What are Marionette lines?
Marionette lines are the lines, or creases, that appear at the corners of the mouth and extend downward towards the chin.
How do Marionette lines form?
Marionette lines form as we age and lose the supportive structures below the skin.
Is there anything in particular that causes them to appear?
Like most forms of facial sagging, ageing is the major component of under skin volume loss that leads to marionette lines. Other conditions that can accelerate the appearance of marionette lines include weight loss as well as bone and tooth loss. Additionally, a history of chin implants may impact the formation of marionette lines.
How are Marionette lines treated?
Marionette lines may be treated with cosmetic fillers to lift the skin in this area and to support the skin in the mid-face and jawline area. There are different approaches to correcting the marionette lines. Dermal fillers are commonly used to fill in the marionette lines, and additionally, in certain people, a small dose of muscle relaxing injections can be used to help stop the depressor anguli oris muscles (DAO) pulling down the corners of the mouth and jowls. This is important in some patients who overuse their DAO muscles which pull down the corners of the mouth. Injecting this with muscle relaxing injections can give a more attractive appearance, with a less down going negative appearance to the mouth. Click here to learn more about anti-wrinkle injections.
Results will vary from patient to patient and do not reflect the outcome of your surgery; nor does Dr Wadhera guarantee specific results.
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Dr Wadhera (M.B.B.S) has practiced medicine for over 40 years in Sydney. He is trained as a General Practitioner and in Cosmetic Medicine, specialising in aesthetic medicine and skin care surgery. Dr Wadhera is renowned for his quality of results and workmanship, as well as developing trusted relationship with clients. Dr Wadhera specialises in advanced techniques, complex cases and correctional work.