dermal fillers marionette line filler
Homer

Marionette line filler in Homer

Book from 133+ сlinics near you
Banhidy Clinic
star
5.0
(23 reviews)
£££
Verified Partner
Verified Partner
SW1Y 5EA, 120 Pall Mall, LondonSW1Y 5EA, 120 Pall Mall, London
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Really professional, personal and relaxed experience. Both doctors are clearly very proficient in their careers and this shows in the way they carry out their aesthetic treatments. Norbert checked in with me after the treatment and as the treatment settled to check that everything was ok. I had great results from my migraine Botox treatment to reduce the frequency of my migraines. The clinic itself is lovely and clean and feels very high-end. Thanks so much. Would recommend to all my friends!

Really professional, personal and relaxed experience. Both doctors are clearly very proficient in their careers and this shows in the way they carry out their aesthetic treatments. Norbert checked in with me after the treatment and as the treatment settled to check that everything was ok. I had great results from my migraine Botox treatment to reduce the frequency of my migraines. The clinic itself is lovely and clean and feels very high-end. Thanks so much. Would recommend to all my friends!

Marionette lines

£300
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Harley Street Dermal
star
5.0
(1081 reviews)
£££
W1G 9PF, 10 Harley Street, LondonW1G 9PF, 10 Harley Street, London
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The team here at Harley Street are welcoming, approachable and answered all my queries without any issues. My treatment was smooth and Dr Ria was understanding, professional and patient. Pleased with everything they have offered.

The team here at Harley Street are welcoming, approachable and answered all my queries without any issues. My treatment was smooth and Dr Ria was understanding, professional and patient. Pleased with everything they have offered.

Lower Face Restoration (Jowls, Marionette Lines, Smile Lines): 6ml

£1,100

Lower Face Restoration (Jowls, Marionette Lines, Smile Lines): 5ml

£950

Lower Face Restoration (Jowls, Marionette Lines, Smile Lines): 4ml

£800
Karwal Aesthetics (W1S 4LP)
star
5.0
(188 reviews)
£££
W1S 4LP, 15 Dover Street, LondonW1S 4LP, 15 Dover Street, London
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I’m visiting Karwal For my neck I’m a 62 year old man and my neck is looking awful in my eyes a bit like a turkey lol Dr Arun listened to my concerns and was very reassuring he has an amazing bedside manner and advised  me to try the Sunekos treatment I’m halfway
through my treatment plan and already I’m happy with the results I can’t wait for the final treatment if it looks this good already . Dr Arun’s experience as a practicing medic means his process is almost painless and was finished so quickly I can’t recommend him enough he’s amazing

I’m visiting Karwal For my neck I’m a 62 year old man and my neck is looking awful in my eyes a bit like a turkey lol Dr Arun listened to my concerns and was very reassuring he has an amazing bedside manner and advised me to try Read more

Nasolabial & Marionette Lines 2ml

£650

Nasolabial & Marionette Lines 1ml

£350
OSO Aesthetics & IV Drip Clinic
star
5.0
(145 reviews)
£££
EC1N 7UU, 1-5 Portpool Lane, LondonEC1N 7UU, 1-5 Portpool Lane, London
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I came to OSO Clinic to prep for my upcoming wedding, and I couldn’t be happier with my experience. The clinic is clean, bright, and has such a relaxing vibe. The clinic manager and the receptionist are incredibly warm and welcoming, which really helped calm my nerves.

Dr. Cian is amazing. He’s very professional and genuinely cares about helping you look and feel your best, not just selling treatments. I had Botox, Profhilo, filler, and a Glutathione drip, and I’m so happy with the results. His skills are outstanding; I barely felt any pain during the treatments, and everything looks so natural.

I’m beyond satisfied with my visit and will definitely come back for future treatments. Highly recommend!

I came to OSO Clinic to prep for my upcoming wedding, and I couldn’t be happier with my experience. The clinic is clean, bright, and has such a relaxing vibe. The clinic manager and the receptionist are incredibly warm and welcoming, which really helped calm my nerves. Dr. Read more

Marionette Lines 1ml

£400
Derma Consult Skin Specialist
star
5.0
(136 reviews)
£££
SE1 3JW, 16 Crucifix Lane, LondonSE1 3JW, 16 Crucifix Lane, London
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Always have the best experience, I finally feel confident about my skin and face thanks to the team and Yobany. I’ve recommended to many friends and they all absolutely love the team and results too. I cant recommend them enough, thank you so much!!

