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Marionette lines are vertical lines that run from the corners of your mouth towards your chin. They become more pronounced and noticeable as you get older and can create the illusion of sagging in the lower part of your face. Dermal fillers remain a popular way to manage and minimise the formation of marionette lines. Let’s take a closer look at your options to improve the appearance of marionette lines on face.


Why Do Marionette Lines Form Around The Mouth?

As you get older your skin produces less collagen and elastin, and this means that wrinkles that were once static, become more dynamic. In other words, wrinkles, creases and fine lines that used to be visible when you were making facial expressions are noticeable all the time.

Collagen is a type of protein found in the skin, that gives it a plump and full appearance. As well as a decrease in collagen, the accumulated effect of gravity can enhance these lines on your chin and mouth as you get older.

The aptly named marionette lines are named after string puppets that have a movable jaw, that is thus visible to give the impression that it is talking. The skin around your mouth and lips is also more prone to creases because it is used very often, for talking, eating and smiling.

Marionette lines on face tend to become more pronounced in your 40s but you might start noticing them as early as your 20s and 30s. Remember also that your genetics play a role in the wrinkles that form. You may have more noticeable marionette lines than someone else your age, but this could also mean that you have fewer wrinkles in other parts of your face. 

Marionette lines on face start off being superficial but can become more pronounced over time. Patients may not like them because they can give the face a sulky or scowling appearance even when you are happy.


How To Treat Marionette Lines?

Ultimately we all want to age gracefully and even though marionette lines on face should be embraced as part of your ageing process, it is possible to soften them using advanced treatments such as dermal fillers, laser treatment, Botulinum toxin and surgical interventions such as facelifts.


Is Dermal Filler Effective To Treat Marionette Lines?

A dermal filler might be a suitable treatment when your marionette lines are in their early stages of formation. Dermal fillers can be injected into lines in order to plump up the creases and replace lost volume into the wrinkles. 

Dermal filler can also help to combat the appearance of marionette lines but replacing lost volume and countering the effects of gravity.

It’s important to work with an experienced and licensed surgeon for your dermal filler, because the correct amount must be used.

If too much dermal filler is injected it can cause heaviness in your chin – and this may actually enhance the appearance of the lines. 

treatments marionette lines on face sydney nsw

One of the major advantages of hyaluronic acid dermal fillers is the fact that they get to work almost instantly, and you don’t need to factor in any recovery time after your treatment. Once you have had your dermal fillers you can return to your life without any downtime. When they are done well dermal fillers look natural and not like you have had any work done. 

Side effects and post-treatment irritation from dermal filler is mild and manageable, and the fillers dissolve after a period of time, depending on the type and amount you have injected. Dermal fillers may also stimulate your skin’s natural collagen production.


Using Botulinum Toxin To Treat Marionette Lines

An alternative injectable treatment for marionette lines is Botulinum toxin, which is derived from the botulinum toxin. Botulinum toxin actually freezes the muscles that are used to create the facial expression behind the wrinkle or crease.

Botulinum toxin injections are beneficial for a smooth skin complexion, but they need to be repeated every three to four months to stay effective.



Microneedling is done with a pen or roller, and can be used to stimulate collagen production, to treat marionette lines. It’s likely that you will need to return for a few sessions if you need to fill in deep marionette lines.


Caring For Your Ageing Skin

Advanced skin treatments can help to counter the effects of ageing but there are also measures you can take to slow down your biological clock.


Protect Your Skin From The Sun

The sun’s harmful UV rays wreak havoc with your skin, especially as you get older. It’s best to stay out of the sun completely but we know this isn’t always practically possible. Make sure you use a good sun protection factor every day and use physical barriers such as a wide brimmed hat and sunglasses to shield yourself from sun exposure.

It’s important to stay out of the sun after dermal filler, Botulinum toxin injection and microneedling treatments. 


Stay Hydrated

While using good day and night creams is an essential part of your skincare routine, hydration starts on the inside. Avoid alcoholic and caffeinated beverages as much as possible and make sure you drink plenty of water.


Get Enough Sleep

Sleep is an essential part of a healthy lifestyle because it’s during your sleep periods that your skin can recover and recoup.work on your bedtime routine to ensure that you get enough shut-eye, otherwise it shows on your complexion.


Do you need help managing your marionette lines on face? Please contact us for a confidential appointment: (02) 9158 6375.

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