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Marionette Lines ( Mouth to Chin lines ).

Marionette lines have been given their name from their similarity in appearance to that of the split jaw of a marionette puppet. These lines typically appear at the corners of the mouth and run down towards the chin, and are a common result of the ageing process.

A person’s genetics will often determine how the signs of ageing will manifest and the rate at which it will develop. The internal structure of the face changes as a person gets older, as collagen and elastin declines, the natural pads descend and the underlying muscles provide less support to weakening skin. Marionette lines are often starting to become visible by the time a person reaches their 40’s as the face loses volume and the skin begins to pull down – sagging. 

Lifestyle choices such as smoking, alcohol consumption, a poor diet and overexposure to the sun can impact on the speed at which ageing symptoms will unfold. These factors can influence the rate at which collagen and elastin will break down in the skin, affecting the strength of the ‘building blocks’ that enable the features to remain firm and full. The ageing process also sees the loss of essential hydration, for which dry skin can also be a contributing factor in the formation of wrinkles. 

The facial features can also alter and a downturned mouth can occur through the process of ageing, as volume loss, skin laxity and wrinkles start to appear. These changes can affect all areas of the face, in a variety of ways, and may appear differently from person to person.

The lower part of the face ( sagging ) is usually most affected by the impact that ageing has when it teams up with the effects of gravity, with one of these resulting concerns being a downturned mouth.

The skin and the underlying tissues and muscles are affected by the loss of collagen and elastin as a person gets older. The production of these substances decreases by 1% more, as each year passes, which leads to a weakened internal structure. In a person’s youth, the mouth sees fullness to the lips with strength in the mouth’s surrounding borders. The levels of the lips sit evenly as the underlying facial structure enables this feature to position high up on the cheeks.

As the skin weakens and gravity starts to pull down on the face, the lips become less supported and the corners of the mouth also begin to turn down. This can give a heavy look to the lower part of the face, as jowls and marionette lines can also accompany this concern.

Marionette Lines Treatment

When considering a treatment to reduce the appearance of marionette lines, dermal fillers ( hyaluronic acid )are often the most safe and effective solution. By administering dermal fillers injection to the area around the mouth, the properties within the skin that help to provide volume and support can be replaced. Not only does this help to smooth out any wrinkles, but the injection also helps to lift the skin that is pulling down and reduce the appearance of marionette lines. 

Dermal fillers ( hyaluronic acid ) injection are a popular treatment for the reduction of a downturned mouth, smoothing out facial creases when lost volume is replaced to the skin. When lip fillers are applied, the supporting structure that surrounds the mouth is strengthened. This in turn helps to raise the corners of the mouth to their youthful position.

The gentle formulation of Juvederm lip dermal fillers provides the care that this sensitive area of the face requires. London Lip Clinic trusts the Juvederm brand to deliver the kindness that the lips deserve, in order to rejuvenate and redefine luscious looking lips.

Juvederm dermal fillers which are hyaluronic acid, are a reputable brand that is trusted by many aestheticians and the experts at London Lip Clinic. Juvederm have designed a special formula for their lip fillers that is gentle to this sensual feature, for a youthful and rejuvenated look.

Causes of marionette lines?

What age do marionette lines appear?

People typically begin developing marionette lines in their late 30s or early 40s. In the early stages, marionette lines are barely visible.

Prevention of marionette lines

Preventing marionette lines and other wrinkles
  • Daily skin care. Wrinkle treatments won’t go far if you don’t take care of your skin on a regular basis. …
  • Weight management. Weight fluctuations can increase the risk for sagging skin. …
  • Reduce sun exposure. …
  • Adopt a skin-friendly diet. …
  • Other lifestyle considerations.

How to get rid of marionette lines naturally?


Losing weight


What is best treatment for marionette lines?

