Marionette Lines: What Are They and Treatment Options

Marionette lines are the vertical lines that extend from the corners of the mouth down to the chin. In this blog, Artiste Plastic Surgery explores the causes of marionette lines and discusses treatment options. It is essential to understand that all surgical procedures carry risks, and outcomes will vary. Consult with a healthcare professional to determine if this approach is suitable for your needs and expectations.

What are Marionette Lines?

Marionette lines are vertical creases that extend from the corners of the mouth down to the chin, named for their resemblance to the lines on a marionette puppet. These lines can deepen with time, sometimes giving the face a downturned appearance.

Causes of Marionette Lines

• Age-related changes: As we age, the skin’s natural elasticity decreases, leading to the formation of loose skin and wrinkles. 
• Repeated facial expressions: Movements, such as smiling or frowning may contribute to developing these lines over time. 
• Lifestyle Habits: Factors like smoking, sun exposure, and poor skincare can accentuate the appearance of marionette lines.
• Genetics: Some people may have a genetic predisposition to have thinner or less elastic skin, making them more prone to developing wrinkles and lines, including marionette lines.

How Does a Deep Plane Facelift Address Marionette Lines?

A deep plane facelift is a cosmetic surgery designed to address signs of ageing in the lower face and neck, including marionette lines. Unlike traditional facelift techniques that focus primarily on tightening the skin, a deep plane facelift targets the underlying structures, such as muscles and fascia.

As with any surgery, results vary, and it’s important to understand the potential risks. Consulting with a qualified health professional can help determine whether this procedure is appropriate for your individual needs.

The Potential Benefits of a Deep Plane Facelift

• May offer Longer-lasting outcomes:.Unlike non-surgical treatments, which generally offer temporary results, a deep plane facelift may provide longer-lasting outcomes. By addressing underlying tissues, this procedure can support lasting improvements in the appearance of marionette lines. However, it’s important to remember that no surgical procedure can halt the ageing process. Outcomes vary, and discussing your expectations with a qualified health professional is essential.
• Avoiding Pulled Look: By repositioning the deeper tissues, the deep plane facelift aims for a more natural-looking outcome, avoiding the pulled or overly tight appearance sometimes associated with traditional facelift techniques.
• Addressing Signs of Ageing: In addition to treating marionette lines, a deep plane facelift can address other signs of ageing, such as jowls, loose skin, and loss of volume.

If you are considering a deep plane facelift to address marionette lines or other signs of ageing, it’s crucial to have an informed discussion with your GP and a qualified surgeon. Every individual’s needs and circumstances are unique, and a thorough consultation will help determine if this procedure is appropriate for you. Remember that while a deep plane facelift can make changes in facial appearance, it cannot stop the natural ageing process. Always weigh the potential risks and benefits before making a decision.

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons.

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.