Dermal Fillers

Marionette Lines

Reduces the lines that extend from the corners of the mouth downward, restoring a lifted expression.

Oral commissures and marionette lines

What is Marionette Lines?

Marionette lines run from the corners of the mouth down towards the jaw, creating the impression of a permanently downturned or sad expression. They form as volume is lost from the lower face and the tissue descends, often with a pre-jowl hollow developing alongside them.

How does Marionette Lines treatment work?

Hyaluronic acid filler is used to support the tissue at the corner of the mouth and to fill the groove itself, softening the shadow and lifting the mouth corner. Where the underlying cause is loss of jaw or chin structure, we may recommend supporting that first. Many patients get the best result from a combination of filler here and a small dose of botulinum toxin to relax the muscle pulling the corner down.

What are the benefits of Marionette Lines treatment?

  • Softens deep grooves at the corners of the mouth
  • A less downturned, more content resting expression
  • Restores support to the lower face
  • Immediate results with minimal downtime
  • Combines effectively with anti-wrinkle treatment

Frequently asked questions

Considering Marionette Lines treatment?

Every treatment begins with an unhurried consultation at our North London clinic. We assess your suitability honestly and recommend only what we genuinely believe will help.

The information on this page is for general guidance only and does not replace a personal medical consultation. Suitability, risks and expected results are assessed individually by our prescribing clinicians.