What Are Marionette Lines?
With time, many of us begin to notice vertical folds or creases running downward from the corners of the mouth toward the chin. These are known as Marionette lines (also called melomental folds). They earn their name because they resemble the grooves seen on the faces of marionette puppets, which allow the jaw to move.
Marionette lines tend to become more visible with age — as skin loses elasticity, collagen and fat volume in the lower face diminish, and facial tissues descend under gravity.
Common contributing factors include:
Natural aging, with reduced collagen and elastin production.
Volume loss in fat pads and underlying facial support structures.
Repeated facial movements (talking, smiling, frowning) over the years.
Lifestyle factors like smoking, sun exposure, and other environmental stressors.
Left unaddressed, marionette lines can deepen, sometimes giving the face a downturned, tired, or even sad expression — even at rest.
What to Expect During a Marionette Filler Treatment at Fethiye Medical Aesthetics Clinic
Consultation: We begin with a detailed facial assessment — considering skin condition, volume loss, facial anatomy, and your esthetic goals.
Treatment session: The filler is injected into strategic points along the marionette lines (and, if needed, adjacent supporting areas like chin or jawline) using precise techniques, often with a fine needle or blunt cannula for comfort and safety.
Immediate result: You will likely notice reduced creasing and smoother skin right away. Mild swelling or redness can occur but usually subsides in a few days.
Follow-up & maintenance: Final results settle over 1–2 weeks as swelling subsides. Depending on the filler used and how your body metabolizes it, touch-ups may be recommended 6–18 months later.
Why Choose Marionette Filler: A Non-Surgical Solution
At Fethiye Medical Aesthetics Clinic, we use dermal fillers to treat marionette lines — a modern, minimally invasive approach that restores volume, smooths deep creases, and refreshes your facial appearance.
✅ What Does “Filler” Do?
Most fillers are based on hyaluronic acid (HA), a substance naturally found in the body. When injected beneath the skin, HA attracts water, which plumps and hydrates tissues — restoring lost volume and softening lines.
By strategically placing filler along the marionette lines and adjacent lower-face areas (e.g. chin, jawline), the treatment provides structural support, lifts sagging tissue, and restores a smoother, more youthful contour.
The result: diminished depth and visibility of lines, a softer, uplifted lower face, and a more balanced — often friendlier or more rested — facial expression.
✅ Benefits of Marionette Filler
Immediate visible improvement: You’ll often see a softer appearance right after treatment, though optimal results become visible after any initial swelling subsides.
Natural-looking results: When administered by an experienced practitioner, filler becomes integrated under the skin — you shouldn’t feel lumps, and the treated area should move and settle naturally.
No surgery, minimal downtime: The procedure is non-surgical, typically takes less than an hour, and patients often return to daily activities the same day.
Hydration & improved skin quality: Because HA attracts water, treated areas often look more hydrated and plump — giving a more youthful, fresh skin texture.
Semi-permanent but reversible: Results generally last several months (depending on filler type, metabolism, and lifestyle), and if needed, HA fillers can be dissolved with a special enzyme (e.g. hyaluronidase).
Is Marionette Filler Right for You?
Good candidates for marionette filler typically:
Are in generally good health.
Have visible marionette lines — from mild to moderate or deeper folds — but still have enough skin elasticity.
Seek a non-surgical, relatively quick way to rejuvenate their lower face.
Understand that filler results are temporary and may require maintenance.
Patients may not be suitable if they have certain health conditions (e.g. uncontrolled autoimmune disease, active infection around the mouth, blood-clotting disorders), or unrealistic expectations.
Potential Risks & Side Effects
While marionette filler is generally considered safe when performed by experienced practitioners, as with all injectable procedures, there are some possible side effects or complications to be aware of:
Temporary: redness, swelling, bruising, tenderness at inject-site — typically resolving in a few days.
Occasional: mild lumps or unevenness under the skin — especially if filler is over-injected or if post-treatment care is neglected.
Rare but serious (very low risk): vascular complications (if filler inadvertently enters a blood vessel), infection, asymmetry, or overfilling that leads to an unnatural appearance.
Because hyaluronic acid fillers are not permanent, the effect gradually fades — meaning maintenance treatments are necessary to keep results.
At our clinic, we follow strict safety protocols — sterile technique, proper volume estimation, and precise injection placement — to minimize all risks.
