In particular the chin, jawline and cheek volume loss can worsen the Marionette Lines. They are often treated at the same time to maximise the benefit because the face is a whole unit. Facial harmony and balance are critical to a natural refreshed look.

Results are immediate and can last 6-24 months.

If marionette lines are moderate to severe, Dermal Fillers treatment and mono threads may be used together for greater impact. However, if this is not adequate, surgery may be the best option. This is assessed at the initial consultation. The practitioners at Face To Face Medical ae highly skilled and experienced and will provide an honest and educated assessment.

Antiwrinkle Injections for Marionette lines

Antiwrinkle Injections can improve Marionette Lines by weakening the muscles in the lower face that pull down the corners of the mouth. This is a simple quick procedure.

Contact our clinic for personalized non surgical cosmetic and skin treatments
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