Practicing Safe Aesthetic Medicine

Treatment for Marionette Lines
Downturned / Sad Mouth- Marionette Lines

Medical Prescription Icon- Prescription Only | Doctor Consultation Required Botox Injection

Treatment Summary

  • Anaesthetic Icon



  • Treatment Results

    Results | Duration

    2-3 Weeks | 4-6Months

  • Treatment Procedure Time

    Procedure Time

    20 Minutes

  • Treatment Risk and Complications

    Risk & Complications

    Allergic Reactions, Bruises, Swelling, Eyebrow/eyelid dropping asymmetry

  • Full recovery from treatment

    Full Recovery

    No Downtime

  • Back to Work from Treatment

    Back To Work


Some people especially women possess constant downward mouth corners. The Furrows or marionette lines appear from the corners of the mouth (oral commissures) which gives an expression of sadness or melancholy to the face. This downturned smile results from the downward pull of the depressor muscle from the corners of the mouth.

Treatment options: The muscle is required to be identified on grimacing for the Botox treatment. Then small doses of Botox are injected into the origin of the muscle on both sides of the jawline. Botox weakens the muscle which pulls the corners downward and allows the levator muscle of the mouth to pull the corners in the upward direction.

The dermal fillers treatment in combination with Botox treatment can be used to reduce the deep lines which extend from the corners of the mouth. Newer treatments include stimulating your own collagen using PDO Threads


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