Always have the best experience, I finally feel confident about my skin and face thanks to the team and Yobany. I’ve recommended to many friends and they all absolutely love the team and results too. I cant recommend them enough, thank you so much!!

MARIONETTE LINES

£320
Dr Ifrah Aesthetic Clinic
star
5.0
(115 reviews)
£££
W1G 9QN, 23 Harley Street, LondonW1G 9QN, 23 Harley Street, London
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Dr Ifrah is a friendly and caring doctor who takes time to listen to you. She puts you at ease and talks you through the process making sure you fully understand everything.

The fact that she is a qualified doctor makes you feel you are in safe hands.

I initially went for botox whilst i was there I spoke about my concerns, bags under eyes and loss of texture in my face.
She recommended I try the polynucleotide treatment, the results have been amazing especially under my eye area.  Thank you so much I will highly recommend you.

Dr Ifrah is a friendly and caring doctor who takes time to listen to you. She puts you at ease and talks you through the process making sure you fully understand everything. The fact that she is a qualified doctor makes you feel you are in safe hands. Read more

Marionette Lines

£350
Avika Aesthetics (W1G 6BP)
star
5.0
(80 reviews)
£££
W1G 6BP, 5 Upper Wimpole Street, LondonW1G 6BP, 5 Upper Wimpole Street, London
Get directionsGet directions to Avika Aesthetics (W1G 6BP)
Dr Avika is truly amazing. I had tried many other practitioners and spent a lot of money on a couple of specific issues I had and wanted corrected. I was disappointed every time. After the very first visit with Avika I was much happier to look in the mirror than I had been in a long time. She really listens and really looks at your face. And I really do think she has a magic touch because for me she achieved what others said was impossible without surgery. Yet she is humble and honest and doesn’t overpromise, and what she achieves is a beautifully natural look which was very important to me. Above all she is a lovely caring person who is genuine, easy to talk to and who gives you a truly holistic experience. I always walk away feeling great in every way. I really can’t recommend her enough.

Dr Avika is truly amazing. I had tried many other practitioners and spent a lot of money on a couple of specific issues I had and wanted corrected. I was disappointed every time. After the very first visit with Avika I was much happier to look in the Read more

Nose-Mouth/Marrionette lines

£350
Dermatology Skincare Centre
star
5.0
(75 reviews)
£££
W1G 9PB, 4 Harley Street, LondonW1G 9PB, 4 Harley Street, London
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I had such a great experience during my skin consultation with Sam. She was not only knowledgeable but also incredibly thorough. She took the time to explain everything clearly and offered fantastic, tailored advice on products and treatments that would benefit my skin. Would definitely recommend for anyone who's lost with where to start on their skincare journey!

I had such a great experience during my skin consultation with Sam. She was not only knowledgeable but also incredibly thorough. She took the time to explain everything clearly and offered fantastic, tailored advice on products and treatments that would benefit my skin. Would definitely recommend for anyone Read more

Marionettes Lines 2ml (30 mins)

£650

Marionettes Lines 1ml (30 mins)

£450

Marionette Lines (30 mins)

£200
Perfectus Derma Aesthetics
star
5.0
(71 reviews)
£££
WC2H 0DT, Charing Cross Road, LondonWC2H 0DT, Charing Cross Road, London
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10/10 experience. The clinic was lovely and very easy to find. Arek, Terry and Olivia were so attentive and knowledgeable, and I can already see such a difference in my under eyes after my first session of polynucleotides. Thank you so much!😊

10/10 experience. The clinic was lovely and very easy to find. Arek, Terry and Olivia were so attentive and knowledgeable, and I can already see such a difference in my under eyes after my first session of polynucleotides. Thank you so much!😊

Marionette lines 1ml

£300
Dr Lucy Broxson
star
5.0
(47 reviews)
£££
N1 8EG, 120 Islington High Street, LondonN1 8EG, 120 Islington High Street, London
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I’ve had such lovely experiences with Dr Lucy! She takes time to listen attentively to my concerns, patiently addressing each one with genuine desire to understand my goals. Dr Lucy also thoroughly explained each procedure and took the time to educate me about the options available and was professionally transparent with advice. I am beyond satisfied my result so far. I cannot recommend Dr Lucy highly enough!

