What are marionette lines?

Marionette lines are the lines / folds which start at the mouth corners and go downwards ending at the jawline. They become more obvious with age and can make you look sad or “down in the mouth”. People say they make them look negative or cross, and often come to Faceworks looking for a solution. They are called marionette lines because they resemble marionette puppets' mouths.

Why do they happen?

With ageing, there are subtle, slow changes in several levels of the face. The skin can become sun-damaged and lose elasticity, we lose fat which gives padding and support, the muscles and ligaments  become more lax and the bone slowly thins and shrinks-isn't ageing great! Not!

Add gravity, smoking, weight changes and stress, and over time these features contribute to loss of structural support which creates the jowls and adjacent to the jowls, the marionette lines.

How are marionette lines treated?

There are different approaches to correcting the marionette lines. Our practitioners will see you for a consultation and assessment, and will then advise on the best approach. Dermal fillers are commonly used to fill in the marionette lines, and additionally, in certain people, a small dose of muscle relaxing injections can be used to help stop the depressor anguli oris muscles (DAO) pulling down the corners of the mouth and jowls. This is important in some patients who overuse their DAO muscles which pull down the corners of the mouth. Injecting this with muscle relaxing injections can give a more attractive appearance, with a less down going negative appearance to the mouth.


What are fillers made of?

At Faceworks, we mainly use hyaluronic acid fillers. Hyaluronic acid is a type of natural sugar, and is found in our skin, joints, and tissues, giving elasticity and plumpness. Over time, our natural hyaluronic acid levels decline. Hyaluronic acid in creams can hydrate and smooth the top layers of the skin, but for filling lines and wrinkles, it needs to be injected. The fillers we use are free of any animal products. They have been available for over twenty years and have an excellent safety profile. They also contain lidocaine, a local anaesthetic agent to minimise discomfort. Fillers must be administered by skilled medical practitioners with a thorough knowledge of anatomy, to achieve the best results and minimise any complications.


How much filler would I need in the marionette lines?

The dose required for marionette lines is variable. It depends on how deep the lines are, and the desired result. Some patients will be satisfied with one syringe of filler, others will need more get the results that they want.

Dr Brenner will assess the whole face and decide on the best approach after taking a history and examining you. The marionette lines are not examined in isolation, but as part of the whole face, to achieve harmony and best results. Often, we start with one syringe of filler, and add more a few months later to build up the area and correct the lines.

Is it painful?

The discomfort is minimal. Our practitioners have several techniques to make the treatment as easy as possible. A numbing cream is used, and an ice pack. The filler also contains a numbing agent, lidocaine which also helps. Our practitioners use a round-ended gentle needle called a cannula which causes less discomfort than a traditional needle, and also results in less risk of a bruise or discomfort.

How will I look after dermal filler in the marionette lines?

There may be redness and swelling and tenderness for a few days. There is a small risk of a bruise in this area but this can be covered with a concealer if it occurs. We recommend you avoid vigorous physical exercise for 2 days after any filler treatment.We provide written after care instructions and a contact number for follow up if needed.

What is the cost of treatment?

The consultation fee with our practitioners is €50. After assessment, our practitioners will give you a price guide and plan. If you decide to have treatment on the day, we do not charge the €50 consultation fee. If you prefer to go home and think about it, we charge €50 for the consultation fee.

Prices start from €395 for 1ml of regular hyaluronic acid filler, (Restylane) which generally lasts 9-12 months, to €495 for 1ml of Juvederm Vycross (Volift/Voluma/Volbella) filler, which generally lasts 12-18 months or longer. If our practitioner thinks you need anti-wrinkle treatment in the DAO muscle, this costs an additional €50, if treated at the same time as the filler.

Will I need ongoing treatment?

The fillers gradually dissolve over time, and can be topped up at any stage as needed, at an additional cost.


Any more questions?

Feel free to call us on 059 91 86774 and we will be delighted to help.