Lines from the corner of the mouth toward the chin. Often paired with mouth-corner support for a balanced lower-face result.
Marionette lines run vertically from the corner of the mouth toward the chin, named for the hinged appearance they create. They're driven by two forces: descent of the tissue around the mouth corner, and the muscle that actively pulls the corner downward.
Effective treatment addresses both. Filler restores the support that's been lost. Botox relaxes the depressor anguli oris muscle, which fights the descent.
Two structures drive marionette lines.
Depressor anguli oris is a muscle that originates at the jawline and inserts at the corner of the mouth, actively pulling the corner downward.
Mouth corner support is provided by the surrounding fat compartments and bone. As both deflate, the corner descends without active muscle pull.
Treatment combines structural support with muscle relaxation.
Marionette lines become visible in the forties and deepen through the fifties. Skin laxity and tissue descent are the primary drivers, with depressor anguli oris activity adding to the appearance.
Genetics and habitual expression play significant roles. Some clients develop marionettes much earlier than their age would predict.
Marionettes in this decade are anatomy, not aging. Treatment is rare.
Some clients with active depressor muscles or genetic predisposition may notice mouth corner descent early. Treatment in this decade is uncommon and usually preventive.
This is when most clients first notice marionettes. The mouth corner has descended visibly. Treatment plans typically combine Botox and filler.
Marionettes are usually pronounced in this decade. Treatment combines depressor relaxation, mouth corner support, and selective filler in the line itself for the most natural correction.
Marionette work is layered. We treat the depressor with two to four units of Botox per side, which relaxes the downward pull. We support the mouth corner with small amounts of HA filler placed precisely. For deeper grooves, we add soft filler along the line itself.
Product choice matters. We use Juvederm Vollure, Restylane Refyne, or RHA 3 here. Avoid heavier fillers, which can blunt the natural smile mechanics.
The result is subtle. The corner lifts a millimeter or two. The line softens. The face reads neutral instead of stern. Clients describe looking less tired or angry, not different.
Each location has its own character. All three share the same standard of care.
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I was truly blown away after my appointment here. Every single person I interacted with, from the front desk to the providers who handled my treatments, was incredible! They made me feel so welcomed and cared for, and were both informative and genuinely kind. The space itself is spotless, cozy, and easily the most inviting place I’ve ever been for Botox. Michelle did my Botox and she was amazing! I also had a hydrafacial and dermaplaning, and I already can’t wait to come back again and again.You will not regret booking here!
I highly recommend RN Esthetics! The staff is welcoming, knowledgeable, and helpful without making you feel rushed. The facility is spotless and clean, which made me feel even more comfortable and confident being there. Great experience overall!
