Abela Medical

Marionette Lines

Marionette lines are the vertical creases that develop from the corners of the mouth downwards towards the chin and jawline. As they deepen, these lines can cast shadows on the lower face, sometimes creating an unintentionally tired or sad expression that may affect your self-confidence. At Abela Medical in Leeds, our doctor-led team provides thorough clinical assessments and a range of considered, minimally invasive treatment options to help you address these lines and restore a naturally refreshed appearance.

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Understanding the condition

What are Marionette Lines?

Marionette Lines are a common facial condition. They occur when the skin naturally loses structural proteins and volume over time. This structural shift leads to deep vertical creases extending from the corners of the mouth to the chin.

Usually found in the lower part of the face, they depend heavily on your genetic makeup and your skin’s elasticity. It is necessary to consult our medical experts for a personalised assessment of your facial concerns.

There are different types of this condition, such as:

Ageing type

Characterised by a gradual loss of collagen and elastin. These are deep creases that develop as the skin loses its firm, youthful foundation over time.

Structural form

This form is caused by a volume deficiency and a slight drooping due to the natural shift in fat distribution in the lower part of the face.

Root factors

What Causes Marionette Lines?

Collagen & Elastin Loss

Reduced protein production leads to skin sagging and drooping cheeks.

Volume Depletion

Shifting fat pads create shadows and put pressure on the jawline.

Sun Damage

UV exposure (photoaging) breaks down collagen, compromising skin integrity.

Genetics

Your inherited bone structure and family history significantly influence line formation.

Lifestyle & Expressions

Smoking impairs healing, while repetitive facial movements etch deep lines over time.

Signs to look for

Symptoms of Marionette Lines

Marionette lines are a cosmetic concern rather than a medical issue. The following characteristics typically identify them:

  • Vertical foldsVisible lines extending downwards from the corners of the mouth.
  • Downturned lipsA slight downturn at the corners of the lips.
  • Lower-face shadowingNoticeable shadowing around the chin and jawline.
  • Loss of firmnessReduced firmness and volume in the lower third of the face.

How to Prevent Marionette Lines?

You can support your skin’s health with these practical steps:

01

Protect from the sun

Apply a broad-spectrum sunscreen with a high SPF daily to protect the skin’s underlying collagen from UV damage.

02

Maintain a skincare regimen

Apply moisturising agents regularly to support the health of your skin’s natural protective layer and its elasticity.

03

Avoid smoking

It breaks down the proteins that make up your skin’s structure.

04

Manage your weight gradually

Avoid rapid fluctuations, as they can stretch the skin and contribute to facial volume loss.

Clinical procedures

Advanced Clinical Solutions for Marionette Lines

Ellanse Biostimulator

The Ellansé dermal filler is among the most sophisticated options that provide instant volume, reduce wrinkles, and stimulate collagen production.

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HArmonyCa Treatment

This hybrid injectable treatment combines hyaluronic acid with calcium hydroxyapatite to address volume loss and gently stimulate collagen production. It is carefully administered to help lift and tighten the contours of the lower face.

Know More

Clinical Assessment and Microneedling

For finer lines and general skin laxity, therapies like SkinPen microneedling can encourage the skin’s natural healing response to improve texture. Our doctors will assess your facial anatomy to determine the most appropriate and safe approach for your needs.

Know More

Targeted Dermal Fillers

With strategic placement of hyaluronic acid fillers, volume loss in the lower face can be replaced. The goal of this treatment method is to reduce the appearance of wrinkles by providing a slight lifting effect at the corners of the mouth.

Know More

Ellanse Biostimulator

The Ellansé dermal filler is among the most sophisticated options that provide instant volume, reduce wrinkles, and stimulate collagen production.

Know More

HArmonyCa Treatment

This hybrid injectable treatment combines hyaluronic acid with calcium hydroxyapatite to address volume loss and gently stimulate collagen production. It is carefully administered to help lift and tighten the contours of the lower face.

Know More

Clinical Assessment and Microneedling

For finer lines and general skin laxity, therapies like SkinPen microneedling can encourage the skin’s natural healing response to improve texture. Our doctors will assess your facial anatomy to determine the most appropriate and safe approach for your needs.

Know More

Targeted Dermal Fillers

With strategic placement of hyaluronic acid fillers, volume loss in the lower face can be replaced. The goal of this treatment method is to reduce the appearance of wrinkles by providing a slight lifting effect at the corners of the mouth.

Know More

Ellanse Biostimulator

The Ellansé dermal filler is among the most sophisticated options that provide instant volume, reduce wrinkles, and stimulate collagen production.

Know More

HArmonyCa Treatment

This hybrid injectable treatment combines hyaluronic acid with calcium hydroxyapatite to address volume loss and gently stimulate collagen production. It is carefully administered to help lift and tighten the contours of the lower face.

Know More

Contact Us Today

If the lines around your mouth are affecting your confidence, our female-led medical team is here to provide honest, professional guidance. Contact Abela Medical in Leeds to discuss your concerns and explore suitable treatment options in a safe, clinical environment.

Frequently Asked Questions

All the details about this condition at Abela Medical. If your query is not listed below, please contact our clinic directly.

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Abela Medical
1 Sizers Ct, Yeadon
Leeds LS19 7DP, United Kingdom
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Saturday 09:00 to 16:00
Sunday Open on selected days (please enquire)
Serving
Leeds · Bradford
Harrogate · Wakefield
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