Marionette wrinkles
Marionette wrinkles are among the most visible signs of facial aging. They form from the corners of the mouth down to the chin and give the face a tired, sad or stern expression. At Hello Beauty Clinic, we solve this problem effectively and naturally – using hyaluronic acid, BTX or bioremodeling. We will explain why they occur, how to recognize them and what treatment options you have.
Why do marionette wrinkles appear
Marionette wrinkles are not just a classic consequence of skin aging, but arise as a result of the interaction of several factors that gradually accumulate.
As we age, there is a significant loss of collagen and elastin – two key proteins that keep the skin firm and supple. The skin loses its natural elasticity, its volume decreases and the forces of gravity begin to pull the tissues down. The fat pads in the face gradually shrink and move towards the chin, the volume in the cheekbone area decreases and the skin in the lower third of the face sags. This process creates deep depressions that lead from the corners of the mouth directly to the chin and give the face a tired or sad expression.
Another important role is played by the long-term activity of the facial muscles. Repeated tension of the muscles around the mouth – when speaking, smiling or chewing – creates and deepens lines that turn into permanent wrinkles over time. Genetic predisposition, smoking, excessive sun exposure, dry skin or rapid weight loss significantly accelerate this process, so marionette wrinkles can appear as early as around 35-40 years of age.
The result is an aesthetic, but sometimes also psychological problem. Fortunately, there are modern and very effective methods that can significantly reduce or completely smooth out these wrinkles.
How to recognize marionette wrinkles
Marionette wrinkles are easy to recognize due to their typical appearance. They appear as two vertical lines that run from the corners of the mouth directly down to the chin. They create the impression of a “sad smile”.
They are often associated with other signs of aging:
- Drop of the corners of the mouth
- Deepening of nasolabial folds
- Loss of volume in the cheekbone area
- Saggy skin in the lower jaw area
Options for removing marionette wrinkles
Modern aesthetic medicine offers several effective methods. At Hello Beauty Clinic, we choose an individual approach and a combination of techniques for a natural and long-lasting result.
Hyaluronic acid fillers
Hyaluronic acid fillers are the most common and effective way to remove or significantly reduce marionette wrinkles. This method adds lost volume directly to areas where the skin sags and fills in deep lines that have formed over the years.
The application is very precise – our doctor injects hyaluronic acid directly into the marionette lines, i.e. from the corners of the mouth down to the chin. At the same time, volume is often added to the cheekbone area, where the greatest volume loss occurs with age. Another option is to apply it to the chin itself to restore the natural proportions of the face. This comprehensive approach ensures that the result does not just look “filled out”, but harmonious and youthful.
The result is visible immediately after the procedure – the corners of the mouth are lifted, the lines are smoothed out and the overall facial expression looks more youthful. The effect is natural, not exaggerated or artificial.
BTX
BTX relaxes the muscles around the mouth and chin, effectively preventing marionette lines from deepening during everyday talking, smiling or frowning. This approach is particularly effective for dynamic lines that are created by repeated facial expressions and is often combined with hyaluronic acid to achieve a comprehensive and harmonious result.
The first effects usually appear within 3-7 days after application, with the full effect visible after 10-14 days. This makes BTX an ideal choice for both preventing the deepening of wrinkles and for reducing existing, but still mild lines.
Bioremodeling
Bioremodeling is a modern and very popular method that actively supports the natural production of collagen and elastin in the skin. Unlike classic fillers, it is not just about adding volume, but about deep regeneration and strengthening of tissues from the inside.
In bioremodeling with hyaluronic acid, it is applied to several points on the face (usually 5 on each side) and gradually spreads to the surrounding skin. This improves hydration, elasticity and overall quality of the skin, reduces sagging in the lower jaw area and reduces marionette lines. The result is a fresher, more rested and firmer skin.
In bioremodeling with polynucleotides (a substance obtained from salmon sperm), these are applied to a wider area of the skin using a needle or cannula.
Bioremodeling is an ideal choice for those who want long-term rejuvenation without significant changes in facial features.
Procedure and recovery
Each procedure has its own specific procedure, recovery time and duration of effect. Below you will find an overview so you know exactly what to expect.
1. Hyaluronic acid fillers
The procedure takes 15-30 minutes and is performed on an outpatient basis. The application is almost painless thanks to a numbing cream or injectable anesthetic.
Recovery: Possible slight swelling or bruising disappears within 3-7 days. Make-up can be applied the next day.
Effect: Visible immediately, other slight changes related to the binding of water to hyaluronic acid stabilize within two weeks.
Duration: 6-12 months.
Recommendation: Avoid saunas, intense exercise and facial massages for the first 48 hours.
2. BTX
The application takes 5-10 minutes and is performed on an outpatient basis. We use very thin needles, so the procedure is almost painless.
Recovery: Possible redness or small bruises usually disappear within a few minutes or hours.
Effect: It comes on gradually, within 3-7 days, maximum effect within 10-14 days.
Duration: 3-8 months.
Recommendation: Do not tilt your head or put pressure on your face for the first 4 hours (no massages, sauna).
3. Bioremodeling
The procedure takes 15-30 minutes, the needle is applied to several points on the face, the cannula is usually applied from two places in a fan-like manner to most of the facial skin. The procedure is very gentle and almost painless.
Recovery: Any slight redness or swelling at the injection sites disappears within a few hours to 3 days.
Effect: Gradual, visible after 4-8 weeks (after the 2nd application).
Duration: Approximately 12 months.
Recommendation: Avoid saunas, solariums and intense exercise for the first 48 hours.
Q&A: Frequently asked questions about marionette wrinkles
Does the application hurt?
Minimally. We use a numbing cream or injectable anesthetic and thin needles or cannulas. Most clients feel only slight pressure.
Can marionette wrinkles be completely removed?
Yes, they can be significantly reduced or completely smoothed out. The result is natural - the face looks fresher.
Can it be combined with other procedures?
Yes. We often combine it with lip fillers, jawline modeling or eyelid surgery.
What are the prices at Hello Beauty Clinic?
Prices depend on the scope of the procedure and the material used. The consultation is free - we will be happy to provide you with details, including the current price list, in person.
Marionette wrinkles are not irreversible
Marionette wrinkles definitely do not have to be an irreversible sign of aging. Contemporary aesthetic medicine offers a number of gentle and highly effective procedures that can significantly reduce or completely smooth out these lines – naturally, without an exaggerated effect and with long-term results.
Our experienced doctor MUDr. Eva Boháčová always chooses an individual combination of methods that respects your features and wishes. The result never looks artificial, but your face simply looks fresher and more rested – exactly as you wish.
Just arrange a non-binding consultation. Together we will assess the condition of your face, explain the options and find a solution that will give you back your confident and satisfied expression.
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