Marionette Line Treatment

What are Marionette Lines?
Marionette lines are the lines which extend from the corner of the mouth to the chin. These annoying lines which cause a sad or downturned look are really concerning for many people. Often people will say that people often think they are in a bad mood or feeling sad, when they are feeling perfectly happy.

Price starts at £225 for the first syringe and £175 for each additional syringe used in the same treatment. Botox in this region is £110 for a standalone treatment and £50 when combined with a dermal filler in the same session.

What causes Marionette Lines?
Marionette folds and lines are caused by three separate factors: gravity, loss of volume and the depressor muscles at the corners of your mouth which pull down.

Gravity has the largest role to play in the development of marionette lines. Your face is affected by gravity every day. Over time you get downward and inward movement of your cheeks and face. This results in your cheeks folding over to create marionette folds and nasolabial lines.

Volume loss in the mid face region is the second biggest contributor to marionette folds and lines developing. Not only do we lose volume from the soft tissues, fat pads and muscles as we age, we also lose volume from the hard tissues too, the bone and the deep fat.

The volume loss of bone where the jawline becomes thinner and resorbs, also known as bony resorption of the mandible. This bone resorption is most evident when you see someone who has no teeth or hasn’t got their dentures in.

The final factor which is responsible for the development of marionette lines and folds and lines is when the depressor muscles of your mouth corners are constantly activated. As with any muscle, the more you use it the stronger it will become. When this muscle called depressor anguli oris (DAO) is constantly activated it creates a ‘sad face’ look.

The results speak for themselves

The difference treatment makes

Marionette Line


The good news is that we can treat these with a combination of dermal fillers to reduce the appearance of the lines and folds, and Botox to relax the depressor muscles.

The treatment takes around 15 minutes, numbing cream is applied to ensure the treatment is comfortable and relatively painless.

We use premium grade products at Clinic 1 so the results will last for around 9 to 15 months.

Frequently asked questions

Your questions answered

Dermal fillers are injected into the skin to restore volume naturally lost during the ageing process and are used for softening deeper facial lines and wrinkles.

Dermal fillers can also be used to add volume to areas such as the lips, cheeks and under-eye area and can also be used for procedures such as non-surgical rhinoplasty.

Dermal Fillers can restore volume in the under eye, tear trough area to eradicate dark circles and tired looking eyes.

Lines caused by smoking around the mouth can be removed with dermal fillers into the lip area creating a more youthful look.

Treatment should be as pain free as possible. Anaesthetic cream is applied before treatment to numb the skin. All products used also contain an anaesthetic so there is minimal pain associated with the procedure.

During consultation an opportunity will be given to discuss fully all concerns regarding discomfort and the products used will be available for you to view to ensure you are comfortable prior to the treatment

Depending on the area being treated, it typically takes around 10-20 minutes to treat an area.

Results are visible right away. However, dermal fillers often look at their best around 2-3 weeks after treatment when the filler has settled.

No, typically dermal fillers will be a treatment with little or no down time. There may be some redness and swelling after treatment and in some cases there may be bruising, however this should be easily covered with make up. Lip augmentation often has slightly more swelling associated with the treatment but this is most often only noticeable to you.

Yes. hyaluronic acid is a naturally occurring substance in the body which minimises any risk for rejection or allergy. A full medical history should be taken prior to treatment to ensure you are suitable for treatment to further minimise risk.

However, there is a risk with all treatments so the most important thing to ensure before undertaking any treatment is to ensure that the clinic you attend is licensed, insured and the practitioner is fully trained, registered by a recognised regulatory body. All documents for insurance and registration purposes should be available for you to view upon request.

Before any treatment each client has a full free of charge consultation which give you an opportunity to discuss what you would like to achieve and an to agree a no obligation personalised treatment plan.


What our clients say about this treatment

I came to Julia after training elsewhere initially. My first training was with a large company who promised the earth but delivered a poor standard of training. I felt terrified at the thought of being let loose on the public with just one model treatment completed. Julia was kind and understanding and put me at ease right away. Her skill as a trainer is incredible, she has a natural ability to make things understandable and interesting. I was nervous and shaky but within a couple of hours it all clicked, and my confidence grew. Since then Julia has been true to her word and helped me enormously, I never feel as if it’s too much trouble when I ask questions. My business is now growing, and I am so pleased I decided to retrain. I think everyone should train at Clinic 1 Academy, best decision I have ever made.


Julia is just great. I studied foundation botulinum toxin with her and after left feeling completely happy and competent to start treating clients straight away! I also retrained in tear trough with Julia as previous training from another company wasn’t good enough to start treating clients but after my master class I had no worries at all and they all look great. She is also always there after training and answers all my questions (I ask a lot lol) quickly and in- depth. Thank you Julia !


After doing a lot of research into aesthetic courses, I found clinic one academy. I’ve trained with Julia three times now, and out of all of the courses I’ve done, Julia’s courses are by far the most in depth and informative. Julia’s extensive knowledge and one to one training gave me the confidence I now have today. I would highly recommend.

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