Marionette Lines & Doll Lines & Downturned Mouth
Marionette lines are long vertical lines that laterally circumscribe the chin. These lines often give you that unhappy or mad expression where some people may misunderstand your face expressions just because of the deep shadows and lines. Marionette lines appear with advancing age yet some people never get them. It just depends on facial structure and anatomy.
Causes of Marionette Lines
Marionette Lines become more noticeable due to a variety of factors, including:
Sun Exposure
Sun exposure damages the skin, causing wrinkles and changes in texture
Collagen and Elastin Loss
Loss of collagen and elastin (the building blocks of the skin) with age, making the skin appear weak and thin
Aging
As we age, the ligaments that are around the mouth and chin become looser, which lets the fatty tissue in the cheeks sag.
Genetics
If you look at your mom, dad, or older sibling and they have them, there is a great chance you will develop them too.
Loss of Fat
Loss of fat in the cheeks, which can make the cheeks and nearby regions appear saggy
Other factors that play a role in skin aging include:
Smoking
Exposure to environmental pollutants
Rapid weight fluctuations
Treatments
Here’s the good news! Marionette lines are an ideal target for Botox treatment, as well as injectable fillers. Hyaluronic acid (HA) filler, like Restylane or Juvederm serve to push up and support the folds that create deep lines on your face. The treatment results last about one year to 18 months.
We also treat patients with Voluma in the cheekbones. This helps pull up and lift the sagging skin while also giving back the volume to your upper face.