
Marionette Lines Filler: Solutions and Information You Should Know in 2025
Marionette lines are a common concern that affects many people's confidence in facial expressions. Dermal filler injections have become an effective solution to address this issue, helping to fill in deep lines and rejuvenate the face. This article will guide you through the process of marionette line filler injections and provide essential information to know before making a decision, empowering you to confidently care for your skin.
Table of Contents for Marionette Lines Filler
- What are Marionette Lines?
- What causes Marionette lines?
- What Can Marionette Line Filler Help With?
- How to Inject Marionette Line Filler
- How Much Does Marionette Line Filler Injection Cost?
- Why does filler injection in the marionette lines sometimes result in unnatural lumps?
- Side effects of marionette line filler injections?
- Reviews after marionette line filler injections
What are Marionette Lines?
Marionette lines are the folds or creases that run from the corners of the mouth down to the chin. They are visible in both women and men and are a type of wrinkle that can make someone appear older. This issue can be addressed with marionette line filler injections. Marionette lines are classified into 4 grades based on their severity.
What causes Marionette lines?

1. Mandibular & Dentoalveolar reabsorption
Mandibular & Dentoalveolar reabsorption: With age, the lower jawbone recedes, and the teeth shift, causing the marionette lines to sag. This results in folds and a downturned mouth appearance.

2. Increased Fat and Sagging Face
Increased Fat and Sagging Face (Subcutaneous fat hypertrophy & herniated jowl fat pad): As we age, bone structure deteriorates, causing fat and muscle to shift from their original positions. This results in a drooping face with fat accumulation along the jawline, a less defined jawline, and an aged appearance.

3. Thinning Skin
As skin thins, collagen and elastin beneath the skin lose their effectiveness, leading to wrinkles and folds.
What Can Marionette Line Filler Help With?
Marionette line filler injections can help address deep lines around the corners of the mouth. The filler works by plumping up the skin's layers that have sagged or deteriorated, causing wrinkles. This restores a fuller, smoother appearance to the area, resulting in a more youthful look.
Marionette line filler can be used in conjunction with nasolabial fold filler and mouth corner lift filler. In some cases, marionette lines can cause the corners of the mouth to droop, creating a perpetually sad or downturned expression. The mouth corner lift filler technique at Mutan Clinic can correct this issue. These procedures should be done together for optimal results. Therefore, when addressing this area, the skin around the mouth should be smooth, youthful, and consistent in appearance.
How to Inject Marionette Line Filler
Filler injections involves assessment and analysis of the causes of marionette lines, followed by grading the severity of the lines to address the root cause and achieve the most natural-looking results.
- Grade 1-3: Inject filler to fill in the marionette lines and corners of the mouth, selecting a product that matches the patient's skin type for a smooth, natural look without lumps.
- Grade 4-5: These are caused by aging and sagging skin. In addition to injecting filler to fill in the marionette lines, additional procedures such as filler lifting or HIFU (High-Intensity Focused Ultrasound) may be necessary for best results. This method is considered a treatment that instantly plumps and tightens the skin.
**** Important Note: If we effectively correct the upper face (Midface), it will improve the lower face (Lowerface) to some extent, thus saving filler injections in the lower face. ****
How Much Does Marionette Line Filler Injection Cost?
Why does filler injection in the marionette lines sometimes result in unnatural lumps?
Some people may have experienced having lumps after injecting filler in the marionette lines, making it look unnatural when smiling. If the injection is done using genuine filler, this may be caused by incorrect injection techniques, injecting too superficially, choosing a filler that is not suitable for the patient's skin, or using an excessive amount of filler.
Solution | Prevention |
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If genuine filler was used, it can be dissolved with Hyaluronidase, a safe enzyme with no residue. Once the original filler is dissolved, new filler can be injected for correction. However, fake fillers like liquid silicone must be surgically removed. | For beautiful and natural-looking results, it is recommended to get marionette line filler injections at a certified clinic with experienced doctors who use genuine filler. |
Side effects of marionette line filler injections?
After filler injections, you may experience side effects such as needle marks, bruising, or swelling, which are normal and not dangerous. These symptoms will improve within 2-3 days and the swelling will subside within 7-14 days. It is important to follow your doctor's instructions carefully.
Reviews after marionette line filler injections

FAQ
How long does marionette line filler last?
It depends on the type and brand of filler used. Generally, it can last for 12-18 months, and it also depends on self-care after the filler injection. Try to avoid behaviors that make the filler dissolve faster.
How many days does marionette line filler swell?
There will be a little swelling for about 2-3 days after the treatment, and it will gradually disappear on its own. It takes about 1-2 weeks for it to settle in. During this time, the doctor does not recommend eating pickled foods because they contain a lot of sodium. Avoid drinking all types of alcoholic beverages to reduce the risk of swelling. After that, the doctor will make another appointment to see the results.
summarize
Marionette linesare another wrinkle on the face that makes us look older than our age, which can be found in both women and men. It can be corrected by injecting marionette line filler, which will help solve the problem of deep grooves in the corners of the mouth. The filler will help support the sunken or deteriorated skin layer that causes wrinkles, making it plumper and smoother. The face will look fuller and younger.
By choosing a clinic that meets standards, is clean, safe, and receives services from experts or experienced doctors to reduce the risk of various errors. Most importantly, you should study and find information first.Dr. Som, Dr. Grace and the Mudan Pavilion medical team are happy to provide free consultations without any charges. Inbox Facebook or add this Line. The doctor will answer every case himself.