I’ve had such lovely experiences with Dr Lucy! She takes time to listen attentively to my concerns, patiently addressing each one with genuine desire to understand my goals. Dr Lucy also thoroughly explained each procedure and took the time to educate me about the options available and was Read more

Marionette lines (mouth to chin)

£250
Our Skin Clinic in Warren Street
star
5.0
(35 reviews)
£££
W1T 5EQ, 129 Whitfield Street, LondonW1T 5EQ, 129 Whitfield Street, London
Get directionsGet directions to Our Skin Clinic in Warren Street
Cannot recommend Our Skin Clinic enough. Suzelly is so knowledgable and honestly does miracles. I had an acne facial and I left looking so so much better. It leaves lasting effects and my skin is so much more healthy after. I had a very bad spot which was treated and looked so much better after! Definitely best beauty clinic in London that I’ve tried. Thank you so much!

Cannot recommend Our Skin Clinic enough. Suzelly is so knowledgable and honestly does miracles. I had an acne facial and I left looking so so much better. It leaves lasting effects and my skin is so much more healthy after. I had a very bad spot which was Read more

Dermal Fillers - Marionet Lines 1ml

£250
Coral Aesthetics - London
star
5.0
(21 reviews)
£££
EC2M 5QQ, 29 Finsbury Circus, LondonEC2M 5QQ, 29 Finsbury Circus, London
Get directionsGet directions to Coral Aesthetics - London
I came here on Sunday for the signature facial and really enjoyed my visit. The venue was lovely and extremely welcoming. Personally I also found it easy to find but I am familiar with the area. I was extremely relaxed during the facial and even almost fell asleep towards the end. The products felt amazing on my skin and left me looking refreshed for the rest of the day. I will definitely be returning. Ella did my facial but Coral was also there during my appointment and allowed me to have a bit of a chat with her after regarding other treatments I was also interested in so really appreciate her taking the time to speak me with me.

I came here on Sunday for the signature facial and really enjoyed my visit. The venue was lovely and extremely welcoming. Personally I also found it easy to find but I am familiar with the area. I was extremely relaxed during the facial and even almost fell asleep Read more

Marionette Lines (corner of the mouth)

£300
HULD Aesthetics
star
5.0
(19 reviews)
£££
WC1V 7QH, 4 Chancery Lane, LondonWC1V 7QH, 4 Chancery Lane, London
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I would recommend Francisco to anyone. He makes you feel relaxed and confident about the whole experience, never looking to force anything on you or sell you something you don’t need. He listens to understand what you are looking for and ensures you get that.  I’ve been using his service for the last year and am so happy with the results to date.

I would recommend Francisco to anyone. He makes you feel relaxed and confident about the whole experience, never looking to force anything on you or sell you something you don’t need. He listens to understand what you are looking for and ensures you get that. I’ve been using Read more

MARIONETTE LINES

£280
SCIN Aesthetics
star
5.0
(13 reviews)
£££
EC1A 9PL, 18-19 Long Lane, LondonEC1A 9PL, 18-19 Long Lane, London
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I had my first microneedling session this week with Dr. Freya Bakko and I was a bit nervous but it was actually a great experience. She is super professional and gentle, I am very picky with my face but I trusted her immediately and I will be back for sure! Thanks so much 🩷✨️

I had my first microneedling session this week with Dr. Freya Bakko and I was a bit nervous but it was actually a great experience. She is super professional and gentle, I am very picky with my face but I trusted her immediately and I will be back Read more

Marionette lines

£350
Semper Iuvenis Aesthetics
star
5.0
(11 reviews)
£££
W1K 5SL, 58 South Molton Street, LondonW1K 5SL, 58 South Molton Street, London
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I am really pleased with my treatment with Dr Golfomitsos, I felt safe in her hands as she is a highly trained  professional. She talked me through the procedure in detail and made me feel at ease, I am really happy with the result. Would definitely recommend her!

I am really pleased with my treatment with Dr Golfomitsos, I felt safe in her hands as she is a highly trained professional. She talked me through the procedure in detail and made me feel at ease, I am really happy with the result. Would definitely recommend her!

