Marionette line filler targets the lines extending from the mouth corners to the chin, reducing sagging and restoring a lifted, refreshed look. It helps improve facial symmetry and soften shadows in the lower face. Ideal for those seeking to reverse signs of ageing or a downturned expression. Results are immediate and last up to 12–18 months.

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Marionette Line Filler

What Is the Procedure For?
Marionette line filler is a non-surgical aesthetic treatment designed to smooth the vertical lines that run from the corners of the mouth down towards the chin. These lines can create a sad or downturned appearance and often deepen with age due to tissue descent, collagen loss, and reduced skin elasticity.

This Treatment is Ideal for Those Who:

  • Have visible marionette lines that create a tired or sad facial expression

  • Wish to lift and soften the lower face without surgery

  • Are concerned about early signs of jowling or loss of facial support

  • Want to refresh their appearance and restore facial harmony

 

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How Does the Treatment Work?
Hyaluronic acid-based filler is carefully injected along the marionette lines to restore lost volume, reduce the shadowing and fold depth, and gently lift the corners of the mouth. Filler may also be placed in adjacent support areas such as the chin or pre-jowl sulcus to enhance the effect.

Injection Points for the Filler Treatment:

  • Directly into the marionette lines
  • Lateral and medial to the line to soften and blend
  • Pre-jowl sulcus (optional) to improve jawline definition
  • Oral commissure (corner of the mouth) to lift downward pull

 

Cannula vs. Needle Technique:

  • Needle: Ideal for precision along the line and into the corners of the mouth
  • Cannula: Preferred for broader product placement and reduced bruising in sensitive areas
  • Choice is based on skin condition, vascular mapping, and injector preference

Understanding Cross-Linking in Filler Products:

  • Medium to highly cross-linked fillers such as Juvederm Volift or Teoxane RHA 3 are used to provide structure while remaining flexible enough for natural mouth movement
  • The more cross-linked the filler, the greater its lifting capacity and longevity
  • Products are selected to prevent lumpiness and ensure smooth integration

 

  • Treatment Duration:

    30–45 minutes

  • Pain Level:

    Mild; numbing cream and lidocaine in the filler minimise discomfort

  • Downtime:

    Mild swelling or bruising may occur; resolves in 2–4 days

  • Results Seen:

    Immediately, with refinement over 5–10 days

  • Longevity:

    9–15 months depending on product and individual metabolism

This Treatment is Ideal for Individuals Who:

  • Feel their expression is negatively impacted by lower facial lines
  • Wish to subtly lift the mouth corners and improve jaw contour
  • Prefer a non-invasive, natural enhancement of their lower face

Filler Product Options and Pricing:

  • We use high-quality, dynamic HA fillers:

Additional Syringe Pricing:

  • Teoxane: £80 per additional ml
  • Juvederm Vycross Range: £125 per additional ml

Most patients require 1–2 ml total depending on the severity of lines and desired outcome. A tailored consultation at Haus of Ästhetik ensures your marionette treatment is personalised for balanced, natural-looking results.

Book your consultation today and experience the confidence-boosting benefits of treatments at Haus of Ästhetik.

Frequently Asked Questions

What are dermal fillers made of?

Most dermal fillers used at Haus of Ästhetik are made of hyaluronic acid (HA), a naturally occurring substance in the body that helps retain moisture and add volume to the skin.

What areas can dermal fillers treat?

Fillers are used to treat a range of areas including lips, cheeks, chin, jawline, temples, nasolabial folds, marionette lines, tear troughs, hands, and even non-surgical rhinoplasty.

How do I prepare for a dermal filler appointment?

Avoid alcohol, aspirin, and NSAIDs (e.g., ibuprofen) for 24–48 hours before treatment to reduce the risk of bruising. Stay hydrated, and come with a clean face free of makeup.

Is local anaesthetic used during the treatment?

Yes. All our dermal fillers contain lidocaine for comfort. In addition, we apply a prescription-grade topical anaesthetic (10% lidocaine), which is significantly stronger than over-the-counter LMX or EMLA creams.

