Fillers for Marionette Lines: Reduce Sagging Skin Around Your Mouth and Chin

Posted on December 6, 2022


Marionette lines begin at the corners of the lips and can extend down to the chin and jawline.

The skin's elastin and collagen production diminishes with age. This causes the skin cells to thin and stretch, resulting in wrinkles and hollowness, particularly around the corners of the mouth.

Furthermore, the face has several fatty layers deep beneath the skin. These fat layers are well-defined in young women and are abundant throughout the skin.

They're also the most important determinant of facial form and curvature. These layers tend to atrophy or lose volume with time. Plus, they can cause deepening of the marionette lines and hollowness around the lips.

In this article, I will talk about how you can reduce the appearance of marionette lines.

Which filler is best for marionette lines?

Hyaluronic acid-base dermal filler treatments work best for marionette lines.

Marionette lines can cause the corners of the mouth to droop, giving patients a sad or furious appearance.

There are several non-surgical treatment methods for marionette lines. Dermal fillers are injections of hyaluronic acid, a naturally occurring chemical that aids in the formation of collagen in the deep layers of the skin.

These non-surgical fillers address the underlying cause of the lines, addressing volume loss. Dermal facial fillers are easy to use and can be used to target extremely specific regions of the face.

However, because the field of facial aesthetics is unregulated, practically anyone may set themselves up as a practitioner; always examine the medical credentials and consult experienced cosmetic doctors.

Different dermal fillers are available, and the practitioner's competence rests in determining which one will be most effective - or if an alternative therapy would be preferable.

Juvederm can treat deep lines and deep wrinkles, making the skin plumper and giving it a more youthful appearance.

When the lines are more active - they vary dynamically as we move the mouth - Restylane would be an option.

How long do dermal fillers last in marionette lines?

Marionette line fillers can last for up to a year with proper care.

The effects of dermal filler injections for marionette lines typically last six to 12 months.

The duration of the results is determined by the patient's metabolism, lifestyle, and the amount of dermal filler product utilised.

To maintain the desired aesthetic results, it is recommended to return to the clinic for a marionette lines filler top-up after around six months.

Can fillers improve marionette lines?

Marionette lines can be improved through fillers and a proper daily skin care routine.

Dermal fillers are a marionette line treatment that can temporarily eliminate or reduce marionette lines. Healthy practices can help to keep these lines from getting worse. Discuss your treatment and preventative options with your dermatologist or cosmetic surgeon.

During a one-hour appointment session, marionette lines are addressed with dermal fillers with anti-facial wrinkles properties. For marionette lines, a variety of injectable filler solutions are routinely employed.

Dermal fillers are classified into three types: permanent, semi-permanent, and non-permanent.

Non-permanent is the most frequent because its effects are transient and readily reversed. Only surgery can remove the permanent filler. Each filler (e.g. cheek filler, chin & jawline filler, lip filler) is unique in terms of how it adds volume under the skin and how long it stays in the cheeks and chin area.

Your practitioner will advise you on the best type and brand of filler for you.

Why are they called marionette lines?

Marionette lines run from the corner of the mouth to the bottom of your chin.

The term is derived from marionette string puppets, which feature pronounced vertical lines in the same location. Mild, moderate, or severe marionette lines are possible.

Why Are They Called Marionette Lines?

Marionette folds or lines are named after the puppets used by ventriloquists.

The marionette folds that affect you reach from the very corners of your lips downwards towards your jaw lines, just like the puppet's unique jaw slits that allow its mouth to move as if it's truly talking.

Some people consider marionette wrinkles to be nothing more than fine lines. For others with deep marionette lines, they are deeper creases that can resemble jowls on the lower face.

At the very least, these appropriately termed wrinkles make us appear older. Unfortunately, marionette lines make us appear angrier and grumpier. The term "sad lines" often refers to marionette lines.

Causes of Marionette Lines

Several factors cause marionette lines to manifest, such as genetics, smoking, muscle activity, poor skincare routine, and our body's natural ageing process.
  1. Sun Damage

Sun exposure and poor use of sunscreen are contributors to elastin and collagen breakdown in our skin. Their long-term destructive effects can cause marionette lines to be more prominent and accentuated.