1. Chemical Peels

Chemical peels use an acidic solution to deeply exfoliate the skin and stimulate cell turnover, exposing a fresh, youthful complexion underneath. Gentler at-home chemical peels can be an, excellent method for softening shallow marionette lines, but for deep lines, you’re better off seeing the pros. A professional chemical peel solution contains a stronger concentration of acid and can remove skin cells not only from the epidermis but also from the lower layers of the skin for more dramatic results.  Research has shown that chemical peeling can smooth wrinkles by increasing the thickness and structural elements that give the skin its strength and elasticity.

2. Topical Treatments

Serums and creams containing peptides, ceramides, vitamin C, vitamin E, and retinol are old standbys that really do improve the tone and texture of the skin, and even fight wrinkles.

3. Injectables

Dermal fillers like Juvederm and toxins like Botox often get a bad reputation when it comes to marionette lines. That’s because they really only help when it comes to mild or moderate lines. In the case of early-stage marionette lines, Botox can be injected into the depressor anguli oris (think of it as the frowning muscle) to keep you from making the kinds of expressions that can cement marionette lines into place. Hyaluronic acid fillers like Juvederm, on the other hand, can be injected below the corners of the mouth to lift the smile and fill out minor creases.

4. Micro needling

Micro needling helps preventing marionette lines.

Marionette lines filler

What kind of filler for marionette lines?

Juvederm Volift: For more superficial marionette lines, Juvederm Volift can help. This thin filler allows us to smooth very shallow lines without over-plumping the area, which can make patients look unnatural.

How long do fillers in marionette lines last?

Dermal fillers like juvederm volift for nasolabial folds and marionette lines are one of the longest-lasting. Patients can typically enjoy treatment benefits for up to two years.

How much do fillers cost for marionette lines?

Prices start from £250. Every treatment and under mouth line filler is tailored towards your unique face, therefore exact pricing will be discussed at the consultation after a full assessment. Please see the price list for full list of treatments.


Marionette lines Botox

How do you treat marionette lines with Botox?

These work by relaxing the facial muscles underneath the injection site

How long does Botox last for marionette lines?

Although its full benefit may not be seen for a couple of weeks after a treatment, the effects of Botox typically last for about three to four months.

How much Botox is needed for marionette lines?

This depends on the patient. But generally in females: 2 units per sidein males: 2-4 units per side.

Marionette lines treatment Botox side effects

Botox may cause minor bruising and irritation at the injection site

What is better for marionette lines Botox or fillers?

While dermal fillers are usually the ‘go to’ treatment for marionette lines at our London Lip clinic, botox is also a useful option. Botox can be used to relax the marionette muscles which pull down the corners of your mouth and accentuate the appearance of marionette lines. We can also use botox in conjunction with dermal fillers to maximise the improvement.

Marionette lines treatment with Juvederm

How much Juvederm is required for treatment of marionette lines?

Depending on how bad the condition is, one can require anything from one to three syringes of Juvederm Volify to rectify the marionette lines.

Which Juvederm is right for marionette lines?

We usually use the medium consistency Juvederm dermal filler – Juvederm Volift for the treatment of marionette lines.

How long does Juvederm last for marionette lines?

Juvederm Volift can last for anything up to 2yrs.

Restylane for marionette lines

How long does restylane last in marionette lines?

Restylane Defyne addresses deeper laugh lines like the marionette lines that form around the chin, as well as deeper nasolabial folds that develop as a result of the aging process and volume loss. It provides natural-looking results that last up to twelve months with optimal treatment

How much is restylane for marionette lines?

The price for treatment varies from individual to individual.

Marionette lines before and after

Marionette lines before and after microneedling

Marionette lines before and after botox

Marionette lines before and after surgery

Marionette lines before and after juvederm

How to conceal marionette lines?

You can not conceal marionette lines with makeup

London Lip Clinic

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If you’re looking for the best lip fillers in London, then contact the London Lip Clinic today for your FREE consultation and find out how Rupesh can give you the naturally plump, defined lips you’ve always dreamed of.



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London W1G 9QY

Phone number: 07956 576666
Email: [email protected]


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