Marionette Line Filler

Marionette Line Filler2022-02-17T10:57:50+00:00

Marionette Line Filler

The marionette lines, or sad lines, are the lines that develop from the corner of the mouth and extend towards the jawline. Once they develop they tend to be one of the more prominent features of ageing in the face and the one that people often dislike the most.

Often when we are listening to another person speak we look at the mouth area, meaning the marionette lines are in a particularly visible areas of the face. However, these lines are relatively easy to treat with dermal filler and the overall effect of this profound when it comes to anti-ageing.

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Who can get marionette line filler?

You can get marionette line filler if you are:

  • Over the age of 18

  • Not pregnant or breastfeeding

We would also like to be aware if you are taking any anticoagulant, or antiplatelet, medication, although this does not prevent you from having treatment. You will also have to make us aware if you have an allergy to local anaesthetic, as the majority of filler contains lidocaine and we will have to choose a product that does not contain this if you do in fact have an allergy.

What should I expect if I come for a filler treatment?

When you arrive at Fillers & Frowns you will be greeted, invited to take a seat and you will be asked to complete a detailed medical questionnaire if you have not completed this electronically prior to your arrival. You will then be called in at your appointment time, at which point you will have an in-depth consultation and examination process, by which we will get to understand what you are hoping to achieve through the marionette line filler procedure. Numbing cream will be applied to make the procedure more comfortable.

Facial mapping will be performed during the examination, which will look to identify any other areas of the face that may benefit from filler, with a common one being the cheeks and nasolabial folds. Once the numbing cream has had time to work (15-20 minutes), the injections will be carefully placed to lift the marionette fold, followed by a thorough massage to ensure that the filler has been placed evenly and it is smooth before you leave.

The overall appointment will take around 30-45 minutes, with plenty of time being allocated for questions you may have regarding the treatment. After care advice will be provided and you will also receive an email with after care advice following your visit to the clinic.

Complications and side effects

The most common side effect of marionette line filler treatment is mild bruising and swelling. Arnica cream will be provided following the treatment, as part of your post-treatment pack, in order to increase the speed at which any bruising resolves (typically 5-7 days, up to 2 weeks for deeper haematomoas). The swelling occurs because the filler itself is made from hyaluronic acid and this attracts water, so a degree of swelling is unavoidable for around 1 week after treatment. This is generally not noticeable to the eye, but will often feel lumpy in the days post-treatment. However, this lumpiness then settles once the swelling reduces.

As with all procedures there is a small chance of infection, which is reduced even further due to our extensive preparation of skin using chlorhexidine. If infections do develop, despite best efforts to cleanse the skin prior to treatment, Fillers & Frowns is doctor-led and so a prescription for antibiotics will quickly be issued.

As with any filler procedure there is a small risk of a vascular occlusion, whereby a vessel that supplies blood to the area is blocked. In this rare event we are prepared with a product called Hyalase, which is used to dissolve the filler and restore the blood supply to the skin. It is for these reasons that our recommendations are to ensure that you are treated by experienced healthcare professionals within the industry when getting aesthetic treatments performed. All of our treatments are performed by a GMC-registered doctor who has extensive training and experience in delivering these treatments in the safest possible manner.

How long does it last?

Marionette line filler will usually last for around 9 months.

Does it hurt?

Having your marionette lines treated with dermal filler should not be particularly painful. However, here at the Fillers & Frowns we specialise in pain reduction during aesthetic treatments in order to make your treatment as comfortable as possible.

What does it combine well with?

Clients who have developed marionette lines have often done so because of decreased volume higher in the face. Cheek filler and nasolabial line filler are common treatments that may be done alongside marionette line filler, with the reasoning being that we need to create a degree of lift in the upper face to support the corners of the mouth.


Yes, marionette filler can be placed in larger volumes than in some other areas in the face. Here at Fillers & Frowns we will not perform more than 2ml of marionette filler at a time, with us recommending that you return for a review after two weeks to assess the efficacy of the treatment and formulate a further treatment plan.

Your marionette filler will be massaged prior to you leaving the clinic to ensure that any lumps and bumps from the treatment are gone. The filler remains quite soft for the initial 48-72 hours and can be moved slightly if firm pressure is applied, therefore we do not recommend massaging the area yourself afterwards. Any lumps that appear following the treatment will likely be due to swelling and these will usually go within 5-7 days once the swelling has reduced.

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“Fab set of professionals and felt so welcome and at ease. Love my lips couldn’t fault at all and the experience was enjoyable.. I’ll soon be back for more!”

K.W., (Lip Augmentation)
“Thanks it was much less scary than I thought and love them. Can’t wait to get some lipstick on in a couple of days and see how it looks.”
A.W., (Lip Augmentation)
“Was feeling very nervous but Stef and Dr.Robinson made me feel so at ease and relaxed. Love my lips and will be back again. Would definitely recommend. Thank you. XxX”
V.B., (Lip Augmentation)

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