Marionette Lines

£300
the booth of youth
star
5.0
(11 reviews)
£££
SE1 7RG, 45-46 Lower Marsh, LondonSE1 7RG, 45-46 Lower Marsh, London
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A month ago I had the treatment of botox injections for teeth grinding with Dr Anna. I would like to highly recommend it to everyone who suffers from this condition. Dr Anna explained everything very well, when I had the pre-treatment consultation as well as I was asked to report any issues after the treatment, but there were none. Everything went very well and after 2 weeks I  noticed that the muscles (responsible for gringing) were relaxed and I could notice the difference after waking up (usually I could feel the tension in these muscles). I highly recommend this clinic as well as Dr Anna, who is not only highly skilled, knowledgeable dentist but also passionate about what she does. For all my life I have thought that my teeth are naturally thin and fragile until I met Dr Anna, who quickly diagnosed bruxism.

A month ago I had the treatment of botox injections for teeth grinding with Dr Anna. I would like to highly recommend it to everyone who suffers from this condition. Dr Anna explained everything very well, when I had the pre-treatment consultation as well as I was asked Read more

Marionette lines: 1ml: £275 / 2ml: £400

£275-£400
Ionee Aesthetics
star
5.0
(4 reviews)
£££
W1T 4PS, 85 Charlotte Street, LondonW1T 4PS, 85 Charlotte Street, London
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Dr Monique was amazing, so reassuring and made me feel so at ease.  I love my results!

Dr Monique was amazing, so reassuring and made me feel so at ease. I love my results!

Marionette lines

£250
Facial Aesthetics in The City
star
5.0
(1 Review)
£££
EC3R 7NE, 55 Mark Lane, LondonEC3R 7NE, 55 Mark Lane, London
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I have been a patient of your exceptional practice for a very long time and every part of what you do is delivered to the highest standard. In my view there is no Harley/Wimpole street practice that comes anywhere near to your facilities, pain management and value (beyond belief) for money.  From the reception staff to the dentists and hygienists and periodontist I've had the best care with miraculously no pain. Special thanks to Shaun Smith, Simon Nocton, Gemma Morgan (you will be sooo missed when you move up North) and all the front and back of house team.

I have been a patient of your exceptional practice for a very long time and every part of what you do is delivered to the highest standard. In my view there is no Harley/Wimpole street practice that comes anywhere near to your facilities, pain management and value (beyond Read more

Marionette lines 1ml

£395
London Real Skin
star
4.9
(327 reviews)
£££
WC1V 7DN, 233 High Holborn, LondonWC1V 7DN, 233 High Holborn, London
Get directionsGet directions to London Real Skin
I’ve had such an amazing experience London Real Skin.. I have a course of 3x hydrafacials pre-wedding. The treatments were lovely, very relaxing and tweaked every session to suit the needs of my skin, I come out glowing every time! With minimal to no downtime, they say your skin can purge after but I didn’t experience anything like that myself. My therapist Leigh was an absolute gem! Such a kind and gentle manner, open and honest with my about treatments, and a great agony aunt for all my wedding stresses. I will be recommending the clinic and Leigh to all my friends and family!

I’ve had such an amazing experience London Real Skin.. I have a course of 3x hydrafacials pre-wedding. The treatments were lovely, very relaxing and tweaked every session to suit the needs of my skin, I come out glowing every time! With minimal to no downtime, they say your Read more

Marionette Lines/Chin Treatment

£500

Marianette Lines

£450
Pulse Laser Aesthetic Clinic
star
4.9
(309 reviews)
£££
W1W 7RY, 70 Mortimer Street, LondonW1W 7RY, 70 Mortimer Street, London
Get directionsGet directions to Pulse Laser Aesthetic Clinic
I highly recommend Pulse Laser Clinic and throughly enjoyed my treatments with them. I booked 6 sessions of laser hair removal on my lower face and underneath chin area with all treatments performed by Lytsa barring one session when she was away. Lytsa is very knowledgeable about her work and always supplied great and useful skincare advice which was especially appreciated as I have darker skin. The treatments were always performed to the highest standard by Lytsa within a  beautifully curated space for treatments to be performed.
Lytsa made my treatments something to be enjoyed and look forward to once a month or every six weeks; we talked about travel, theatre recommendations as well as skincare. She was also very trustworthy when communicating if and when a treatment was actually needed. After 2 sessions my hair growth reduced so going every 4 weeks dead on wasn’t necessary for me; Lytsa would always honestly advise if the gaps between treatments should  be longer so hair on my face could grow so to have productive sessions and not waste them which I very much appreciated.
I will definitely be booking again with Pulse Laser Clinic and Lytsa as my skin has never looked better.
Charlene xx

