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Marionette Lines


Marionette lines are facial wrinkles that occur with natural aging. The lines run vertically between the mouth and chin, which can also create sagging in the lower half of your face.

Marionette lines get their name from marionette string puppets, which are known for having split jaws so puppeteers can help them talk. The skin around your mouth is particularly prone to wrinkling because it’s thinner compared with the rest of your face. These types of wrinkles tend to develop by your 40s, but you may start seeing signs of them in your 20s and 30s. Learn more about their causes and possible treatment options if you wish to help minimize their appearance.


Like other types of facial wrinkles, marionette lines are caused by natural collagen losses that occur with age. Collagen itself is a protein that naturally plumps up your skin. Gravity also plays a role in sagging skin around the chin, making marionette lines more noticeable. As early as your 20s, your skin starts losing elasticity as well as hydration, which increases your risk for fine lines and wrinkles. Long-term sun exposure, stress, and poor nutrition may also contribute to facial wrinkles by prematurely breaking down collagen and elastin. Despite the overall causes of wrinkles, you may only get certain types while other people may develop others. It’s not clear exactly what causes marionette lines in some individuals, but genetics are thought to play a role.


While wrinkles like marionette lines are a part of the natural aging process, it’s possible to temporarily reduce their appearance. There are no medical treatments besides surgery that’ll remove wrinkles permanently, but certain options like fat injections and dermal fillers may last longer than others.


Dermal fillers are temporary injectables that can help treat marionette lines in their earlier stages. Unlike Neurotox®, fillers don’t relax muscles. Instead, they help plump your skin. Hyaluronic acid dermal filler results in an immediate change,


SmileLift™ is a revolutionary 30-minute non-surgical “expression procedure” invented by Dr. Assassa. It is designed to turn Perma-Mouth-Frown, a sad permanent drooping mouth corner, upside down thus restoring Mona Lisa Smile. SmileLift™. is an office procedure performed under local anesthesia. Dr Assassa uses a proprietorship tiny instrument to help lift the mouth corners and turn your expression from a sad resting face to a happy one,”. No scalpel or stitching are needed. The results are immediate and long lasting, with minimal bruising and swelling lasting few days. Best of all, the procedure leaves no scarring.


Microneedling, or collagen induction therapy, is a treatment that creates very small holes in the skin to help generate stronger skin cells. A dermatologist uses a derma roller or microneedling pen, a tool that contains small needles to create these small holes in the target area of the skin.

When applied to deep marionette lines, microneedling may help generate more collagen to essentially fill in these deeper facial wrinkles. Depending on the results you’re looking to achieve, you’ll need to repeat microneedling several times.

For more information or to find out the right option for you, call Beverly Hills Aesthetics at 424-284-7570 Or Request a Complimentary Consultation with Dr. Assassa. We look forward to meeting you.

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