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How to Treat Marionette Lines at Home and in Clinic

Written by aesthetic content writer Catherine. Reviewed by Medical Director Dr. Sabrina Shah-Desai
Published on: June 20, 2026
Marionette Lines

How to Treat Marionette Lines

To treat marionette lines, you have two main routes: simple home care and clinic treatments. Sun care and the right skincare can soften mild lines and slow the formation of new ones. Deep, set lines, though, usually need a clinic treatment to lift them well.

Marionette lines are the creases that run from the corners of your mouth down towards your chin. They can make your face look tired or sad, even on a good day. Below, you will find step-by-step instructions for treating marionette lines, what to skip, and when to see an expert.

Key Takeaways

Natural techniques slow down and soften marionette lines. Deep, established lines will not be erased by them.

The best preventative behaviours:

  • Wear sunscreen every day.
  • Retinol, vitamin C, and a good moisturiser help your skin hold more collagen.
  • Face exercises and gentle massage may give a small lift if you stay consistent.
  • For deep lines, non-surgical clinic options are far more effective than home care alone.

What are marionette lines?

Marionette lines are vertical creases. They start at the corners of your mouth and run down to your chin. The name comes from puppets, which have the same lines carved near the jaw.

People often mix them up with nasolabial folds. Those are the lines from your nose to the corners of your mouth. Marionette lines sit lower, closer to the chin. Both come with age, but they are not the same thing.

Why do marionette lines form?

Your skin loses elasticity and collagen with age. These two proteins keep skin firm and springy. Less of them means looser skin that sags under gravity.

There is more to it, though. The fat pads in your cheeks tend to slide downward with age. Bone changes too. So the lower face loses support, and the skin folds.

A few things speed this up:

  • Sun damage. UV rays break down collagen faster than age alone. This is the biggest outside cause.
  • Smoking. It cuts blood flow to the skin and harms collagen.
  • Big weight swings. They stretch and slacken the skin around the mouth.
  • Repeated movements. Years of talking and frowning press lines into the skin.
  • Your genes. Some people develop these lines earlier.

Dehydration and a poor diet make lines look worse too, but they are easier to fix.

Can you get rid of marionette lines naturally?

Yes and no. You can soften marionette lines with home care. You can also slow down new ones. What you cannot do is fully erase a deep line at home.

Here is the truth. Natural methods work on the surface and on skin quality. They do not replace lost volume under the skin. So mild lines respond well. Deep, set lines need more than a cream or a massage.

Think of home care as your daily defence. It protects what you have and holds back further damage. For a real change in deep lines, a clinic treatment does most of the work.

How to treat marionette lines at home

Most of these cost very little. The trick is to do them often, not once in a while.

Protect your skin from the sun.

Sunscreen comes first. UV light is the top outside cause of collagen loss, so daily SPF matters more than any cream you own. Use at least SPF 30 on your face every day, even when it is cloudy.

A wide hat and sunglasses help as well. They cut the sun and the squint lines that age the lower face.

Use the right skincare

A few proven ingredients make a real difference. You do not need a shelf full of products. You need the right ones, used most days.

  • Retinol. It tells your skin to make more collagen. Start slow, twice a week, and keep it slightly away from the mouth corners, as that skin is thin.
  • Vitamin C. This antioxidant protects collagen and helps your skin look brighter. A morning serum works well under sunscreen.
  • Hyaluronic acid. It pulls water into the skin, so the area looks plumper and lines look softer. The effect is short, so use it daily.
  • A rich moisturiser. Dry skin shows every line. A good cream keeps the area soft and smooth.

Peptides and niacinamide are nice extras if your budget allows. They support the skin barrier and tone.

Try facial exercises

Face exercises, sometimes called face yoga, aim to tone the muscles around the mouth. The proof is thin, and results are small. Still, some people see a slight lift after months of daily practice. It costs nothing, so it does no harm to try.

Two simple moves:

  • Pucker your lips tight, hold for five seconds, then relax. Repeat ten times.
  • Smile wide while gently pressing two fingers at the corners of your mouth. Hold, then release.

Be patient. If anything changes, it changes slowly.

Consultation

Book your personalised consultation with our expert team

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Massage the area

A short daily massage improves blood flow and gives the skin a more youthful appearance. Apply a tiny bit of face oil or wash your hands. Apply mild pressure while working upward and outward, away from the chin. It takes no more than two or three minutes.

This will not lift deep folds. It helps reduce puffiness and tone, and it feels good, too.

Drink water and eat well

What you put in your body shows on your face. Well-hydrated skin looks fuller, so drink water throughout the day.

It matters what's on your plate. Vitamin C-rich foods aid in skin restoration. Healthy fats and protein serve the same purpose. Imagine vibrant fruit, leafy vegetables, eggs, almonds, and oily salmon. Reduce your intake of sugar because it gradually damages collagen.