Why Fethiye Medical Aesthetics Clinic & Dr. Tuncay Dagel
We prioritize a natural look — not “overdone” filler faces. Our approach uses minimal yet effective volume to rejuvenate, not distort.
Treatment is tailored: before any filler, Dr. Tuncay Dagel assesses your facial anatomy, skin condition, and aesthetic goals to design a personalized plan.
Safety first: we use high-quality, medically approved fillers, sterile techniques, and precise injection methods (needle or blunt cannula depending on the need).
Support & follow-up: we monitor results, offer guidance on aftercare, and are available for follow-up or adjustments if needed.
If you’re looking for a subtle but noticeable rejuvenation of your lower face — with softened marionette lines and restored youthful contours — marionette filler at our clinic may be the ideal solution.
Appointment for Fethiye Marionette Filling
For detailed information about marionette fillers and to schedule a free consultation appointment, please contact us through our contact page.
Contact Information
QNB Finansbank Üstü, (Salı Pazarı Yanı) Kesikkapı Mah. Pürşahbey Cad, No:15 A Blok D:5, Fethiye/Muğla
Send a Message
Write to us for personalized medical aesthetic solutions with Dr. Tuncay Dagel.
Frequently Asked Questions (FAQ) – Marionette Filler
Discover answers to the most common questions about Marionette Filler, including how the treatment works, what results to expect, how long it lasts, safety details, and who is an ideal candidate. Our FAQ helps you understand this non-surgical solution for softening marionette lines and rejuvenating the lower face.
What are marionette lines?
Marionette lines are vertical folds that extend from the corners of the mouth down toward the chin. As volume decreases and skin loses elasticity with age, these lines become deeper and more noticeable, often creating a tired or downturned facial expression.
How does marionette filler work?
Marionette filler uses hyaluronic acid–based dermal fillers to restore lost volume and smooth the creases around the mouth. By adding subtle structural support, the filler softens deep folds, lifts the lower face, and creates a fresher, more youthful appearance.
What type of filler is used for marionette lines?
High-quality hyaluronic acid (HA) fillers are most commonly used. HA is naturally present in the body and provides hydration, elasticity, and volume. It also integrates smoothly into the tissue and offers natural-looking results.
How long do the results last?
Results typically last 6–18 months, depending on the filler type, your metabolism, and your facial movement patterns. Touch-up treatments help maintain long-term results.
Is the treatment painful?
Most modern fillers contain lidocaine (a numbing ingredient), and a numbing cream can also be applied before the procedure. Patients usually report only mild pressure or slight discomfort during the injections.
How soon will I see results?
Results are visible immediately, although mild swelling or redness may appear and usually subsides within a few days. Full settling of the filler occurs within 1–2 weeks.
What is the downtime after marionette filler?
There is minimal downtime. Most people return to daily activities right after treatment. You may experience temporary swelling, bruising, or tenderness around the injection sites.
Are marionette fillers safe?
Yes — when performed by a trained medical professional. Side effects are typically mild and temporary. Rare complications such as infection or vascular issues are minimized through proper technique and anatomical expertise.
Can marionette filler be dissolved?
Yes. If hyaluronic acid fillers are used, they can be safely dissolved with an enzyme called hyaluronidase if needed due to overfilling, asymmetry, or patient preference.
Who is a good candidate for marionette filler?
You may be a good candidate if you:
Have mild to severe marionette lines
Want a non-surgical rejuvenation
Prefer natural-looking results
Are in general good health
Understand that results are temporary
How much filler will I need?
The amount varies based on the depth of your lines and the overall structure of your lower face. Most patients require 1–2 syringes, while deeper folds or volume loss may require additional filler for optimal improvement.
What should I avoid after treatment?
For the first 24–48 hours, avoid:
Intense exercise
Hot environments (saunas, steam rooms)
Alcohol consumption
Direct sun exposure
Massaging or pressing on the treated area
Will the results look natural?
Absolutely. When performed with proper technique and appropriate filler choice, marionette filler provides subtle lifting and smoothing without changing the natural character of your face.
Can marionette filler help with a downturned mouth?
Yes. By supporting the corners of the mouth and replenishing lost volume, filler can reduce the appearance of a “sad” or downturned expression, giving the lower face a more relaxed and refreshed look.
