What are marionette lines?
Marionette lines are the vertical creases that start at the corners of your mouth and extend down toward your chin, creating a tired or downturned appearance, even when you’re not frowning. They’re named after the lines on a marionette puppet.
Why do marionette lines form?
As we age, the supportive foundation under our skin begins to break down. That includes bone, fat, and connective tissue. When this structure weakens, gravity takes over, leading to skin folds and sagging. This volume loss is the primary reason nasolabial folds and marionette lines become more noticeable over time.
Other factors,like significant weight loss, bone loss, or even past chin implants, can also accelerate the formation of marionette lines.
How can I treat marionette lines?
At Verve,weI treat marionette lines using dermal fillers. The goal isn’t just to fill the crease, but to strategically lift and support the surrounding skin, including the mid-face and jawline areas. This approach helps restore the original structure, not just mask the lines.
Marionette line filler treatment may be considered an off-label use of cosmetic fillers, but it’s commonly performed using products like Juvederm, Restylane, or Radiesse.
How soon will I see results?
Most patients see improvement right away, with full results developing as any initial swelling subsides over a few days. The lift can be subtle but powerful, helping to soften the appearance of sagging from the mouth to the chin.
I’m interested. What’s the next step?
Use our online form to schedule a consultation, or visit the Treatments page to learn more about how marionette line filler works and how we treat nasolabial folds and marionette lines at Verve.This information was medically reviewed by board-certified physician Stephen P. Bracci, M.D. on August 20, 2025.
