Marionettes and Downturned Mouth

MARIONETTE LINES AND A DOWNTURNED MOUTH

Dermal fillers can be used to lift the corners of the mouth where over time sagging skin and downturned lines can make you feel like you look sad or upset when you're not. 

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DURATION

30-60 Minutes

DOWNTIME

You may have some initial redness, swelling or bruising.

RESULTS

Immediately but will improve over a 4-6 week period.

ANAESTHETIC

Topical Anaesthetic & Local Anaesthetic

WHAT ARE MARIONETTE LINES OR A DOWNTURNED MOUTH?

Marionette lines and a downturned mouth (oral commissures) are an extension of the smile lines and present as the lines or folds that form from the corner or the mouth down to the jawline. Marionette lines and a downturned mouth are often treated in conjunction with lower face toxin, lip volumisation, perioral lines and the chin.

WHAT CAUSES MARIONETTE LINES AND A DOWNTURNED MOUTH?

The marionette lines and a downturned mouth appear as we age due to a combination of volume loss in the mid-face and chin area as well as the muscle in the area (DAO) pulling down the corners of the mouth leading to a sad appearance. 


CAN FILLERS HELP MARIONETTE LINES AND A DOWNTURNED MOUTH?

When patients present in clinic with concerns around the corner of the mouth and the marionette lines, we assess the full face and often recommend mid-face support in the form of cheek contouring first. This treatment uses hyaluronic acid dermal filler to support the fat pads in the cheek area which in turn lifts the descended volume in the marionette area and indirectly treats the problem. Injecting the marionette or mouth corners with dermal filler before supporting the mid-face can lead to a bulking and an unnatural appearance. Once the mid-face has been supported the area is then reassessed and may be treated independently or in combination with chin augmentation or lower face toxin.  
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DOWNTURNED MOUTH

AND MARIONETTE LINE

BEFORE AND AFTER

This patient was unhappy about the volume loss just underneath the mouth area, making her appear "sad". Dermal filler was placed to help support the area and lift the corners of the mouth.

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FAQs

  • How are marionette lines treated?

    Oral commissures and marionette lines are often treated in conjunction with mid-face and lower face dermal fillers as well as lower face toxin. During your consultation the area will be assessed and we will discuss how best to treat your lines. 

  • How much do fillers cost for marionette lines?

    The cost of dermal fillers varies from person to person and depends on presentation and the amount of filler required to achieve your end goal. We will be able to provide a more accurate quote during your consultation whilst we are discussing your treatment plan. 

  • Can you get rid of smile lines?

    Smile lines can be treated with hyaluronic acid dermal filler both directly and indirectly depending on the presentation at your consultation. 

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