Marionette lines are deep folds that run from the corners of the mouth down toward the jawline. They often become noticeable in the late 30s to 40s, especially when the face is at rest, making a person look sad or tired.
Marionette lines develop from multiple changes in the skin and facial structure as we age, including:
Lifestyle factors can also speed up their appearance, such as smoking, frequent sun exposure, and repeated facial movements like smiling, laughing, or chewing.
As the skin and bone structure weaken, the fat that once supported the cheeks diminishes. Muscles and ligaments can no longer hold everything up, causing the skin to sag and gather at the mouth corners, making marionette lines more visible.
In some cases, people with naturally fuller cheeks may notice deeper marionette lines as they age, since sagging cheeks press down on the corners of the mouth.
Marionette lines can also appear in teenagers, often due to genetics. For example, naturally low cheekbones or downward-turned mouth corners can make the folds more noticeable from a young age. This isn’t abnormal, and if someone dislikes how it looks, filler program offers a safe, non-surgical way to smooth and soften the lines.
Marionette line filler program is one of the most popular treatments using hyaluronic acid (HA), a substance naturally found in the body. Doctors inject it into the folds under the mouth corners to restore smoothness, firmness, and a youthful look right away.
HA filler programs are FDA-approved in Thailand and internationally. They help plump deep lines, lock in hydration, improve skin elasticity, and naturally dissolve over time without leaving residue.
Results can be seen immediately after treatment, as the folds appear softer. Within about 1 month, the HA fully settles, creating a natural and smooth finish. On average, results last 8–12 months before gradually breaking down naturally.
For marionette lines, MEGA CLINIC doctors recommend three globally trusted brands: Neuramis, Restylane and Juvederm . The choice depends on each individual’s needs and facial structure.
So, is Neuramis a good option? It's a leading Korean filler program. The most popular version, Neuramis Deep (Black Box), has a gel texture suitable for multiple areas of the face, including marionette lines. It delivers clear yet natural results at an accessible price, making it a high-value choice.
HA is the only type of filler program approved by the Ministry of Public Health for safe facial contouring and wrinkle correction. Choosing a certified clinic that uses genuine, traceable filler programs and being treated only by experienced doctors ensures safety and minimizes risks. This avoids complications often linked to counterfeit products or unqualified injectors.
Sagging cheeks and marionette lines often appear together with age because the cheek area directly connects to the mouth corners. Treating only the folds may not fully solve the problem.
Some devices also help reduce excess fat beneath the skin, further enhancing facial contour and creating a slimmer, more lifted appearance.
To reduce the chance of visible bruising, Before filler programs, you should:
Proper care helps HA settle and last longer. After getting , you should:
Other than this, daily activities can continue as normal, including washing your face, applying skincare, masking, warm showers, cooking, or eating hot foods.
Summary: if you notice sagging cheeks or marionette lines and want an effective solution, consult a doctor at MEGA CLINIC. Our doctors will evaluate and create a personalized plan to address your concerns and goals.
A: Filler programs can be done from age 18 and above. If a teenager has noticeable marionette lines due to facial structure or genetics, a doctor can assess whether they are the right solution.
A: Most cases require about 1 CC per side, depending on the depth and severity of the lines. The doctor will determine the exact amount for the most natural-looking result.
Taking care of your skin and maintaining firmness helps slow down marionette lines from appearing too early:
MEGA CLINIC safety, service standards, and the quality of all products used are our top priorities. Every procedure is performed by experienced doctors using only genuine, verifiable filler programs to ensure natural, beautiful, and confident results in every case.
MEGA CLINIC has multiple locations covering key areas in Bangkok and nearby provinces:
For more details or to book an appointment, message our admin team via LINE Official: @megaclinic (with @). Click the green “Add LINE” button at the bottom of the screen.
