How to fix marionette lines
a lifted, softer lower face
Marionette lines run downward from the corners of the mouth toward the chin, often making the face look sad or tired. They form when the mid- and lower face lose support, so lifting combined with gentle volume works best.
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How do you get rid of marionette lines without surgery?
Marionette lines respond best to a combined approach. Lifting the mid-face and jawline with HIFU or a PDO thread lift reduces the drag on the mouth corners; a small amount of hyaluronic filler softens the groove immediately, typically for around 6–12 months; and Botox can relax the muscle that pulls the corners down. Sculptra adds gradual, longer-term support.
Gravity meets the lower face
These lines are rarely just a skin crease — they reflect changes in volume, support and muscle pull around the mouth.
Mid-face descent
As the cheeks lose support, tissue moves down and gathers beside the mouth.
Collagen & elastin loss
Thinner skin folds more easily into a lasting line.
Volume shifts
Fat thins above and gathers lower, deepening the groove and creating jowls.
Muscle pull & genetics
The depressor muscle draws mouth corners down; some faces show this earlier.
Treatments we combine for marionette lines
Lifting comes first; filling is gentle and precise:
- Hyaluronic acid fillers – soften the groove and restore support
- Mid-face / cheek filler – lifts tissue that pulls the corners down
- Botox (DAO) – relaxes the muscle that turns corners downward
- Sculptra – PLLA collagen support for the lower face
- PDO thread lift – lifts the lower face and softens fold depth
- Shurink or Ultherapy – tightens deeper layers
- Skin boosters – improve fine lines and hydration around the mouth
A lighter, more relaxed expression
What to expect at your visit
Lower-face assessment
We look at cheek support, jawline, muscle pull and skin quality.
Lift-first plan
Lifting, volume and muscle relaxation are balanced; costs are explained up front.
Precise treatment
Numbing and fine techniques keep treatment comfortable; mild swelling is common.
Refine
Filler shows change at once, collagen and lifting improve over weeks; we review and refine.
Who is a good candidate?
- Downturned mouth corners or a sad look at rest
- Early jowls or lower-face heaviness
- Deepening nasolabial folds alongside marionette lines
- Mid-face volume loss
- Anyone wanting non-surgical lower-face rejuvenation
Good to know
- Mild swelling or bruising can last a few days after filler or threads
- Avoid massaging the area, saunas and alcohol for a few days
- Overfilling the mouth area can look heavy — we keep it conservative
- Heavy jowling may be better addressed surgically — we will advise honestly
- Not suitable during pregnancy or with active cold sores or infection near the mouth
Marionette line questions, answered
What is the best filler for marionette lines?
A soft-to-medium hyaluronic acid filler is common, often combined with cheek support. The exact product depends on depth and skin thickness.
Can Botox help marionette lines?
Botox in the depressor muscle can lift downturned corners slightly. It works best combined with filler or lifting rather than alone.
How long do marionette line results last?
Filler typically lasts around 6–12 months in this mobile area, and HIFU or threads around a year. Sculptra may last longer. Results vary.
Are marionette lines and jowls the same thing?
They are related but different. Marionette lines are the grooves beside the mouth; jowls are the heaviness along the jaw. Both come from lower-face sagging and are often treated together.
Is there downtime?
Usually minimal. Most people return to normal activities the next day, with mild swelling settling in a few days.
How do I book a marionette line consultation in Seoul?
Send us a WhatsApp message at +82-10-6396-5671 with your concern and preferred dates. We reply in English with availability and a VAT-inclusive quote.
Related treatments & guides
Plan your lower-face refresh
English-speaking consultations, transparent VAT-inclusive pricing and a doctor-led plan for every patient. Message us on WhatsApp for availability and a quote.
- Address
- 5F SH Tower, 331 Bongeunsa-ro, Gangnam-gu, Seoul
- Subway
- 1-min walk from Seonjeongneung Station, Exit 1
- Hours
- Mon·Thu 10–19 · Tue·Fri 10–21
Wed 13–18 · Sat 10–16 · Sun/holidays closed - +82-10-6396-5671
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