Softens the vertical lines running from the mouth corners to the jawline by reducing the muscle pull that contributes to them.
Natural-looking outcomes focused on balance, precision, and facial harmony
Cases will be added soon
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.
- Vertical lines from mouth corner to jaw
- A “puppet mouth” appearance on animation
- Marionette lines alongside a downturned mouth


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.
For some patients with minimal volume loss, yes; for others, a combined approach with filler works better.
Muscle treatment reduces the pull causing the fold; filler restores lost volume. Many mature patients benefit from both.
Typically three to four months for the muscle-relaxing component.
Yes, the same muscle contributes to both concerns.
Yes - this is a temporary treatment requiring maintenance to sustain the effect.