  1. Ageing Process

Marionette lines, like other types of facial wrinkles, are formed by natural collagen losses that occur with our body's natural ageing process. Collagen is a protein that helps to fill up your skin naturally, and this area experiences volume loss as we age.

  1. Smoking

Tobacco smoke includes more than 4,000 chemicals, many of which damage collagen and elastin damage. These are the fibres that give your skin its suppleness and strength. Smoking or even being exposed to secondhand smoke damages the skin's building blocks.

  1. Genetics

Human bodies have between 20,000 and 25,000 different genes made up of DNA, and these genes control everything about us, including how our skin acts. Our skin type (whether dry, normal, or oily), many skin problems, and, to some extent, wrinkles and marionette lines are mostly determined by genetics.

  1. Severe Stress

Because excessive levels of cortisol, the stress hormone, can break down the skin's collagen and elastin, stress can also cause wrinkles, fine lines, and marionette lines to appear. Inflammation is also caused by stress, which affects the body's capacity to repair itself.

  1. Overactive Muscles

Face wrinkles and lines are caused by overactive facial muscles. By limiting their capacity to move, they are less likely to develop lines and wrinkles. Non-surgical cosmetic injectable treatments like dermal fillers and Botox London are meant to demonstrate the reduced appearance of lines and other facial wrinkles, including marionette lines.

  1. Lack of Sleep

A lack of sleep makes your skin more vulnerable to signs of ageing. To prevent marionette lines, you need at least seven hours of sleep each night.

How to Treat Marionette Lines

There is a wide range of non-surgical treatment options that address marionette lines effectively.
  1. Dermal Filler Treatment

Fillers are frequently recommended as options for treating marionette lines.
When injected appropriately, hyaluronic acid fillers can smooth wrinkles and replenish lost facial volume. Replacing lost volume in the upper or mid-facial first can often enhance the appearance of nasolabial folds or jowls in the lower face.
If more correction is required in the lower face, the filler may be cautiously injected directly into the region of concern. The effects last around a year. However, this can vary depending on the product used and the area of therapy.

  1. Neuromodulators

Toxins that relax wrinkles, such as Botox in London, can be used to cure marionette lines. These soften the lines and keep new ones from developing.
The upper lip to treat 'smoker's lines,' the pre-jowl area to address downturned mouth corners, which can generate lines, and the chin to address skin dimpling are common sites where this might be effective. Results may persist for one to three months.

  1. Tretinoin

Tretinoin, also known as retinoic acid, is 10 to 100 times more potent than retinol.

It works by exfoliating and accelerating cell turnover, decreasing inflammation, and increasing the production of collagen and elastin. As a result, fine lines and wrinkles are decreased, and skin texture is smoother.
However, this one is the least effective treatment. Unlike laser treatments and dermal fillers, it doesn't produce optimal results quickly. It also doesn't treat the middle layer of the skin to get rid of marionette lines.

  1. Microneedling

Microneedling and other collagen-inducing therapies can effectively cure fine lines and wrinkles. Microneedling is a technique that includes making controlled punctures in the skin with a device equipped with very fine oscillating needle tips.
The body's natural wound-healing process is stimulated by these micro-injuries, producing new skin cells. This will result in an increase in collagen and elastin, which can enhance the look of wrinkles, scars, and general skin texture.

  1. Skin-Deep Treatments

To soften fine wrinkles, laser skin resurfacing treatments and chemical peels might be employed.

Laser Treatments

As the name implies, these procedures use lasers to heat the skin. Laser treatments also stimulate collagen production, which keeps the skin hydrated.

Chemical Peeling

Chemical peels of medical grade exfoliate the skin's outermost layers and can range from light to deep depending on the acid employed.

Visit Dr. Julian De Silva - Harley Street, London

Do you want to add volume to your skin and get rid of marionette lines? We offer customised treatment options for you!

Contacts us for a consultation now! As an alternative, you may visit us at 23 Harley St, London W1G 9QN, UK

Dr. Julian De Silva, Medical Director

About the Author

Dr Julian De Silva is a leading facial plastic surgeon that specialises only in surgical and non-surgical facial procedures. Dr. De Silva has considerable experience in cosmetic and reconstructive facial surgery from fellowships in London, Los Angeles, and New York. He is one of a handful of elite surgeons to be recognised with British, European and American qualifications, memberships and board certification.

About Dr De Silva | Dr Julian De Silva's Google Scholar

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