Marionette Lines
Experience a remarkable transformation

Dermal fillers for marionette lines restore lost volume, soften creases, and rejuvenate the lower face for a smoother appearance
How to Treat Marionette Lines with Dermal Fillers
At Rejuvenate Face, our doctor-led clinic offers advanced, minimally invasive solutions to soften marionette lines—the vertical creases that extend from the corners of the mouth to the chin. These lines often create a downturned appearance, but dermal fillers can restore volume, lift the lower face, and rejuvenate your natural contours.
Understanding Marionette Lines
Marionette lines develop due to a combination of factors, including:
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Ageing: Reduced levels of collagen, elastin, and hyaluronic acid lead to thinner, less elastic skin.
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Volume Loss: Fat pads in the mid-face shift downward, pulling the skin and deepening creases.
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Repetitive Facial Movements: Frequent smiling or frowning can gradually accentuate these lines.
Treatment Approaches
Direct Filler Placement
How It Works
Dermal fillers are injected directly into the marionette lines to lift and smooth the creases. A hyaluronic acid-based filler is carefully placed to add structure and volume, providing immediate improvement.
Benefits
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Precision: Targets the line itself for focused correction.
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Instant Results: Visible reduction in depth after treatment.
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Natural Look: Avoids overfilling by using conservative amounts of product.
Considerations
Best suited for patients with mild to moderate marionette lines and good mid-face volume. Overfilling can create an unnatural puffiness, so a balanced approach is key.
Indirect Volumisation (Mid-Face and Cheek Enhancement)
How It Works
Restoring volume to the cheeks and mid-face lifts sagging tissues, reducing tension on the lower face. This indirect approach softens marionette lines by addressing their root cause.
Benefits
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Subtle Lift: Elevates the lower face for a more youthful contour.
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Proportional Results: Enhances overall facial harmony.
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Longevity: Mid-face support can extend the lifespan of results.
Considerations
Ideal for patients with significant mid-face volume loss. Combining this with direct filler often yields the most balanced outcome.
Combined Approach
For comprehensive rejuvenation, we often blend both techniques:
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Mid-Face Volumisation: Builds a supportive foundation by replenishing cheek volume.
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Direct Line Smoothing: Refines marionette lines for a polished finish.
This dual strategy ensures natural, long-lasting results while minimising the amount of filler needed.
Advanced Techniques for Safety and Precision
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Layered Filling: Firmer fillers are placed deep for structural support, while softer fillers smooth superficial lines.
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Cannula Use: Blunt-tipped cannulas reduce the risk of vascular injury in high-risk areas.
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Upright Assessment: Marking injection points while upright ensures accuracy, as lying down can alter facial anatomy.
Safety First
The lower face contains critical blood vessels, including branches of the facial artery. Our doctors prioritise safety by:
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Anatomical Expertise: Detailed knowledge of vascular structures to avoid complications.
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Slow, Low-Pressure Injections: Minimises trauma and ensures even product distribution.
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Emergency Protocols: Immediate access to hyaluronidase (a filler-dissolving agent) if needed.
Why Choose Rejuvenate Face?
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Doctor-Led Care: Treatments are performed by medically trained professionals.
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Personalised Plans: Tailored to your facial structure and goals.
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Premium Products: High-quality hyaluronic acid fillers for natural, lasting results.
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Aftercare Support: Guidance on post-treatment care and follow-up appointments.
In Summary
Dermal fillers offer a versatile solution for marionette lines, whether through direct correction, mid-face volumisation, or a combined approach. At Rejuvenate Face, our focus on safety, advanced techniques, and natural aesthetics ensures you achieve a refreshed, balanced appearance. Book a consultation to discover how we can help you achieve smoother, younger-looking contours.
Are dermal fillers safe for treating marionette lines?
Yes, dermal fillers are generally considered safe when administered by qualified medical professionals with in-depth knowledge of facial anatomy. At Rejuvenate Face, our doctor-led team uses premium, industry-approved hyaluronic acid fillers. This ensures minimal risk of adverse reactions, and any rare complications—such as swelling, bruising, or vascular issues—can be managed effectively with our expert guidance and aftercare.
How long do results from marionette line fillers usually last?
Results can typically last anywhere from 6 to 12 months, depending on factors like your metabolism, the type of filler used, and individual skin characteristics. Many patients choose routine top-ups at intervals recommended by their practitioner to maintain the optimal, smooth appearance. During your consultation, we will create a personalised plan to help prolong your results while keeping your facial expression natural.
Will the treatment for marionette lines be uncomfortable?
Most patients experience only mild discomfort during the procedure. We frequently use topical anaesthetics or fillers that include anaesthetic agents to ensure your comfort. A slight swelling or tenderness may appear shortly after treatment, but these symptoms generally subside within a few days. We will provide detailed aftercare instructions and, if necessary, additional comfort measures to help you enjoy a smooth recovery.
Is there any downtime or special aftercare required?
One of the advantages of dermal fillers is that they typically require little to no downtime. You can often resume daily activities immediately. However, we recommend avoiding strenuous exercise, hot baths, or saunas for at least 24 hours to reduce the risk of bruising or swelling. Our team will give you personalised aftercare guidelines, including advice on gentle skincare and when to schedule your follow-up appointment.