Cosmedocs · Clinical Gallery
Marionette Lines — Before & After
Marionette lines run from the corner of the mouth toward the jawline. Filler does not erase them — it lifts the corner of the mouth so they cast less shadow. Here is what that actually looks like.
"Our aesthetics is invisible art"
The Cosmedocs Standard
Corner-of-mouth support softens the line above it — the line is not erased, the shadow is.
Chin support added — the lower face frame holds the corner of the mouth up.
Combination treatment of chin + pre-jowl filler to soften marionette shadowing.
Full-face balance — cheek, chin and corner-of-mouth filler restore lower-face support.
Marionette lines — why filler in the line itself rarely works
Honest photo interpretation
Patients often ask for filler "in the line." This is almost always the wrong answer. Marionette lines are caused by loss of support around the corner of the mouth — by the time the line is visible, the structure underneath has already dropped. In these photos the filler is placed at the chin, pre-jowl sulcus and corner of the mouth — not in the line itself. The line softens because the tissue around it is lifted.
Doctor's note — when to add Botox
For deeper marionette grooves, a small dose of Botox to the depressor anguli oris muscle (DAO) helps the corner of the mouth sit higher at rest. We typically use 2–4 units per side. Filler alone will improve the area but adding DAO Botox is what creates the noticeable "lifted" look patients describe.
Patient Photo FAQ
Will filler get rid of my marionette lines completely?
In most cases, no — the line itself remains as a fold, but the shadow it casts becomes much less visible. Patients describe looking "less tired" rather than "line-free".
How much filler do you usually use?
For lower-face support around marionette lines, we typically use 1–2ml total across the chin, pre-jowl and corner of the mouth.
How long does it last?
Filler in this area lasts 12–18 months. Adding DAO Botox extends the visual result by reducing the daily downward muscle pull on the corner of the mouth.
Individual results may vary. All images show real patients treated at CosmeDocs or complication cases managed by our team. Photos are unretouched and taken under consistent clinical conditions. A consultation is required before any treatment.
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