Show patients their result before they treat.
The vertical folds running from the corners of the mouth toward the chin that create a downturned, tired look.
Sarah Jenkins
Plan #4201 • Lower Face & Neck
Recommended Protocol
Dermal Filler
Juvéderm Vollure • For Marionette Lines
Retinols
At-home maintenance
Marionette lines are the folds that run from the corners of the mouth toward the chin, caused by volume loss, repeated expression, and gravity pulling the lower face down. They're softened most naturally by restoring jawline and chin support with hyaluronic acid fillers like Juvéderm Vollure or Restylane Defyne, or biostimulators like Sculptra and Radiesse, sometimes with a neuromodulator to relax the muscle that pulls the mouth corners down. HA results are immediate and last about 12–18 months.
Marionette lines are the vertical or diagonal folds that run from the corners of the mouth down toward the chin, creating a sagging, downturned appearance in the lower face. They form from a combination of aging, midface and jawline volume loss, repeated expression, and gravity, and can make a person look sad or tired even at rest.
For a practice, marionette lines are a high-intent consult because patients are bothered by the expression they project, not just a wrinkle. The clinical goal is to soften the fold and subtly lift the corners of the mouth by restoring support along the jawline and chin rather than overfilling the crease. Letting a hesitant patient preview a refreshed, still-natural result on their own photo is what converts the consult and protects against an overdone look.
Marionette Lines
Where it appears
Mouth, Chin
Facial area
Lower Face & Neck
Treatment paths
11
From in-clinic procedures to at-home regimens, Afters maps the full range of options — so patients can see what each one would do for them, on their own photo, before they commit.
Professional procedures performed by a provider to target the concern directly.
Branded injectables and medical products providers use for this concern.
Medical-grade products patients use between visits to maintain results.
The named injectables, products, and devices patients search for — each lets them preview the result before they commit.
Patients rarely come in for just one thing. Browse other concerns Afters can visualize.
The folds that run from the sides of the nose to the corners of the mouth, deepening with age and volume loss.
Explore treatmentsRestoring a sharper, more defined jawline as skin laxity and jowls soften the lower face.
Explore treatmentsSmall, shallow wrinkles that show up first around the eyes, mouth, and forehead.
Explore treatmentsCommon questions patients ask about marionette lines — and what practices should be ready to answer.
Age-related collagen and fat loss in the lower face, repeated mouth movement, and gravity combine to create folds from the corners of the mouth toward the chin, deepening over time.
Restoring support along the chin and jawline with hyaluronic acid filler or a biostimulator like Sculptra usually softens the fold more naturally than filling the line directly. A small amount of neuromodulator can relax the muscle that downturns the mouth.
Hyaluronic acid fillers typically last 12–18 months, while biostimulators such as Sculptra and Radiesse can last up to two years as they stimulate the body's own collagen.
Yes. Threads, RF microneedling, and laser resurfacing improve the surrounding skin and provide mild lift, though volume replacement gives the most direct softening of a deep fold.
Not when the lower face is supported conservatively rather than overpacking the crease. Previewing a balanced result before treatment helps set expectations and avoid an unnatural look.
Afters simulates the outcome on a patient's own photo and builds a visual 12-month plan — so consults convert and average ticket climbs.