I highly recommend Pulse Laser Clinic and throughly enjoyed my treatments with them. I booked 6 sessions of laser hair removal on my lower face and underneath chin area with all treatments performed by Lytsa barring one session when she was away. Lytsa is very knowledgeable about her Read more

Marionette lines

£400
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Debbie Kynaston-0-starDebbie Kynaston-1-starDebbie Kynaston-2-starDebbie Kynaston-3-starDebbie Kynaston-4-star

As this was my first time having any treatment done I was very nervous but Jane put me completely at ease straight away. Explained everything perfectly. She started off with a small amount of filler to see how I felt about that with the option to have more if I felt I needed it.....I've already booked in for a different treatment in a couple of weeks time. I would highly recommend Jane to anyone

Debbie Kynaston

Debbie Kynaston

July 8
About Marionette line filler

About Marionette line filler

If you're looking for Marionette line filler in Homer, MARBL makes it easy to compare medical-led clinics in one place. You can compare 133+ clinics for Marionette line filler in Homer side by side. Prices typically range from around £200 to £1100, depending on the clinic, treatment area and number of sessions. All clinics on MARBL are medical-led and carefully vetted – we list only around 10% of clinics in the UK that meet our safety and quality standards. Browse verified reviews and book your appointment online in just a few clicks.

Dermal fillers for marionette lines address the lines that run from the corners of the mouth downward, creating a lifted, more youthful mouth appearance. This treatment uses advanced fillers to smooth these aging lines while subtly lifting the mouth corners for a happier, more refreshed expression. The precise technique restores youthful mouth contours and eliminates the downturned appearance that can make you look sad or tired.

On MARBL, every clinic offering marionette line treatments is vetted for perioral injection expertise, advanced line correction techniques, and natural mouth rejuvenation capabilities. Treatments are performed by certified injectors with specialized training in mouth area anatomy and expression enhancement methods. Each clinic listing includes transparent pricing for marionette treatments, detailed line correction information, and guidance on achieving optimal mouth rejuvenation through professional advanced filler techniques.

Marionette line filler sessions typically take 30-40 minutes including assessment and injection, with immediate line smoothing visible and final lifted results apparent within 2 weeks. Results typically last 9-12 months, with many clients maintaining their youthful mouth appearance through regular treatment schedules. You can compare certified mouth specialists in your area, check availability for line correction, and book marionette treatments directly through MARBL — achieving lifted mouth corners with professional filler expertise for happier, more youthful facial expressions.

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FAQs

The most effective way to get rid of marionette lines is with dermal filler injections, which restore lost volume and support to the lower face, smoothing the lines that run from the corners of the mouth down toward the chin. This treatment addresses the primary cause of marionette lines, which is volume loss and tissue descent in the lower face. Dermal filler works by replacing lost volume in the area where marionette lines form; lifting and supporting descended tissue; smoothing the crease and reducing shadow; and restoring more youthful lower face contours. Treatment typically involves hyaluronic acid fillers like Juvederm, Restylane or Teosyal; injection along and beneath the marionette lines; often combined with treatment of surrounding areas for comprehensive rejuvenation; and results visible immediately with full effects after swelling settles. For comprehensive marionette line correction, practitioners often recommend a combined approach including treating the marionette lines directly with filler; addressing the chin for lower face support; restoring cheek volume to lift the midface; and potentially using anti-wrinkle injections to relax the depressor anguli oris (DAO) muscle that pulls the mouth corners down. Other treatments that may help include skin tightening treatments like radiofrequency or ultrasound for mild laxity; collagen-stimulating treatments like Sculptra for gradual improvement; and quality skincare including retinoids and peptides for skin support. However, for established marionette lines, dermal filler remains the most effective non-surgical solution, providing immediate, visible improvement that can last 9 to 18 months depending on the filler used.

