5 procedures to get rid of marionette lines

There are opinions that the appearance of wrinkles on the face is associated with emotions. After all, the formation of folds on the skin depends on facial expressions and the work of the facial muscles.

For example, ray-shaped wrinkles around the outer corner of the eye are associated with joy. A vertical crease between the eyebrows appears when a person is angry. Therefore, it is logical that wrinkles, lowered from the corners of the mouth to the chin, are often called wrinkles of grief or sadness. Marionette lines, also called melomental folds are facial wrinkles that occur with natural aging. The lines run vertically between the mouth and chin, which can also create sagging in the lower half of your face. They were named so because the facial expression of their appearance becomes similar to the expression on the faces of theatrical puppets.

They are also called by a not very optimistic name – folds of sorrow. These are visible folds that are located between the corners of the mouth and the chin. As a rule, they begin to form from the age of thirty and appear as a result of age-related changes occurring in the body. The appearance of marionette lines gives the face a sad or dissatisfied expression. People with these wrinkles look older than their age.


What causes marionette folds?

Marionette folds are referred to as a number of mimic wrinkles. They are outlined at an early age as a result of the formation of facial expressions and articulation. Some of the causes are:

  1. Genetic. A tendency to early aging or a certain type of skin aging can indirectly influence the earlier appearance of wrinkles. In the presence of other factors, genetics begins to work at 100%, and the first signs of aging are already visible at the age of 30.
  2. Age-related changes. Marionette wrinkles appear with age when sufficient amounts of collagen are not produced in the skin tissues. The skin of the face loses its former elasticity, and the muscle tissues relax and sag under the weight of the skin and subcutaneous fat.
  3. Rapid weight loss. The appearance of such wrinkles is often experienced by people who lose weight in a short period of time. Young skin tightens over time and regains its tone. And mature skin is stretched, which contributes to the formation of creases and folds in the corners of the mouth.
  4. Loss of teeth. Folds of grief are formed due to the absence of teeth. When teeth fall out, the skin becomes less stretched and sags into the resulting cavities.
  5. Constant tension of the oral muscles. Marionette wrinkles also occur in people who constantly tense the muscles in this area. For example, announcers, singers, musicians, etc.
  6. Influence of ultraviolet light. People who like to take a tan in a solarium or in direct sunlight are also predisposed to the early appearance of facial wrinkles in the chin area.
  7. Smoking. Smokers can be distinguished by premature aging of the nasolabial zone. This habit accelerates the formation of marionette folds.
marionette lines

5 procedures to get rid of marionette lines

Dermal fillers

Dermal fillers are very good at dealing with deep wrinkles such as marionette lines. They gently plump out the wrinkles, resulting in a smoother appearance.

Marionette lines filler can also be used to add volume to the cheeks, replacing the diminishing fat pads in that area. This treatment will lift the skin and, as a result, reduce the appearance of these lines

marionette lines treatment


While dermal fillers are often the ‘go-to’ treatment for deeper lines, botox is also an effective option for marionette lines.

Botox can be used to relax the muscles which pull down the corners of the mouth and accentuate the appearance of marionette lines. Botox can be used in conjunction with dermal fillers to maximize the improvement.

Botox for marionette lines

PDO thread lifts

Depending on your particular requirements, PDO thread lifts may also be recommended as an effective treatment for marionette lines.

PDO thread lifting treatment works by implanting absorbable and non-allergenic sutures or ‘threads’ into the skin, which gently tighten the skin for a natural, lifted appearance.
These threads also stimulate the skin’s ability to produce collagen, elastin, and hyaluronic acid, so they continue to achieve a rejuvenating effect.

Chemical Peel

A chemical peel involves applying an acidic solution to the skin to peel away the top layer of the skin. Depending on the acid used, this marionette line treatment can have a light and superficial, a medium, or a deep effect. Chemical peels stimulate the skin to regenerate, which leads to the reduction of wrinkles such as marionette lines, as well as skin blemishes and hyperpigmentation like age spots – in short, the entire skin appearance is renewed. Side effects reminiscent of sunburn may occur, such as pain, redness, and peeling of the skin.

chemical peeling for marionette folds


This is also called collagen induction therapy. The needles create small holes in the target area of the skin which stimulates skin cells to generate new collagen and elastin.

These then improve the texture, quality, and elasticity of the skin which in turn treats moderate lines and wrinkles.  Microneedling treatment cannot get rid of deep marionette lines, but it can help improve the appearance of early lines and helps clients achieve a smoother bouncier complexion.


With a range of available treatments, the key is to choose the most suitable one for your face and skin. A private consultation with a professional is always the starting point for all patients to receive a detailed facial and skin assessment and discuss the desired results.

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