As ageing starts to manifest, mouth-to-chin lines can become a predominant concern. Otherwise known as “marionette” lines, for their resemblance to the split jaws of string puppets, they run vertically, from the corners of the lips down to either side of the chin, and can give the face a sad or angry appearance. Unlike forehead lines, frown lines or crow’s feet, these lines are not the result of excessive facial movement – they are the result of insufficient volume and support in the lower-face. Much like nose-to-mouth lines, treating mouth-to-chin lines often requires careful assessment of the rest of the face.
Marionette Line Treatments
In Action: Take a closer look at how this restoration was achieved
Read on for answers to some of the most commonly-asked questions
We use dermal fillers which contain a local anaesthetic known as lidocaine, which helps to reduce discomfort – while use of a topical numbing cream can be of benefit for patients who are anxious.
All of our advanced doctors have been trained to analyse the face carefully. This means that they can pinpoint the exact areas of the face that need support, and consequently lessen the appearance of mouth-to-chin lines. Replacing lost volume in the jawline, for example where bone and soft tissue has deteriorated, means that they can subtly shape the lower face: restoring a sense of strength while softening deep mouth-to-chin lines. The effects of volume restoration typically last 12 – 18 months.
The jawline area can be prone to swelling, and post-procedure, the area will feel sore – however this has usually settled by the next day. Most patients who have dermal filler are back to their normal routine immediately after treatment. If bruising does occur, it is easily covered with post-procedure makeup – though this should not be applied until the following day. We also encourage patients to sleep with their head elevated for the first few nights following the procedure, to keep any swelling to a minimum.
Mouth-to-chin lines are smoothed immediately, the jawline looks more refined and even the face looks happier. The best results, however, are seen in two weeks’ time, when the filler has fully integrated with the tissues and the face has settled.
Marionette Line Treatments performed by
Our founder, Dr Darren McKeown, is renowned for his expertise and artistry with dermal fillers. As a peer-reviewed medical author, he is passionate about treatments that stand up to scientific scrutiny. Above all, Dr McKeown believes in a global approach; delivering flawless results – and rejuvenation that lasts.
Dr Nina Singh
Dr Nina Singh is a skilled aesthetic doctor who joined the practice in 2023, after undergoing a year of immersive training in the McKeown Method. She is passionate about good skin at any age and combining techniques to achieve the most natural and effective results for our patients. She also has a specialist interest in treating skin of colour.
Dr Rhona Cameron
Dr Rhona Cameron is a skilled injector who has been extensively trained in Dr McKeown’s signature intuitive technique. Her treatments blend advanced facial optimisation with powerful, energy-based devices – such as lasers, BBL and radio frequency – energising the appearance and enhancing skin health. approach; delivering flawless results – and rejuvenation that lasts.
Some other areas of Specialism
Catherine, aged 50
Treatment of Lines Around the Lips with Injectables
See for yourself, just what the clinic can do