What Are Marionette Lines On Skin?

Marionette Lines On Skin
What Are Marionette Lines On Skin?

Marionette lines

The facial lines that occur with natural aging are known as marionette lines. The lines form around the chin and mouth that cause sagging in the lower half of the month. These lines form vertically around the mouth and chin. These lines get their name from the marionette string puppets. The skin around the mouth is thinner than other facial skin, therefore prone to wrinkling.

Marionette lines tend to develop by the age of 40s but signs of these lines appear at the age of 20 or 30.

Causes of the marionette lines

Like other wrinkles marionette lines also formed due to the loss of natural collagen that loses with the age. Collagen is a natural protein that keeps your skin tighten and fresh. As early as you are in the 20s, your skin starts losing collagen and hence elasticity. Long term exposure to the sun can also become the reason for the finer lines and wrinkles. Its exact reason is still unknown but different types of people get different fine lines.

How to get rid of marionette

As marionettes are parts of natural aging. But still, it is possible to temporarily reduce the fine lines. There is no medical treatment except surgery to reduce the wrinkles permanently. But many options can help to reduce the wrinkles or these fine lines.


It is a dermaroller procedure that uses small needles to prick the line skin. The purpose of this procedure is to produce collagen and smooth muscle to tighten the skin. Micro-needling is mostly used on the face to treat scars and wrinkles.

It is also used in some anti-aging procedures, such as eyelid surgery and sunspots. Microneedling is not effective for the hair to lose. You can do this procedure if you are in good health.

Safety of the Microneedling

  • Microneedling procedure is minimally no invasive, requires no downtime
  • It is safe for the people who are in good health
  • Microneedling is not safe for people who use acne medications and pregnant women
  • You will see redness and irritation after the procedure


  • It’s considered effective in treating minor signs of acne, fine lines, and aging. After this procedure, you will feel brighter firm skin.
  • Ideal results will be after multiple sessions
  • Home rollers of micro-needling are more effective


Botox injection is useful for the wrinkles around the eyes and mouth. These injections relax the muscles underneath the skin. as a result, your skin will become smoother and tight with reducing the appearance of wrinkles. There may be irritation and bruising ate in the injection site. To treat the marionette lines with botox injection, you need to repeat the process after every 3 to 4 months. This method is best for wrinkles.

Derma fillers

These are like Botox injection, but it treats the wrinkles ate the first stage. Like Botox it does not relax the skin, instead, it plumps the skin. this is designed to mimic the function of collagen to smooth the muscles and reduce the wrinkles lines.

Hyaluronic acid derma filler shows the immediate result, but poly L lactic shows results after several months. Derma fillers stimulate the production of collagen. It also helps to reduce the sagging which is the result of the marionette lines. Injection in the cheek area produces an unnatural appearance.

Chemical peels

Chemical peels are applied by the dermatologist, the composition of the chemical peels depend upon the removal of the upper skin layer or middle dermis layer. This applies to reduce the face wrinkles and fine lines; as a result, the skin will be smoother and stronger.

Before getting this treatment to tell your provider if you use retinoid or face acids because they make the skin more sensitive for this treatment. To get better results you need a chemical peel every month.

Nasolabial folds

Nasolabial lines are identified lines on either side of the edge of the nose to the mouth. When people smile, these become more prominent also called smile lines. These signs become more prominent and deep with age. 

Newborn babies and people with paralyzed faces have more nasolabial lines. Almost everyone has nasolabial folds. The folds are more prominent with age which become of dense fibrous muscles and tissues

Causes of the Nasolabial folds

Nasolabial folds are not any medical condition but are normal lines. These lines become deeper and sag as the people age. With age people also get other lines with the nasolabial lines that extend down the chin, which is sometimes called marionette lines. Nasolabial lines become more prominent due to some reasons

  • Long term sun exposure, which damage the skin causing sagging and wrinkles
  • Loss of collagen with age and skin becomes weak and thin
  • Loss of fat can make the cheeks and regions appear saggy
  • Smoking
  • Exposure to an environmental pollutant that damages your skin
  • Rapid loss weight or fluctuation in weight loss


Nasolabial folds are a cosmetic issue and not a risk factor for other health problems. These folds do not require any special treatment. Some people when finding nasolabial folds, refer to remove them. Some cosmetic process can reduce or eliminate the nasolabial folds.

Treatment options are

Surgical removal

A dermatologist can easily remove the nasolabial folds using a process called subcision. This process is basically used to remove the acne marks and scars but can also work for the removal of the nasolabial folds.

During the process, doctors use a need to break up the pockets of the tissues. By using the needle doctor restores the area of the nasolabial reducing the depth of the folds.

Another option is called excision includes removing the affected area of the skin to attempt the reshape of the skin. This will give more dramatic results.


There is no exact method for preventing the nasolabial even children also have. Those who want to prevent further deepness of the folds should prevent the skin from sun exposure and UV radiation. There is no research or supported method to prevent the nasolabial folds.