In Homer, the price of Marionette Line Filler typically ranges from around £200 to £200, but costs vary between clinics. Local pricing reflects factors such as how many millilitres or syringes are required, the brand or type of filler, the practitioner’s experience, and the personalised treatment plan and desired result. If you want to know how much Marionette Line Filler costs in Homer, compare clinic breakdowns to see the price of Marionette Line Filler per session or per syringe. You can find the exact, up-to-date price for this treatment in the catalogue

Marionette lines are the vertical creases or folds that run from the corners of the mouth downward toward the chin, creating a sad, downturned appearance to the lower face. The name comes from marionette puppets, which have similar lines carved into their faces to allow the jaw to move. Anatomically, marionette lines form in the area between the corner of the mouth (oral commissure) and the chin; they follow the natural junction between different facial compartments; and they become more prominent as facial volume decreases and tissues descend with age. Marionette lines develop due to several factors including volume loss, as fat pads in the midface and lower face diminish with age, removing support; tissue descent, where gravity causes facial tissues to sag downward; collagen and elastin loss, reducing skin firmness and elasticity; bone resorption, as the jawbone and chin lose volume with age; muscle activity, where the depressor anguli oris muscle repeatedly pulls the mouth corners down; and genetics, as some people are more prone to developing these lines. The appearance of marionette lines can make the face look sad or stern even when relaxed; aged or tired; like the mouth corners are turned down; and older than you feel. Marionette lines typically become noticeable in the late 30s to 40s and progressively deepen over time. They are often accompanied by other signs of lower face ageing including jowling, loss of jawline definition and thinning lips. The lines can significantly impact facial expression, making people appear unhappy or disapproving when their face is at rest.

Marionette lines can be effectively treated and significantly reduced, though complete permanent removal requires understanding the available options and realistic expectations. Dermal filler is the most effective non-surgical treatment for removing or significantly reducing marionette lines. Dermal filler treatment involves injecting hyaluronic acid filler directly into and around the marionette lines; restoring volume loss that contributes to line formation; lifting descended tissue to reduce the crease depth; and providing immediate, visible improvement. The procedure takes 20 to 30 minutes, causes minimal discomfort with numbing, and results last 9 to 18 months. For optimal marionette line removal, comprehensive treatment often includes direct filling of the marionette lines themselves; chin augmentation for lower face support and projection; cheek enhancement to lift the midface and reduce downward descent; jawline contouring for overall lower face definition; and possibly anti-wrinkle injections to the DAO muscle to prevent downward pull. Additional treatments that help remove marionette lines include collagen stimulators like Sculptra or Radiesse for gradual volume restoration; skin tightening treatments like radiofrequency, ultrasound or laser for mild to moderate laxity; thread lifts for lifting and collagen stimulation; and in severe cases, surgical facelift for permanent repositioning of descended tissues. To maintain results after removal, follow up treatments are needed as fillers gradually metabolise; protect skin from sun damage; use quality skincare supporting collagen; maintain healthy lifestyle; and consider preventative treatments before lines fully return. Complete permanent removal is only achievable through surgery, but non-surgical treatments can provide dramatic, long-lasting improvement that most people find very satisfactory.

Preventing marionette lines involves addressing the factors that cause them before they become established, combining protective measures, supportive treatments and healthy lifestyle choices. Sun protection is essential for prevention since UV damage is a primary cause of collagen and elastin breakdown; daily SPF 50+ sunscreen on the lower face is crucial; protective clothing and seeking shade reduce cumulative damage; and preventing sun damage preserves skin structure that resists line formation. Skincare for prevention should include retinoids, which stimulate collagen production and maintain skin thickness; antioxidants like vitamin C to protect against environmental damage; peptides supporting skin structure and firmness; and hydrating ingredients maintaining skin plumpness. Lifestyle factors that help prevent marionette lines include not smoking, as smoking dramatically accelerates facial ageing and volume loss; maintaining stable weight, as repeated weight fluctuations affect facial fat; staying hydrated for skin health; eating a balanced diet rich in antioxidants and protein; getting adequate sleep for skin repair; and managing stress, which affects skin ageing. Preventative treatments to consider include early intervention with small amounts of filler before lines are established; skin boosters maintaining hydration and quality; collagen-stimulating treatments supporting skin structure; and regular professional skincare treatments. Muscle management through anti-wrinkle injections to the DAO muscle can prevent the repeated downward pull that contributes to line formation; early treatment relaxes the muscle before deep creases form; and this is particularly helpful if you notice your mouth corners naturally turn down. Starting preventative measures in your 30s, before significant lines develop, is more effective than waiting until deep creases have formed. However, genetics play a role, and some people will develop marionette lines despite excellent prevention efforts.

