Concerns
Marionette lines run from mouth corners toward the chin and often relate to volume loss.
Lines form with repeated facial movement, natural aging, sun and lifestyle.
An assessment determines whether a treatment is appropriate and safe for you.
Updated October 16, 2026 · General information only; it does not replace an individual assessment.
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Marionette lines are creases that extend from the corners of the mouth towards the chin. They can make the lower face appear sadder without reflecting how you feel. They often relate to volume loss and tissue laxity. An individual assessment helps determine whether dermal fillers could be suitable for your facial structure and concerns.
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Marionette lines can deepen as collagen decreases, facial volume changes and underlying bone support shifts. Genetics, sun exposure, smoking and weight fluctuations can also contribute. They are not simply a sign of dry skin. An assessment identifies the main contributing factors before considering dermal fillers, since adding volume does not address every cause.
Related services : Dermal Fillers
Skin creams cannot reliably prevent marionette lines or replace lost facial volume. Broad-spectrum sunscreen with SPF 30 or higher, regular moisturising and avoiding smoking can support skin health and limit some external contributors to ageing. If the folds concern you, a consultation can distinguish surface skin changes from volume loss before discussing whether dermal fillers are appropriate.
Related services : Dermal Fillers
Dermal fillers may soften marionette lines when volume loss contributes to their appearance. Treatment may involve the fold or nearby support areas, depending on facial anatomy. Complete removal of the crease is not guaranteed. In Quebec, these injections require a prescription and a nurse–physician care framework; an individual assessment determines whether treatment is appropriate.
Related services : Dermal Fillers
Dermal fillers are not always the best option when jowls and tissue laxity are the main concerns. Adding volume without considering facial support can make the lower face look heavier. A consultation assesses skin, volume distribution and your expectations. Depending on the findings, a different approach or a surgical opinion may be more appropriate.
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Swelling, bruising and tenderness can occur after filler injections for marionette lines. A contour change may be visible early, but swelling can obscure the initial result. Follow your personalised aftercare instructions and do not massage the area unless advised. Significant pain or an unusual change in skin colour requires urgent assessment rather than waiting for routine follow-up.
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Dermal filler results for marionette lines are temporary, and their duration varies with the product, treatment area and individual. Facial movement and ongoing tissue changes also affect the outcome. Your consultation should cover expectations for the specific product being considered. A reassessment, rather than an automatic treatment schedule, determines whether additional filler is appropriate.
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Risks include bruising, swelling, asymmetry, lumps and infection; rare blood vessel blockage can cause serious tissue injury. Disclose medications, allergies, previous procedures and any active infection during your assessment. In Quebec, treatment requires a prescription and a nurse–physician care framework. Severe pain, skin blanching or visual symptoms require immediate medical attention, not a routine follow-up appointment.
Related services : Dermal Fillers
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