How to reduce marionette lines

Marionette lines are creases that extend downwards from the mouth corners towards the chin. They can reflect repeated facial movement, changes in skin support, shifting facial volume, and descent of soft tissue. Dryness and ultraviolet exposure may make their surface more noticeable. They are a type of [Wrinkles](/symptoms/wrinkles/), but their appearance is also shaped by the lips, jawline, and chin.

Daily sunscreen, shade, gentle cleansing, and moisturiser help protect the skin surface. A clinician may consider [Dermal Fillers](/treatments/injectables/dermal-fillers/) where loss of support contributes to the fold. A [Thread Lift](/treatments/aesthetic-procedures/thread-lift/) may be discussed for selected patterns of mild laxity. These treatments have different risks, costs, recovery, and limits; assessment should include facial movement, skin quality, dental or jaw concerns, and your preferred degree of change.

Seek an assessment if a line changes quickly, becomes a one-sided indentation, or is associated with a lump, ulcer, bleeding, persistent pain, numbness, or weakness. After an injectable or thread procedure, prompt review is needed for worsening pain, unusual skin colour, marked swelling, fever, or vision changes.

Ask whether the fold is mainly a skin crease or reflects deeper volume and tissue movement, which product or technique would be used, how facial balance will be protected, what aftercare is required, and which symptoms need urgent contact.