Reducing marionette lines effectively requires addressing both the lines themselves and the underlying causes of their formation. Dermal filler is the most effective treatment for reducing marionette lines by directly filling and supporting the creased area; restoring lost volume that allows lines to form; lifting descended tissue to reduce line depth; and providing significant, immediate improvement. Treatment typically uses 0.5ml to 2ml of hyaluronic acid filler depending on severity; results are visible immediately and last 9 to 18 months; and the procedure takes 20 to 30 minutes with minimal downtime. Comprehensive reduction strategies include addressing surrounding areas, where treating the chin provides support and improves lower face proportions; cheek enhancement lifts the midface, reducing downward pull; and jawline treatment creates overall lower face definition. Anti-wrinkle injections to the DAO muscle reduce the downward pull contributing to line formation; work well in combination with filler; and help maintain results longer. Skin tightening treatments for mild lines include radiofrequency treatments to stimulate collagen and tighten skin; ultrasound treatments for lifting and tightening; and laser treatments for skin quality improvement. Collagen stimulators like Sculptra provide gradual, natural-looking volume restoration; work over several months as collagen builds; and may be preferred for those wanting subtle, progressive improvement. Skincare that helps reduce marionette lines includes retinoids to stimulate collagen and improve skin thickness; peptides supporting skin structure; and hydrating ingredients maintaining skin plumpness. For best results reducing marionette lines, most practitioners recommend a combination approach tailored to your specific anatomy, line severity and desired outcome, often combining filler with supporting treatments for comprehensive improvement.

The amount of filler needed for marionette lines typically ranges from 0.5ml to 2ml total, though the exact amount depends on the severity of your lines, your facial anatomy and desired outcome. Individual factors determine the precise volume required. For mild marionette lines with early, shallow creases, typically 0.5ml to 1ml total is needed, split between both sides; this provides subtle softening and prevents deepening; and one syringe often suffices. For moderate marionette lines with established, visible creases, typically 1ml to 1.5ml total is needed; more significant filling and support is required; and some people benefit from treating surrounding areas too. For severe marionette lines with deep, pronounced folds, typically 1.5ml to 2ml or more may be needed; comprehensive treatment including surrounding areas is often recommended; and multiple syringes may be required for optimal results. Additional filler considerations include that treating marionette lines alone may not provide optimal results; comprehensive lower face rejuvenation often requires chin filler (0.5ml to 1ml) for support and projection; cheek filler (1ml to 2ml) to lift the midface; jawline filler (1ml to 2ml) for definition; and the total treatment may use 3ml to 6ml across multiple areas for full lower face rejuvenation. A conservative approach is often recommended, starting with smaller amounts initially; assessing results after 2 weeks when swelling settles; adding more if needed at a follow-up appointment; and building gradually for natural-looking results. Cost implications show that marionette line filler typically costs £200 to £400 per ml; comprehensive lower face treatment may cost £600 to £1,500+ depending on areas treated; and results typically last 9 to 18 months before maintenance is needed. Your practitioner will assess your specific needs during consultation and recommend an appropriate treatment plan based on your anatomy, concerns and goals.

Botox alone cannot fix marionette lines because the lines are primarily caused by volume loss and tissue descent rather than muscle movement. However, Botox can play a supportive role in marionette line treatment when used strategically as part of a comprehensive approach. Botox can help marionette lines by treating the depressor anguli oris (DAO) muscle, which pulls the mouth corners downward; relaxing this muscle allows the mouth corners to lift slightly; this reduces the downward pull that contributes to line formation; and creates a more pleasant resting expression. The DAO treatment involves small injections (typically 2 to 4 units per side) into the muscle near the jawline; results appear within 1 to 2 weeks; effects last 3 to 4 months; and this is often called a 'mouth corner lift' or treatment for downturned smile. Why Botox alone is insufficient is because marionette lines are primarily caused by volume loss, which Botox cannot address; descended tissue and skin laxity require filling or lifting; the creases themselves need volume replacement to smooth; and structural support from filler is necessary for significant improvement. The optimal approach combines dermal filler to directly address the marionette lines, restore volume and provide support; Botox to the DAO muscle to reduce downward pull and maintain results; and potentially additional filler to chin, cheeks or jawline for comprehensive lower face rejuvenation. Botox is particularly helpful for marionette lines when the mouth corners turn down noticeably during expressions; there is strong DAO muscle activity; you want to extend the longevity of filler results; and as part of preventative treatment before lines deepen. For anyone hoping Botox alone will fix marionette lines, the realistic expectation is that it provides modest improvement by lifting mouth corners slightly, but filler is necessary for significant correction of the lines themselves.

