skip to Main Content

How to get rid of marionette lines

As we age, our faces change and there’s a downward trend. Literally.

Part of this facial sagging is the appearance of marionette lines. In this article we look at what marionette lines are and what you can do about them.

What are marionette lines?

Marionette lines are wrinkles which extend from each corner of your mouth down your chin. Marionette lines can cause your mouth to look downturned, giving you an unhappy appearance.

The marionette lines are shown below in green:

What causes marionette lines?

During the ageing process, the fat pads in our upper face gradually diminish, while the fat pads in our lower face become fuller. This causes our skin to sag downwards and develop folds, such as marionette lines.

Why are they called marionette lines?

The name comes from their resemblance to a marionette (string puppet) with a jointed mouth!

How to get rid of marionette lines

Dermal fillers

Facial fillers are very effective at dealing with deep wrinkles such as marionette lines. They gently plump out the wrinkles, resulting in a smoother appearance.

Dermal fillers can also be used to add volume to your cheeks, replacing the diminishing fat pads in that area. This treatment will lift your skin and, as a result, reduce the appearance of marionette lines.


While dermal fillers are usually the ‘go to’ treatment for marionette lines, botox is also a useful option. Botox can be used to relax the muscles which pull down the corners of your mouth and accentuate the appearance of marionette lines.

We can use botox in conjunction with dermal fillers to maximise the improvement.

Book your botox or fillers appointment

Botox and fillers are available at the following clinics:

London Harley Street — Huntingdon — Peterborough — Sevenoaks