What should you know about lifting marionette lines?

Marionette lines are creases extending from the mouth corners towards the chin. They can become more visible as skin elasticity changes, facial volume shifts, and repeated expressions fold the skin. They may occur alongside other [Wrinkles](/symptoms/wrinkles/), but their depth and position differ between people.

A line may be partly a crease and partly a shadow created by nearby tissue descent. That distinction matters because filling the line itself is not always the same as supporting the surrounding lower face.

[Dermal Fillers](/treatments/injectables/dermal-fillers/) can restore selected volume and soften a hollow or crease. The product, placement, and amount should be chosen conservatively because the mouth and lower face move frequently. A [Thread Lift](/treatments/aesthetic-procedures/thread-lift/) may be considered when mild tissue descent contributes to the line.

Daily sunscreen, moisturiser, and avoiding smoking help protect skin quality, though home care cannot reposition deeper tissue. A consultation should cover facial balance, movement, previous filler, and the possibility that treating adjacent areas may produce a more natural result.

Seek assessment for a line that appears suddenly on one side, or for associated weakness, numbness, swelling, pain, or a persistent sore. These features need medical evaluation. Gradual symmetrical lines can be discussed during a routine dermatology or aesthetic consultation.

Ask whether the line is mainly etched, hollow, or caused by tissue descent; what product or technique is proposed; how expression may affect the result; and what warning signs require urgent review.