2026-09-03
Marionette Line Treatment: So Many Options? A Custom Recommendation Guide Just for You
Explore the various types of marionette line treatments, from fillers to lifting procedures, and find the perfect solution tailored to your specific skin concerns and desired outcomes.
※ This article is intended to provide medical information.
It is not subject to deliberation under Article 56, Paragraph 2 and Article 57 of the Medical Act,
and is not an advertisement unrelated to the content of deliberation.
Hello,
I am Park Jeong-geun,
Director of Faceplus Plastic Surgery Clinic.
As we age, one of the areas that
most concerns us when looking in the mirror
is the wrinkles around the mouth.
Many people are troubled by these wrinkles,
which can create a grumpy expression.
Searching online reveals too many solutions,
making it confusing to choose the right one.
Today, I have prepared a guide to help you resolve your lower face concerns
by summarizing the types of marionette line treatments
and finding the method that perfectly suits your skin condition.
Table of Contents | ||
1. Causes of Marionette Lines 2. Types of Marionette Line Treatments by Category 3. Custom Treatment Recommendation Guide 4. Post-Treatment Precautions and Care |
1. Causes of Marionette Lines
These wrinkles, which extend from the corners of the mouth down to the chin,
primarily occur due to aging, leading to a loss of skin elasticity
and sagging cheeks. Specifically, the supporting ligaments around the mouth weaken,
and fat shifts downwards, creating deep shadows along with what is commonly known as ‘jowls’.
Depending on whether the cause is skin sagging or volume loss,
the approach to marionette line treatment
will differ completely.
2. Types of Marionette Line Treatments by Category
Treatments are broadly divided into three types.
The first type involves fillers or collagen injections to replenish lost volume.
Fillers are injected along the wrinkle lines to immediately fill in sunken, shadowed areas,
making this a very effective marionette line treatment
for the early stages when wrinkles are not yet deep.
The second type involves thread lifts and laser lifts to pull up sagging skin and fat.
This popular marionette line treatment uses medical threads to directly pull up sagging jowls diagonally upwards,
or utilizes high-frequency/ultrasound devices like Ultherapy or Thermage
to contract the deep SMAS layer of the skin,
restoring elasticity.
The last type is Botox treatment, which corrects facial muscles
by weakening the muscles that pull down the corners of the mouth.
3. Custom Treatment Recommendation Guide
So, what is the most effective marionette line treatment for you?
If you have minimal skin sagging and only slightly sunken wrinkles:
We primarily recommend fillers to immediately add volume
or injection treatments that promote autologous collagen regeneration.
If your jowls have started to sag:
Combining thread lifts or lifting lasers like Ultherapy,
which lift the loosened skin upwards, is much more effective.
If the corners of your mouth particularly sag when you close your mouth:
Combining Botox to correct the depressor anguli oris muscle
can create a synergistic effect.
Rather than simply choosing based on price or reviews,
it’s essential to analyze the amount of fat and degree of sagging in your face
and undergo a customized marionette line treatment
to achieve a smooth lower face without an unnatural appearance.
4. Post-Treatment Precautions and Care
After the procedure, you should refrain from
excessive facial muscle use for 1-2 weeks.
In particular, avoid opening your mouth too wide
or chewing hard foods.
Additionally, vigorously rubbing the treated area
can cause the injected substances or threads to shift,
so it’s best to avoid massage for a while.
Thank you.
-Operating Hours-
Weekdays 9:00 ~ 18:00 Saturdays 9:00 ~ 16:00 Public Holidays / Sundays Regular Day Off |
-Contact Us-
Faceplus Plastic Surgery Clinic | ||
Consultation Phone: 02-541-8500 Inquiries: KakaoTalk Inquiry |
-Directions-
Frequently Asked Questions
Why do marionette lines appear?
Marionette lines primarily occur due to aging, leading to a loss of skin elasticity and sagging cheeks. Specifically, the supporting ligaments around the mouth weaken, and fat shifts downwards, creating deep shadows.
What types of marionette line treatments are available?
Marionette line treatments are broadly divided into three types: fillers and autologous collagen regeneration injections to replenish lost volume, thread lifts and laser lifts to pull up sagging skin and fat, and Botox treatment to correct facial muscles.
Which treatment is effective for the early stages when wrinkles are not yet deep?
Yes, for the early stages when wrinkles are not yet deep, fillers to immediately add volume or injection treatments that promote autologous collagen regeneration are very effective. Fillers are injected along the wrinkle lines to fill in sunken areas.
Which treatment is recommended if jowls have started to sag?
Yes, if your jowls have started to sag, combining thread lifts or lifting lasers like Ultherapy, which lift the loosened skin upwards, is much more effective. These treatments directly pull up sagging jowls or contract the deep SMAS layer of the skin to restore elasticity.
What precautions should be taken after the treatment?
Yes, after the treatment, you should refrain from excessive facial muscle use for 1-2 weeks. In particular, avoid opening your mouth too wide or chewing hard foods, and it’s best to avoid massage that vigorously rubs the treated area for a while.
What is the most important factor when choosing a marionette line treatment?
Yes, when choosing a marionette line treatment, rather than simply deciding based on price or reviews, it’s most important to accurately analyze the individual's facial fat volume and degree of sagging to undergo a customized treatment. This ensures a smooth lower face without an unnatural appearance.