Yes, dermal fillers work very effectively for marionette lines and are considered the gold standard non-surgical treatment for this concern. Fillers address the primary cause of marionette lines, which is volume loss, and provide immediate, visible improvement that most patients find highly satisfying. How fillers work for marionette lines involves restoring lost volume in the area where lines form; filling and supporting the crease to reduce depth and shadow; lifting descended tissue that contributes to line formation; and providing structural support to the lower face. The effectiveness of fillers for marionette lines is supported by high patient satisfaction rates; immediate, visible results; long-lasting improvement typically 9 to 18 months; and ability to achieve natural-looking correction. Filler treatment provides best results when using appropriate products, as thicker, more supportive fillers work well for deeper lines while softer fillers suit superficial lines; treating comprehensively by addressing surrounding areas like chin and cheeks for optimal results; using proper technique with experienced practitioners understanding lower face anatomy; and taking a conservative approach, building gradually for natural results. Types of fillers that work well for marionette lines include Juvederm Volift or Voluma for moderate to deep lines; Restylane Lyft or Defyne for support and flexibility; Teosyal RHA for natural movement; and choice depends on line depth, skin type and practitioner preference. Results patients can expect include significant reduction in line visibility; softer, smoother lower face appearance; more youthful facial contours; and lifted, less sad resting expression. Limitations to understand are that fillers provide temporary results requiring maintenance; very deep lines may not completely disappear but will significantly improve; optimal results often require treating multiple areas; and severe laxity may need additional treatments or surgery. For most people with marionette lines, dermal filler provides excellent, reliable results that meaningfully improve lower face appearance and create a more youthful, pleasant expression.

Before marionette line filler treatment, people typically have visible vertical lines running from the mouth corners toward the chin; a sad, stern or disapproving resting expression; downturned appearance to the mouth corners; shadowing and creasing in the lower face; aged appearance disproportionate to how they feel; and self-consciousness about looking unhappy or tired when their face is relaxed. These lines often make people appear older, sadder or more stern than they actually are, affecting confidence in social and professional situations. After marionette line filler treatment, assessed once initial swelling has settled (typically 1 to 2 weeks after treatment), most people experience significant, visible improvement. Common results include dramatically reduced marionette line visibility; smoother, more youthful lower face contours; lifted, more pleasant resting expression; reduced shadowing and creasing; more harmonious facial proportions; and restored confidence about facial appearance. If comprehensive treatment including chin, cheeks or jawline is performed, additional results include improved lower face definition and support; lifted midface reducing downward tissue descent; better overall facial balance and proportions; and more complete rejuvenation of the lower face. The degree of improvement depends on the severity of lines before treatment; the amount and type of filler used; whether surrounding areas are treated; individual anatomy and skin quality; and the skill and technique of the practitioner. During and after treatment, the timeline shows that immediately after there is visible improvement with some swelling; days 1 to 3 bring swelling that may temporarily exaggerate results; days 7 to 14 see swelling settling and true results visible; and weeks 2 to 4 demonstrate optimal results with filler fully integrated. Results typically last 9 to 18 months depending on the filler used, metabolism and lifestyle factors, after which maintenance treatment is needed to sustain improvement. Before and after expectations should be realistic: filler provides significant reduction and softening rather than complete elimination of deep lines; natural-looking improvement is the goal rather than overfilled appearance; results are temporary, requiring ongoing maintenance; and comprehensive treatment of surrounding areas often provides better overall results. Most people are very satisfied with marionette line filler results, finding that treatment creates meaningful improvement in their lower face appearance, making them look more rested, pleasant and youthful. The correction often has a significant positive impact on how others perceive their expression and approachability.