Marionette Lines

Marionette lines (mouth to chin lines) can be treated with dermal filler to rebuild structure in the face and replace those building blocks lost with the ageing process

What are Marionette Lines?

Marionette lines  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.

These types of wrinkles tend to develop by your 40s, but you may start seeing signs of them in your 20s and 30s.

Causes of Marionette Lines

Like other types of facial wrinkles, marionette lines are caused by natural collagen losses that occur with age. Collagen itself is a protein that naturally plumps up your skin. Gravity also plays a role in sagging skin around the chin, making marionette lines more noticeable.

As early as your 20s, your skin starts losing elasticity as well as hydration, which increases your risk for fine lines and wrinkles. Long-term sun exposure, stress, and poor nutrition may also contribute to facial wrinkles by prematurely breaking down collagen and elastin.

Filler may also be placed in the pre jowl sulcus to aid restructure and disguise sagging in the lower face.

What happens when you have Marionette Line Fillers?

An anaesthetic cream might be used first to numb your skin. Injections are given around the area of your face being treated, which may be then massaged to aid a smooth appearance.

It might feel uncomfortable but should not be overly painful.

The treatment usually takes between 20 and 30 minutes, depending on the severity of the area being treated.


The affected area may be a bit red, sore and swollen. Any swelling or bruising should settle down in a few days and can be treated with a cold compress to aid comfort.

You will be advised about what to do to help reduce the risk of side effects.

This includes not wearing make-up immediately after the procedure and avoiding alcohol, caffeine, steam and saunas, heavy exercise and the sun or sunbeds.

Enquire about Marionette Line Treatment