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Summer House Medspa · Dallas

Marionette Lines Treatment

Marionette lines run from the corners of the mouth downward toward the chin. They are named for the puppet joints they resemble and tend to create a permanently downturned or stern expression. We address marionette lines with filler to restore volume in the trough, sometimes combined with neuromodulator in the depressor anguli oris muscle to gently lift the corner of the mouth.

Concerns to Solutions

We start with your language, then translate it into a conservative treatment approach.

What clients say

Lines running downward from the corners of the mouth creating a stern resting expression

How we approach it

You have visible marionette lines at rest that bother you in photographs

What clients say

Downturned mouth corners that look sad or disapproving when relaxed

How we approach it

The corners of your mouth turn downward at rest despite a neutral expression

What clients say

Jowl formation contributing to the depth of the marionette line

How we approach it

You are not a surgical candidate or prefer to avoid surgery for now

What clients say

Progressive worsening of the lower face over the past several years

How we approach it

You have realistic expectations about what filler and neuromodulator can achieve

What to Expect

A simple, low-pressure sequence from consultation to final outcome.

1

Consultation

30 min

A relaxed, no-pressure conversation. We'll understand your goals, review candidacy, and answer every question before anything else.

2

Treatment

30–60 min

When you're ready, treatment is typically 30–60 minutes in a private room. You're in control of pace and comfort throughout.

3

Recovery

1–7 days

Most clients return to normal activity immediately. We'll walk you through any aftercare specific to your treatment.

4

Results

2–8 weeks

You'll notice the first changes within a few days to two weeks. Final results continue to develop over 4–8 weeks.

Next Step

Is Marionette Lines Treatment Right for Me?

We will review candidacy, expected outcome, downtime, and total plan before any treatment decision.

Frequently Asked Questions

Can filler alone fix marionette lines?

Filler addresses the volume deficit in the trough and softens the line itself. For corner of mouth droop, we often combine filler with a small amount of Botox in the depressor anguli oris, the muscle that pulls the mouth corners down. This combination provides better and more balanced results than filler alone in many cases.

How many syringes are needed for marionette lines?

Typically 1 to 2 syringes depending on the depth of the lines and whether we are also addressing the lower face more broadly. We assess your full lower face at consultation because jowling and cheek descent often contribute to marionette depth and may need to be part of the treatment plan.

Often Combined With

Let's Talk About Marionette Lines Treatment

Tell us what you’re curious about. We’ll take it from there.

Your information stays with us. HIPAA-compliant, never shared.

Prefer to call? 214-307-1877 — we pick up Tuesday–Saturday.

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