Marionette Line Softening in London

Softens the vertical lines running from the mouth corners to the jawline by reducing the muscle pull that contributes to them.

Before & After Results

Natural-looking outcomes focused on balance, precision, and facial harmony

Cases will be added soon

Who This May Be Suitable For

Best suited to patients with an early or moderate muscular contribution to their marionette lines, often alongside a downturned mouth corner.

- Early marionette line formation.
- A visible downturned mouth corner.
- Patients in their 40s to early 50s.

Where volume loss is the dominant cause, muscle treatment alone is unlikely to be enough - this is assessed honestly.

Common Concerns Treated

- Vertical lines from mouth corner to jaw
- A “puppet mouth” appearance on animation
- Marionette lines alongside a downturned mouth

Our Approach:
- Assessment of muscle activity, volume and skin   elasticity together
- Honest scope-setting on the muscular   component specifically
- Coordinated referral to filler where appropriate

Doctor-Led Treatment

Muscle-relaxing treatment reduces the downward pull of the depressor muscle at the mouth corner, which contributes to the marionette fold in many patients.

Because volume loss and skin elasticity also contribute to this line — especially in mature patients — treatment is often planned alongside filler rather than as a standalone fix.

Dr Kay will explain honestly what proportion of your concern is muscular before treatment begins.

Frequently Asked Questions

Will muscle treatment alone remove my marionette lines? 

For some patients with minimal volume loss, yes; for others, a combined approach with filler works better.

How is this different from filler for marionette lines? 

Muscle treatment reduces the pull causing the fold; filler restores lost volume. Many mature patients benefit from both.

How long does it last? 

Typically three to four months for the muscle-relaxing component.

Is this linked to a downturned mouth corner? 

Yes, the same muscle contributes to both concerns.

Will I need ongoing treatment? 

Yes - this is a temporary treatment requiring maintenance to sustain the effect.

Related Treatments

Downturned Mouth CorrectionChin Smoothing