Marionette lines are a concern not everyone will face, typically found in those aged 30-35 and above. As we age, our bodies lose collagen and fat that support our facial skin. When these diminish, our skin sags and loses firmness. The cheek tissue falls, creating lines beside the nose and marionette lines near the corners of the mouth.
Look at the sides of your mouth, where there are short, vertical lines. These can be more prominent and deep depending on the individual. The term ‘Marionette line’ comes from comparing it to the lines on a puppet's hinged jaw.
Marionette lines result from sagging cheek tissue due to a lack of collagen and fat in the skin. It's hard to gain weight to replace the lost fat, but you can fill in these lines and plump up the skin with filler injections.
Filler injections involve injecting Hyaluronic Acid (HA), a substance found naturally in our skin that maintains moisture, firmness, and elasticity. It can retain water and expand.
Immediately after the injection, you will see the marionette lines become less visible. If you step back and look at your overall face, you will notice a significantly younger appearance, effectively addressing the problem of looking older.
Filler injections are quick procedures that deliver instant results without the need for surgical incisions, leaving only a small needle mark that heals quickly.
High-quality fillers with water-retention properties will become even plumper over time. Once settled, they blend smoothly with the skin and can last 8-12 months before naturally dissolving.
At MEGA CLINIC, we use 3 leading filler brands: Neuramis from Korea, Restylane from Sweden, and Juvederm from the USA. The most popular filler used by our doctors for marionette lines is Neuramis.
MEGA CLINIC directly purchases Neuramis fillers from MEDYCELES (Thailand) Co., Ltd., the sole authorized distributor in Thailand. We allow verification of the filler authenticity before every procedure, with detailed guidance from our staff.
Q: How long does a marionette line filler injection take?
A: The procedure takes about 20–30 minutes, not including the time for applying numbing cream. After the injection, you can resume your normal activities immediately.
Q: Do I need to wait until I’m older to decide on getting marionette line fillers?
A: Many people think marionette lines only appear with age, but that’s not always true. These lines happen due to sagging skin and cheeks that begin to droop, which can occur even in younger people. If you notice vertical lines forming under the corners of your mouth, you can visit us to let the doctor examine your face and decide if fillers are the right option for you.
Q: What other sagging skin issues usually come with marionette lines?
Q: Can marionette line fillers lift the corners of the mouth?
A: Fillers can indirectly lift the corners of the mouth. After the injection, the skin under the corners of the mouth becomes fuller and plumper, which may make them look slightly lifted. However, this is not a treatment specifically designed for lifting the mouth corners.
Q: If I don’t have marionette lines yet, how can I prevent them from forming?
Additionally, maintain a healthy lifestyle by eating well and exercising. Avoid excessive fat buildup in the cheeks, as too much fat can make the cheeks appear heavier and more prone to sagging. This sagging contributes to both smile lines and marionette lines over time.
MEGA CLINIC specializes in facial contouring with fillers, Botox, fat dissolving, skin-nourishing vitamins, and skin tightening. With over 300,000 cases handled by our experienced medical team.
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