Who it may suit
- Lines running down from the corners of the mouth
- Mouth corners that have started to turn down at rest
- Shadowing between the mouth and the jaw
- Adults aged 18 and over in good general health, with realistic expectations
GP-led treatment
Softer marionette lines and mouth corners
Careful support for the lines that run down from the corners of the mouth, planned around the whole lower face.
- GP-led care
- Boroughbridge & Billingham
About the treatment
What is marionette lines filler?
Marionette lines run down from the corners of the mouth towards the jaw. As the face loses volume and support with age, they can deepen and pull the corners of the mouth down, which can make you look sad or tired at rest. Filler uses a hyaluronic acid gel to soften these lines and support the area.
The lower face works as a whole, so the cheeks, chin and jawline are assessed too. Sometimes the most natural result comes from supporting a nearby area rather than filling the line itself, and you will be told honestly what is likely to help.
When it may not be suitable
- Pregnancy or breastfeeding
- An active cold sore, infection or inflammation around the mouth
- A previous reaction to hyaluronic acid filler or local anaesthetic
- Some medical conditions and medicines, which are checked at consultation
Your full medical history is reviewed at consultation, so this list is a guide only.
Step by step
What to expect
- Consultation: your goals, medical history and lower face are assessed, and risks and alternatives are explained.
- Planning: you agree where support is needed and how much product to use, and give written consent.
- Treatment: filler is placed with a fine needle or cannula. Most products contain a local anaesthetic for comfort.
- Aftercare: you leave with aftercare advice and know how to contact the clinic if you have any concerns.
Downtime and recovery
Mild swelling, tenderness and bruising are common for a few days. The area can feel firm while the product settles, usually over one to two weeks.
How long results last
Filler in this area often lasts around 9 to 12 months, as the mouth moves a lot. How long it lasts depends on the product, the amount used and your own metabolism.
Aftercare
- Keep the area clean and avoid touching, pressing or massaging it unless you have been advised to
- Avoid make-up on the treated area for 24 hours
- Avoid strenuous exercise and alcohol for 24 to 48 hours
- Avoid saunas, steam rooms, sunbeds and other facial treatments for around two weeks
- Sleep on your back with your head slightly raised for the first night or two, if you can
- Avoid planned dental treatment for two weeks where possible
- If you are prone to cold sores, mention it at consultation, as treatment can trigger an outbreak
- Contact the clinic promptly if you notice increasing pain, a change in skin colour, or anything that worries you
If your vision changes after a facial injectable treatment, call 999 or go to A&E straight away and tell them what treatment you have recently had. Do not wait for a reply from the clinic. If you have severe or increasing pain, or the skin turns pale, dusky or blotchy, contact the clinic immediately, or get urgent medical help if you cannot reach us.
Guide prices
Marionette Lines Filler prices
A £25 consultation fee applies and is credited towards treatment when booked within 30 days.
Guide prices
Dermal filler treatment is tailored to the area, anatomy, product choice, and desired result.
| Treatment | Price |
|---|---|
| Marionette lines / corners of the mouth | £200 |
Your safety
Clinical standards behind every treatment
The same careful process applies whichever treatment you choose. Read about clinical safety and governance.
GP-led consultation
A face-to-face assessment of your goals, medical history and suitability always comes first.
Consent and time to decide
Risks, alternatives and costs are explained, and you have time to think before giving written consent.
Regulated products, insured care
Medicines are UK-licensed, fillers and skin boosters are CE or UKCA-marked, and the practitioner holds medical indemnity cover.
Aftercare and follow-up
You leave with aftercare advice and a direct way to contact the clinic, with review arranged if needed.
Marionette Lines Filler FAQs
Questions before you book
Will filler get rid of marionette lines completely?
Filler can soften them, but deep lines rarely disappear completely, and trying to fill them away can look heavy. The aim is a softer, more rested look that still moves naturally.
Why might my cheeks or chin be treated instead?
Marionette lines are often caused partly by loss of support higher up the face. In some people, supporting the cheeks or chin softens the lines more naturally than filling them directly. This is assessed individually.
How much filler is usually needed?
Often around 1ml, but it depends on how deep the lines are and whether nearby areas need support. An amount will be recommended at consultation.
What are the risks?
Swelling, bruising and tenderness are common. Other possible complications include infection, lumps that persist, asymmetry and delayed inflammation. Rarely, filler can block a blood vessel and damage the skin or other tissue, and very rarely this can cause permanent loss of vision. Careful technique lowers these risks but cannot remove them. Your practitioner will explain the risks that apply to your treatment.
Can it be dissolved?
Hyaluronic acid filler can sometimes be dissolved after a clinical assessment. Dissolving is a medical treatment in its own right, with its own risks, and it cannot guarantee a return to how you looked before.
Related treatments
You may also be interested in
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Facial Rejuvenation
A full-face filler plan across several areas, for overall balance and support.
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Treatment
Chin Filler
Improves chin projection and length to balance the profile and lower face.
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Treatment
Lip Filler
Soft volume, shape and definition for the lips, planned for balance rather than size.
Learn moreFurther reading from the journal
Next step
Start with a marionette lines filler consultation
Appointments are available at our Boroughbridge clinic and in the Billingham area, by arrangement. Get in touch by WhatsApp or email to find a time that suits you.
Book a Consultation