Marionette Lines are a common and a natural sign of aging which are characterised by vertical lines appearing from the corners of the mouth to either side of the chin. A downwards movement of the fat and skin in the face as well as loss of collagen in the skin are the main influencers in the appearance of marionette lines. 

The signs are caused by a combination of genetics, smoking, sun exposure, weight loss and daily stresses. 

​

Botulinum Toxin can be injected into the overactive Depressor Anguli Oris muscle which is responsible for lowering the corners of the lips and subsequently the marionette lines. 

​

Dermal fillers can be used to inject into the area around the marionette lines. They give lift and volume to the area under these wrinkles, smoothing out deep lines and restoring youthful appearance to the surface of the skin.