Marionette Lines
Marionette lines run from the mouth corners downward toward the chin. They can create a sad or sagging appearance even when your expression is neutral.
Signs
Vertical creases from mouth corners to the jawline, with a downturned or heavy lower face appearance.
Causes
Volume loss in the midface, skin laxity, gravity, genetics, and sun exposure.
Assessment
We assess line depth, surrounding volume, skin laxity, and overall lower face balance.
Treatment
Dermal filler is the primary approach, often combined with midface volume restoration. Skin tightening may complement results.
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