Marionette lines are the vertical wrinkles that extend from the corners of the mouth down toward the chin, creating a drooping or sad expression. These lines become more prominent with age due to the loss of collagen, elastin, and facial volume, combined with repetitive facial movements and gravity’s effects.
While marionette lines are a natural part of aging, they can make a person appear tired or unhappy. They are considered deep wrinkles rather than fine lines, as they form due to structural changes in the skin and underlying tissues.
How Common Are Marionette Lines?
Marionette lines affect a significant portion of the aging population, particularly after the age of 40, and in general most people will get marionette lines at some point in their life.
Nasolabial folds and marionette lines account for approximately 15-20% of all dermal filler treatments, making them one of the most common concerns addressed in cosmetic dermatology.
Best Dermal Fillers for Marionette Lines
Several high-quality dermal fillers are designed to restore lost volume, stimulate collagen, and smooth out marionette lines. The most effective formulations for this area are hyaluronic acid (HA) fillers, poly-L-lactic acid (Sculptra), and calcium hydroxylapatite (Radiesse), as they provide structure and long-lasting results.
Here are the best professional-grade fillers for marionette lines that you can find in our catalog.
Sculptra Collagen Stimulator (344,95€)
Sculptra is one of the most common choices for deep folds like the marionette lines
Sculptra is a collagen-boosting treatment made of poly-L-lactic acid (PLLA), which gradually stimulates the skin’s natural collagen production. Unlike immediate fillers, Sculptra works over time, providing subtle yet long-lasting (up to 2 years) improvements in volume and skin texture. It’s ideal for practitioners seeking a natural, progressive enhancement for marionette lines.
Revolax Deep Wrinkles (44,95€)
Revolax Deep Lidocaine 1 x 1,1 ml
Revolax Deep is a highly cross-linked hyaluronic acid filler designed for deep wrinkles and folds. Its dense, monophasic gel structure ensures longevity (up to 18 months) and minimal migration, making it perfect for precise marionette line correction. The addition of lidocaine ensures a comfortable treatment experience.
Belotero Intense (79,95€)
Belotero Intense 1 x 1 ml
Belotero Intense integrates seamlessly into the skin, providing natural-looking volume for deep marionette lines. Its balanced elasticity allows for smooth injection and optimal tissue integration, minimizing irregularities.
Juvederm Ultra 3 (162,75€)
Juvéderm Ultra 3, 2 x 1 ml
Juvederm Ultra 3 is a hyaluronic acid-based filler with Hyalcross Technology, ensuring cohesive gel distribution for smooth, long-lasting results. It’s ideal for moderate to deep marionette lines and also enhances lip volume.
Stylage L Deep Wrinkles (134,95€)
Stylage L 2 x 1 ml
Stylage L is formulated with highly cross-linked HA and mannitol for deep wrinkle correction. Its IPN-Like Technology ensures stability and longevity, making it a great choice for marionette lines and facial contouring.
Restylane Wrinkle Corrector (79,95€)
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Restylane is a classic HA filler that adds volume and smooths wrinkles. Its lidocaine-infused formula ensures comfort during injection, and it’s particularly effective for nasolabial folds and marionette lines.
Saypha Filler (49,95€)
Saypha Filler 1 x 1 ml
Saypha Filler uses SMART Technology for optimal cross-linking, ensuring durability and natural results. It’s versatile for moderate to severe wrinkles, including marionette lines and lip enhancement.
Radiesse Volumizer (227,95€)
Radiesse from Merz Aesthetics
Radiesse is a collagen-stimulating filler made of calcium hydroxylapatite (CaHA). It provides immediate volume while promoting long-term skin renewal, making it excellent for deep marionette lines and facial contouring.
Comparison of Prices of Fillers for Marionette Lines
In the table below you will find each of the fillers mentioned above with its price and a link to our catalog:
| Filler Name | Price | Product Link |
|---|---|---|
| Sculptra Collagen | 344,95€ | View Product |
| Revolax Deep Wrinkles | 44,95€ | View Product |
| Belotero Intense | 79,95€ | View Product |
| Juvederm Ultra 3 | 162,75€ | View Product |
| Stylage L Deep Wrinkles | 134,95€ | View Product |
| Restylane Wrinkle Corrector | 79,95€ | View Product |
| Saypha Filler | 49,95€ | View Product |
| Radiesse Volumizer | 227,95€ | View Product |
Note: Prices on the table may be different to current prices depending on updates and promotions. For the latest pricing, check our Dermal Fillers Catalog.
How to Get Rid of Marionette Lines Without Fillers: Is It Possible?
Is it possible to naturally get rid of marionette lines, or at least delay their appearance?
While dermal fillers offer the most immediate and dramatic improvement for marionette lines and other aesthetic conditions, there are alternative approaches that can help reduce their appearance.
Like this article from fillers.org details, face yoga exercises have gained popularity as a natural way to tone and tighten facial muscles. Specific exercises targeting the lower face can help strengthen the muscles around the mouth and jawline, potentially minimizing the appearance of marionette lines over time. These exercises work by improving circulation and muscle tone, which may lead to a subtle lifting effect.
Professional skincare treatments can also make a difference:
- Chemical peels help remove dead skin cells and stimulate collagen production
- Laser treatments like fractional lasers can tighten skin and improve texture
- Radiofrequency treatments promote skin tightening through heat stimulation
- Microcurrent therapy may provide temporary lifting effects
A consistent at-home skincare routine is crucial for prevention and maintenance too:
- Retinoids to boost collagen production
- Peptide-rich products to support skin structure
- Hyaluronic acid serums for deep hydration
- SPF protection to prevent further collagen breakdown
While these alternatives won’t provide the same level of correction as fillers, they can be effective for early-stage marionette lines or as maintenance between treatments.
Disclaimer
The information found in this article is intended exclusively for licensed practitioners. At TopDermal, we take our responsibility seriously – we only sell to qualified professionals because we understand the importance of proper training and expertise in administering these treatments.
If you’re an end-user reading this, please understand that marionette line correction requires professional assessment and treatment. We strongly recommend consulting with a qualified practitioner who can evaluate your specific needs and recommend the most appropriate solution.
To all the professionals: we invite you to join our growing community of trusted practitioners who rely on TopDermal for their aesthetic supplies. We’re proud to have earned over 200 5-star reviews on TrustPilot from professionals like you who appreciate our quality products and reliable service. We offer bulk discounts, 5% off your first order, and a great loyalty program.
Remember, when you choose TopDermal, you’re not just buying products – you’re gaining a partner committed to supporting your practice’s growth and success!