Marionette Line Filler

• Lines from the mouth corners toward the chin that deepen with age
• A downturned or tired look at rest
• Drooping mouth corners you would like to support
• Anyone wanting to soften the lower face without surgery

Marionette lines often improve most when the mouth corner and chin area are supported together, not just the line itself. The mouth is mobile, so softening rather than erasing is the goal. Suitability is confirmed during consultation.

• 01

  Where you are now, and where we start

  The lines below the corners of the mouth and how they meet the jawline

• 02

  The change you want, the impression you keep

  Marionette lines often improve most when the mouth corner and chin area are supported together, not just the line itself. The mouth is mobile, so softening rather than erasing is the goal. Suitability is confirmed during consultation.

• 03

  How it differs from similar options

  These all address the downturned line or the mouth corner above it, but they work in different ways and suit different goals. The right choice is decided after we assess the lower face.

• 04

  Health information and recovery schedule

  Little downtime; most people return to daily activities the same day. Temporary swelling, redness, tenderness or bruising may occur and usually settles within about 1–2 weeks. Avoid pressing or massaging the area, and skip saunas and intense exercise for a day or two as we advise.

Rather than a still photograph, we look first at expression, overall proportion and vascular anatomy, then set the product, the injection layer and the amount conservatively.

HA filler adds volume where it is placed and is gradually absorbed over time. For marionette lines, the doctor commonly supports the structures around the line — the corner of the mouth and the chin beside it — because lifting these can ease the downturn at its source, and then places a softer gel along the groove itself, usually with a cannula in a deeper layer. Treating the frame and the line together tends to look more natural than filling the crease alone. Because this area moves, the line is softened rather than fully erased. HA can be dissolved with hyaluronidase if needed. (Results vary by individual.)

How it works

• 01

  Water-holding volume

  Hyaluronic acid binds water and adds soft volume, used both to support the mouth corner and chin that frame the line and to cushion the groove itself.

• 02

  Support the frame, then the line

  Lifting the drooping mouth corner and the chin beside it can ease the downturn at its source; a softer gel is then placed along the groove, usually with a blunt cannula in a deeper layer.

• 03

  Immediate but temporary

  Softening shows the same day because the gel fills and cushions the groove; over the following months the body gradually breaks the HA down, so the effect is not permanent.

• 04

  Adjustable and reversible

  Because it is HA, the result can be added to gradually, or dissolved with an enzyme (hyaluronidase) if an adjustment is ever needed.

1. 01

   Ingredients and authenticity

   Consultation and assessment of the lower face

2. 02

   Anatomy and expression

   Cleansing, marking and topical numbing for comfort

3. 03

   Small amounts, one stage at a time

   Softening appears right away and settles over about 1–2 weeks. Because the mouth area moves often, HA here tends to last around 9–12 months, usually less than deep, still areas. A top-up is discussed at consultation. (Results vary by individual.)

What the procedure is like

• Little downtime; most people return to daily activities the same day.
• Temporary swelling, redness, tenderness or bruising may occur and usually settles within about 1–2 weeks.
• Avoid pressing or massaging the area, and skip saunas and intense exercise for a day or two as we advise.

Safety & considerations

Whether to support the mouth corner and chin, soften the line, or both is confirmed during consultation. Effects and their duration vary by individual, and side effects may occur. We explain the warning signs — unusual pain, or skin turning pale or dusky — so you know to contact us promptly.

1. DAY 0

   Treatment day

   Softening is visible immediately. Mild swelling, redness or tenderness is common, and the area can look fuller than the final result at first.

2. DAY 1-3

   Early settling

   Most swelling eases and any bruising begins to fade. Makeup and normal skincare can usually resume as advised.

3. WEEK 1-2

   Settled result

   Swelling resolves and the softened line and mouth corner look natural at rest and in movement. (Results vary by individual.)

4. 9-12 MONTHS

   Duration

   Because the mouth area moves often, HA here tends to last around 9–12 months, varying with the product and your metabolism. (Results vary by individual.)

5. TOP-UP

   Review & maintenance

   Your doctor reviews the result and, if appropriate, discusses timing for a top-up based on your face.

Neither is “better” — they work differently and suit different goals. The right choice is decided after we assess your skin.

• Q. Why do the corners of my mouth look like they are turning down?

  Two things are usually at work at once. The tissue just below the corner of the mouth loses volume and leaves a groove behind, and at the same time the muscle that pulls the corner downward keeps tugging on it, so the face reads as displeased even at rest. When the cause is lost volume, filler is the right answer; when it is the muscle, a botulinum toxin is. In most people the two are mixed, so we work out during the examination how much of each is involved.

• Q. Is it enough to fill only the hollow under the corner of the mouth?

  Filling that one spot on its own can leave the area looking padded and pushed forward. A downturned corner is usually the end point of tissue that has drifted down from higher up, so we look at the jawline and the cheek together, work out where the descent began, and then divide the product between the areas that genuinely need it. The plan is built around the flow of the whole lower face rather than a single point.

• Q. Is Botox ever used alongside the filler?

  Yes, that does happen. If the muscle pulling the corner of the mouth down is strong, filling alone will let the corner settle back down again. A small dose of toxin in that muscle helps the result hold for longer. Around the mouth, though, even slightly too much can make the movement of the lips look unnatural, so we dose very conservatively.

• Q. Will smiling or speaking be affected after the treatment?

  With filler alone, movement is not affected. For the first few days there is some swelling and a feeling of pressure, so the area can feel different from usual. If your speech becomes unclear or your lips will not close properly, that is outside the normal course of recovery, so please get in touch with us.

• Q. How long do you wait before judging the result?

  It takes about two weeks for the swelling to go down and for the filler to settle into place, so we see you again at that point. Before then the area looks fuller than it really is, which makes it hard to judge. We take photographs before the treatment and repeat them two weeks later under the same lighting and from the same angle, and compare the two.

• Q. How do I choose a clinic for Marionette Line Filler in Gangnam, Seoul?

  Look at the examination and the plan rather than the treatment name. First, what the clinic checks before deciding — at QD Clinic in Gangnam, Seoul, the first thing we look at for this treatment is “The lines below the corners of the mouth and how they meet the jawline”. Second, whether it explains why it recommends that scope and method, compared with the alternatives. Third, whether it reviews your progress with you when results are expected. Our doctor goes through these three points at consultation before the treatment is decided.

• Q. Where can I get Marionette Line Filler in Seoul?

  At QD Clinic in Gangnam, Seoul, South Korea. We are at 3F, 502 Gangnam-daero, Gangnam-gu, Seoul (Nonhyeon-dong, Seohee Building), a 4-minute walk from Exit 3 of Nonhyeon or Sinnonhyeon Station. Call +82-2-514-1650 or use the consultation form on this site to book a doctor’s consultation first.