How to help prevent marionette lines

Marionette lines are folds that run from the corners of the mouth toward the chin. They reflect changes in skin elasticity, facial movement, soft-tissue support, and bone structure over time. Sun exposure and tobacco can accelerate visible ageing. The depth and pattern vary between people, so a skincare routine may improve surface quality without changing deeper folds.

Use broad-spectrum sun protection on exposed facial skin and reapply it as directed, especially during outdoor activities. Wear shade or a hat when practical. Cleanse gently, moisturise regularly, and avoid smoking or vaping tobacco. A balanced routine can support the skin barrier; adding a retinoid may help some people but can irritate sensitive skin and needs clinician guidance in pregnancy. If lines are already pronounced, a qualified practitioner can discuss dermal fillers or a thread lift, including limitations, risks, and alternatives. Facial exercises or aggressive massage should not be relied on to prevent folds.

Arrange a consultation if a facial line changes quickly, becomes one-sided, or is accompanied by weakness, numbness, swelling, or difficulty speaking. For gradual cosmetic lines, seek advice before an injectable or lifting procedure, particularly if you have previous filler, dental work, skin disease, or medicines that affect bleeding.

Ask which factors are contributing to your lines, what improvement is realistic from skincare, and whether filler or a thread lift fits your anatomy. Ask about preparation, aftercare, warning signs, and how the result will be managed if you change your mind.