What is the benefit of using 10% lidocaine topical anaesthetic?

Our high-strength lidocaine offers faster onset and deeper numbing, ensuring a more comfortable experience for our patients.

Is the procedure painful?

Discomfort is minimal. The combination of topical anaesthetic and lidocaine in the filler significantly reduces pain. Cannula techniques also help minimise trauma.

How long do dermal filler results last?

Longevity depends on the treatment area and filler used, but results typically last between 6–18 months.

How long does the treatment take?

Most procedures take 30–45 minutes, including consultation and aftercare advice.

Are results visible immediately?

Yes, most patients will see results immediately post-treatment, though full results will settle after 3–7 days once swelling subsides.

If so how much swelling occurs?

On average at the time of hte procedure there will be around 30% swelling onto of the effects of the filler procedure.

What’s the difference between needle and cannula techniques?

Needles are used for precision, especially in smaller areas. Cannulas allow for less trauma, fewer entry points, and reduced bruising, ideal for larger areas.

Are there side effects?

Common side effects include redness, swelling, bruising, or tenderness at injection sites. These are usually mild and resolve within 3–5 days.

What should I avoid after treatment?

Avoid touching the treated area, wearing makeup for 12 hours, strenuous exercise for 24–48 hours, and alcohol for 24 hours.

Is the Clinic Equipped to manage a Vascular Occulsion (VO)

The clinic holds the required stock to reverse a Vascular Occlusion if it did happen to occur. The clinical staff are trained to, assess, treat and manage a VO if it was to occur.

Can I fly after dermal fillers?

We recommend waiting 24–48 hours before flying to allow initial swelling or bruising to settle and to monitor for any delayed reactions.

Are dermal fillers reversible?

Yes, hyaluronic acid-based fillers can be dissolved using hyaluronidase. This is used for medical or aesthetic correction.

Are dermal fillers safe?

When administered by qualified medical professionals, dermal fillers are considered very safe. All treatments at Haus of Ästhetik are performed by trained injectors.

What is the aftercare for dermal filler?

We advise keeping the area clean, avoiding heat (sauna/steam), and following personalised advice given by your practitioner. Ice packs can help reduce swelling.

Can I combine dermal fillers with other treatments?

Yes. Many patients combine fillers with anti-wrinkle injections, skin boosters, microneedling, or LED therapy for comprehensive rejuvenation.

Will I look overfilled or unnatural?

Our approach focuses on subtle, natural-looking enhancements tailored to your facial anatomy. We never overfill or compromise aesthetic harmony.

Can I wear makeup after my filler treatment?

It is best to wait at least 12 hours post-treatment before applying makeup to reduce the risk of infection.

How many syringes will I need?

This varies by treatment area and individual goals. Some patients need as little as 0.5 ml, others may require 1–3 ml per session, where there is significant loss, ml's in the range of 7 -17 ml per treatment is not uncommon. Your practitioner will guide you.

What happens if I bruise?

Bruising is a common and temporary side effect. Arnica cream, ice packs, and avoiding blood thinners pre-treatment can help minimise this.

Will I need a follow-up appointment?

Some patients benefit from a review after 2–4 weeks. This is discussed during your consultation.

Can dermal fillers move or migrate?

When injected properly into the correct anatomical plane, filler migration is rare. Adherence to aftercare helps reduce this risk as well as using good quality products.

How do I know if I’m suitable for dermal fillers?

Suitability is assessed during your consultation. Contraindications include pregnancy, breastfeeding, certain autoimmune conditions, or allergies to filler ingredients.

Is there a minimum age for treatment?

Yes, we only treat individuals over the age of 18 this is outlined in the botulinum and cosmetic fillers (children) act 2021.

It is an offence for us to book a consultation or discuss the prospect of fillers or toxin treatments for individuals under the age of 18

Consultation and consnet

A valid medical consultation and consent process will be undertaken before any procedure.

Where all your questions and concerns will be addressed thoroughly during your consultation. At Haus of Ästhetik, patient education and safety are central to everything we do.

Book your consultation today and experience the confidence-boosting benefits of treatments at Haus of Ästhetik.