Marionette lines run downward from the corners of the mouth, giving a sad or tired expression. At Doje Clinic, common treatment options include Dermal Fillers, Botox, Ultherapy, chosen after a dermatologist's assessment.
Medically reviewed by [DOCTOR NAME], board-certified dermatologist · Doje Clinic, Apgujeong, Seoul · Last reviewed November 2026
What is marionette lines?
Marionette lines run downward from the corners of the mouth, giving a sad or tired expression.
What causes it?
- volume loss
- jowling
- muscle pull from depressor muscles
How we treat marionette lines
Combination treatment works best: filler for support, Botox for downward-pulling muscles, and lifting for the jowl.
Treatment options compared
| Treatment | Downtime | Sessions |
|---|---|---|
| Dermal Fillers (Hyaluronic Acid) | Possible swelling and bruising for several days | 1 session; touch-ups as needed |
| Botox (Botulinum Toxin) for Wrinkles | None; small marks for an hour | 1 session; repeat every 3–6 months |
| Ultherapy (HIFU Lifting) | Little to none; mild redness or swelling for a few hours to days | Usually 1 session; many patients repeat yearly |
At-home care
- sunscreen
- skincare for elasticity
When to see a dermatologist
Consult to assess the contribution of jowls versus volume loss.
Key facts
| Concern group | Wrinkles |
|---|---|
| Main causes | volume loss, jowling, muscle pull from depressor muscles |
| First-line options | Dermal Fillers, Botox, Ultherapy |
| Consultation | Required to confirm diagnosis and plan |
Patient questions
Frequently asked questions
What is the best treatment for marionette lines?
It depends on the cause and your skin. Options often include Dermal Fillers, Botox, Ultherapy. Combination treatment works best: filler for support, Botox for downward-pulling muscles, and lifting for the jowl..
What causes marionette lines?
Common causes include volume loss, jowling, muscle pull from depressor muscles.
Can marionette lines come back after treatment?
Some concerns are controlled rather than cured. Sun protection, skincare and maintenance help results last.
When should I see a doctor about marionette lines?
Consult to assess the contribution of jowls versus volume loss.
Your skin plan, designed in Apgujeong
English-speaking consultations · Written quotes · Aftercare you can take home
Medical information on this page is general and educational. Results, downtime and suitability vary by individual. A consultation with a Doje Clinic physician is required before any treatment.