Mind your sleep and habits

Getting enough sleep allows your skin to heal. Aim for 7 to 8 hours per night.  One of the worst things for the skin around your lips is smoking. It is beneficial to quit because it accelerates the loss of collagen and deepens the wrinkles. Drink in moderation since too much alcohol dries out the skin and robs it of nutrients.

How can you prevent marionette lines?

You cannot stop ageing, but you can slow the appearance of these lines. Start early, and be steady.

  • Wear sunscreen every single day. This is the big one.
  • Keep your skin hydrated, inside and out.
  • Do not smoke.
  • Hold a steady weight. Crash diets slacken facial skin.
  • Eat for your skin, with plenty of protein and fresh food.

The earlier you build these habits, the less work your skin has to do later.

How to get rid of marionette lines without filler

Filler is not the only clinic option. If you would rather skip it, or your lines need a different fix, there are several routes. A practitioner will match the method to your skin and the depth of your lines.

  • Skin boosters and polynucleotides. These injections improve skin quality and hydration from within. They suit thin, crepey skin around the mouth.
  • Microneedling and RF microneedling. Tiny channels prompt your skin to build fresh collagen. Radiofrequency adds heat to tighten as well.
  • Lasers. Resurfacing lasers smooth texture and firm the skin over a few sessions.
  • Chemical peels. A controlled peel lifts off tired surface skin and brings new skin to the surface.
  • Thread lifts. Fine threads lift loose skin and hold it in a better position.
  • Anti-wrinkle injections. Botox relaxes the muscle that pulls the mouth corners down, which softens the look of the lines.

Most of these work best as a course, not a one-off. Many people pair two methods for a fuller result.

When should you see a professional?

Home care is great for mild lines and for prevention. But see an expert if:

  • Your lines are deep, and home care has done little.
  • The lines bother you and you want a real change.
  • You feel unsure which treatment is safe for you.

A skilled practitioner will evaluate not just the line but your entire lower face. This is significant since the repair is frequently located in the jaw or cheekbones rather than the actual crease. Before making any reservations, enquire about training, outcomes, and aftercare.

Conclusion:

So, How do you handle marionette lines.

With proper treatment and sun protection, you can soften them at home. However, in order to effectively lift deep lines, a clinic treatment is typically required.

Start with the basics today. With sunscreen, a simple routine, and a few regular habits, you can protect your skin and avoid these wrinkles. When you want more, professional help makes a difference.

If your marionette lines need more than home care, the team at Perfect Skin Studio offers expert, doctor-led treatment for marionette lines in London, led by Dr Sabrina Shah-Desai. A short consultation will show you the safest way forward for your skin.

Frequently Asked Questions

Do marionette lines go away on their own?

No. Marionette lines do not fade on their own and tend to deepen with age. The good news is that you can slow them down with sun care and the right skincare, and clinic treatments can soften the deeper ones.

At what age do marionette lines appear?

Most people begin to notice them in their 40s. In their late 20s or early 30s, some people develop early, faint lines, which are frequently caused by sun damage or intense facial emotions. Good habits early on push them back.

Do face exercises really work for marionette lines?

They may be somewhat helpful. Face exercises tone the muscles around the mouth, and a few people report a slight lift after months of daily practice. The proof is limited, so treat them as a small bonus, not a fix for deep lines.

Does drinking water help with marionette lines?

It helps your skin look fuller and fresher, making fine lines less noticeable. Water alone will not remove a line, but good hydration is still part of healthy skin.

Can retinol help marionette lines?

Yes, one of the best at-home ingredients for these lines is retinol. It prompts your skin to make more collagen, which firms the area over time. Start slow to avoid irritation, and always pair it with daily sunscreen.

Are marionette lines a sign of ageing?

Yes. They form mainly as your skin loses collagen and the lower face loses support. They are a normal part of the ageing process. Sun damage and smoking can bring them on sooner, and your genes play a part too.

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Director, Perfect Skin Studio

Dr. Sabrina Shah-Desai

With over 24 years of experience in both surgical and non-surgical procedures, Dr. Sabrina Shah-Desai is widely acknowledged as one of the most trusted and experienced practitioners in the UK. Her expertise, extensive training & compassionate approach have earned her the reputation as the preferred choice for patients seeking top-tier cosmetic treatments.

Dedicated to enhancing each patient’s natural beauty and instilling confidence at every age, Dr. Sabrina and her team customise treatment plans to achieve the best possible outcomes for each individual.

Dr. Sabrina’s excellence has been recognised through prestigious awards like the UK Safety in Beauty Diamond Award for “Aesthetic Doctor of the Year 2023” and the Aesthetic Award for “Highly Commended Consultant Surgeon 2022,” and “Best Consultant Surgeon 2021” & “Best Surgical Result 2021”. As a well-respected figure in aesthetics, she was honoured as one of the Global 100 Most Influential Aesthetic Practitioners of 2019 by the My Face My Body Awards.