Treatment Area: Marionette Lines
Marionette lines are the vertical creases that form from the corners of the mouth down toward the chin. As we age, several changes contribute to their development — including bone resorption, fat loss, skin laxity, and collagen breakdown. These structural changes cause the skin and soft tissue around the mouth to descend, turning the corners of the mouth downward and creating visible folds.
Over time, these lines deepen, becoming more prominent even when the face is at rest. In some cases, they also contribute to jowling and shadowing in the lower face, giving an aged, tired, or sad appearance.
Why It Matters
Marionette lines can have a significant effect on overall facial expression — often making a person look more serious, stern, or fatigued than they actually feel. These creases interrupt the natural curve between the mouth and jawline, drawing the face downward and creating asymmetry.
Softening this area restores a more lifted, approachable expression. When corrected thoughtfully, treatment can brighten the face and improve the perception of mood and energy — without changing the essence of your features.
The Importance of Preventative and Ongoing Care
Marionette lines often start as dynamic folds caused by repeated movement and loss of support but can eventually etch into static lines. Addressing them early with subtle interventions — such as dermal fillers or muscle relaxation — can delay their progression and preserve smoother skin.
Ongoing care supports skin elasticity, slows the formation of deeper folds, and helps maintain a more youthful appearance over time. Preventative treatment also protects investment in other aesthetic treatments, such as lip filler or jawline contouring.
How Injector 5280 Can Help
At Injector 5280, we use a comprehensive approach to treating marionette lines — combining volume restoration, muscle relaxation, and collagen stimulation to address both the visible fold and the underlying cause.
Dermal Fillers
We use hyaluronic acid-based fillers such as Juvederm® Ultra Plus, Juvederm® Voluma, and Restylane® Defyne to restore volume and smooth marionette lines. These fillers gently lift the corners of the mouth and soften the fold, reducing the appearance of shadows and creating a refreshed, balanced lower face.
Sculptra®
Sculptra works gradually by stimulating your own collagen production. This is an excellent option for patients with deeper folds or structural volume loss who want long-term, natural improvements. Over time, Sculptra helps strengthen the dermal matrix and reinforces the lower face from within.
Wrinkle Relaxers
When marionette lines are exaggerated by muscle pull, neuromodulators like Botox®, Dysport®, Jeuveau®, or Daxxify™ can be used to relax the depressor anguli oris (DAO) muscle. This subtle adjustment lifts the corners of the mouth and softens expression — creating a more approachable and uplifted appearance.
Learn more about Wrinkle Relaxers »
Your Next Step
If marionette lines are making your expression appear older or more fatigued than you feel, we can help. Schedule a consultation at Injector 5280, and our expert team will design a personalized treatment plan to refresh your lower face — with results that look smooth, soft, and completely natural.