Treatment

Marionette Lines

The Expression Axis of the Mouth Corner: Freeing Expression, Lifting Heaviness.

Book Free Consultation WhatsApp

Duration

9-12 months

Results visible

Immediately visible

Maintenance

After 9-12 months

Price

from 299

Marionette lines lend the face an expression that doesn't match one's actual mood — a hint of sadness or severity that is biologically, not emotionally, founded. At minimal med, we view these lines as a manifestation of tissue descent in the lower facial third and treat them through targeted support of lost substance — so your face once again shows what you truly feel. Additionally, the DAO treatment can lift the mouth corners by relaxing the muscle that pulls them downward.

Medically reviewed by Dr. Felicitas Mrochen — Last updated: April 2026

Your Benefits

Restoration of the natural mouth corner vector
Freeing the facial expression from unwanted heaviness
Internal support of the lower facial third
Preservation of individual expression dynamics
Soft transitions rather than visible filling edges
Synergy with jawline and cheek treatment

How the Treatment Works

Analysis: I assess the depth of the lines and the position of the mouth corners.

Planning: We discuss whether you want a subtle or more noticeable correction.

Numbing: Numbing cream for maximum comfort.

Injection: Hyaluronic acid is injected into the lines and, if needed, the mouth corners.

Review: Together we check the result in the mirror.

The Vector of Expression

The mouth corner vector fundamentally controls how our face is perceived emotionally. When it points downward, others read sadness or displeasure — regardless of what we actually feel. The fold itself isn't the real problem: it's the volume loss above and lateral to it — in interplay with cheek and jaw. That's why at minimal med we follow a holistic principle: support from above, not filling from below.

The Layered Technique

The crucial difference lies between deep support at the bone and superficial smoothing. We work with a cannula for atraumatic technique and rely on gradual building — this is particularly important here: the mouth area is highly active in expression and does not forgive exaggeration. Each session builds on the previous one until the result is right.

Looking Sadder Than You Feel?

People assume you're sad when you're not? That's what patients tell me when drooping mouth corners bother them. A small volume deposit is often enough to bring a positive expression back to the face.

Frequently Asked Questions

What exactly are marionette lines?

The name comes from marionette puppets, whose movable lower jaw is separated by lines from the mouth corners. These lines develop due to volume loss and tissue laxity in the lower third of the face.

Can the mouth corners also be lifted?

Yes, this is often part of the treatment. Drooping mouth corners can be lifted with hyaluronic acid or through the DAO treatment — relaxing the muscle that pulls the corners downward. Both approaches complement each other ideally.

Does cheek enhancement help with marionette lines?

Indirectly, yes. When the cheeks are built up, the entire tissue is lifted upward and the marionette lines become flatter. I often treat both together.

Does the result look natural?

Yes, when the right technique is applied. I don't simply fill the lines but work with the surrounding tissue to achieve a natural result.

How is this different from nasolabial fold treatment?

Nasolabial folds run from the nose to the mouth corners, marionette lines from the mouth corners to the chin. Often both are treated together to rejuvenate the middle and lower face.

What does marionette lines treatment cost?

The treatment starts from 299 EUR. When combined with nasolabial folds or cheek enhancement, we offer package prices.