
CONDITIONS
MARIONETTE LINES
Marionette lines, or oral commissure lines, are vertical creases that extend from the corners of the mouth downwards. They resemble the lines on marionette string puppets, which have split jaws.
These lines develop when the depressor muscles pull down on the corners of the mouth, creating a noticeable appearance that often conveys a sad or downturned expression. It’s important to note that marionette lines differ from nasolabial folds, which run from the sides of the nose to the corners of the mouth. While distinct, both types of lines often appear around the same time.

Marionette Lines- Treat them here in Nottingham
Regain confidence in your skin with safe, medically guided treatments. We offer evidence-based care tailored to your skin type, concerns, and long-term goals.
FREQUENTLY ASKED QUESTIONS
What causes marionette lines?
The skin around the mouth is naturally delicate and highly prone to signs of aging. While several factors contribute to these vertical chin lines, the primary culprit is collagen and elastin depletion. As your body’s natural production of these proteins slows down, the skin loses its "snap-back" quality, leading to folds and creases.
Key Factors Contributing to Mouth Wrinkles:
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Sun Damage: UV exposure is the leading cause of premature aging, as it aggressively breaks down the collagen fibers that provide skin its strength.
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Loss of Facial Volume: As we age, we naturally lose fat in the mid-face. This causes the skin to shift downward, deepening the appearance of marionette lines.
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Lifestyle & Genetics: Your DNA, diet, and stress levels all play a role in how early these lines appear.
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Muscle Activity: Frequent downward pulling of the mouth corners can etch these lines permanently into the skin.
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How we help: To address these underlying causes, we often recommend dermal fillers to replace lost volume or Botox to relax the overactive muscles that pull the mouth downward.
HOW WE CAN HELP


