Marionette Lines
What are Marionette Lines?
Marionette lines are vertical lines or wrinkles that extend from the corners of the mouth down to the chin. They can create the appearance of sagging or a downturned expression, which may make someone look sad or tired even when their face is at rest.

Causes of Marionette Lines:
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Aging: As we age, the skin loses elasticity and volume due to a reduction in collagen and elastin, leading to sagging around the mouth and jawline.
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Volume loss: Loss of fat and bone density in the lower face contributes to a hollowed, drooping effect that can accentuate marionette lines.
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Genetics: Some people may be genetically predisposed to develop marionette lines earlier or more prominently.
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Repeated Facial Movements: Movements like frowning or puckering the lips can gradually deepen these lines.
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Lifestyle Factors: Sun exposure, smoking, and poor diet can accelerate the skin's aging process, leading to more pronounced marionette lines.
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Symptoms of Marionette Lines:
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Visible Lines or Folds: Deep lines or folds extending from the corners of the mouth to the chin area.
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Downturned Mouth Corners: Marionette lines can cause the mouth corners to turn downward, giving a sad or tired look.
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Loss of Jawline Definition: These lines often contribute to sagging around the jawline, affecting the overall contour of the face.

Marionette Lines Treatment Options:
Option 1: Teosyal RHA3 is a hyaluronic acid dermal filler designed for dynamic areas of the face, where there is frequent movement, like around the mouth. It is particularly well-suited for treating marionette lines.​
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Natural-Looking Flexibility: It is formulated to adapt to facial movements, which provides a more natural appearance even when smiling, talking, or frowning.
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Restore Volume: Teosyal RHA3 adds volume to areas of volume loss, filling in the marionette lines and smoothing the contours around the mouth.
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Hydration and Elasticity: The hyaluronic acid in Teosyal RHA3 helps attract and retain moisture in the skin, improving its elasticity and reducing the appearance of lines.
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Immediate Results: Results are visible immediately after treatment and usually last up to 12-18 months.

Option 2: Bocouture is a type of botulinum toxin that temporarily relaxes muscles by blocking nerve signals. By injecting to the mid point of Depressor anguli oris muscle, it relaxes muscles that pull down the mouth corners and help lift the corners of the mouth to reduce the appearance of marionette lines. It helps soften a sad or tired appearance by subtly lifting the mouth corners, leading to a more positive expression. The effects of Bocouture usually lasts about 4-6 months.


Combining Teosyal RHA3 and Bocouture often gives the best result to treat marionette lines. Teosyal RHA3 restores volume, while Bocouture reduces the muscle activity that can deepen these lines. Together, they provide a comprehensive approach that addresses both volume loss and muscle-related causes, resulting in smoother and more youthful-looking lower face contours.