Target marionette lines and lower face creases with advanced non surgical treatments at L’Atelier, Harley Street, London
Loss of volume and structural support in the lower face:
As bone and fat diminish with age, the skin begins to fold more deeply around the mouth and chin.
Skin laxity caused by reduced collagen and elastin:
We naturally lose firmness over time, making the area more prone to sagging.
A naturally downturned mouth shape or genetic predisposition:
Some people are more likely to develop these lines due to facial structure.
Repetitive movement of the mouth muscles:
Everyday expressions can gradually deepen creases in this area.
Lifestyle and external factors such as sun exposure, dehydration and stress
These can accelerate collagen loss and make lines appear more pronounced.
Often, several of these factors work together, which is why each case of marionette lines is unique.
Marionette lines develop when the structural support of the lower face begins to weaken. As collagen, elastin and facial volume decline, the skin folds more easily around the mouth and chin, creating visible creases and a downturned appearance. Several factors can contribute to this change:
As bone and fat diminish with age, the skin begins to fold more deeply around the mouth and chin.
We naturally lose firmness over time, making the area more prone to sagging.
Some people are more likely to develop these lines due to facial structure.
Everyday expressions can gradually deepen creases in this area.
These can accelerate collagen loss and make lines appear more pronounced.
Every case of marionette lines is unique. After your consultation, we’ll recommend the best treatment or combination for your needs.
Juläine is a biostimulating injectable that stimulates collagen production in treated areas. At L’Atelier it’s listed under the dermal filler section.
Polynucleotides are regenerative injections that improve skin texture and resilience. They support the skin in the area around the mouth and chin, especially when the marionette lines are early or combined with fine lines.
Dermal fillers are one of the most effective ways to soften marionette lines.
By gently restoring lost volume around the mouth and chin, fillers lift the downward fold, reducing shadow and helping the lower face look straighter and more refreshed.
Skin boosters are injectable hydrators that infuse the skin with hyaluronic acid and nutrients. Around the marionette area, they help plump the superficial skin layer and smooth fine lines.
For clients whose marionette lines are caused in part by skin laxity or sagging, skin-tightening treatments such as Morpheus8 and Sofwave (both offered at L’Atelier) are effective.
Marionette lines are vertical creases that run from the corners of the mouth down toward the chin. They develop as the lower face loses collagen, elasticity and structural support.
A combination of factors can contribute, including natural ageing, volume loss, skin laxity, repetitive facial expressions, genetics and lifestyle influences such as sun exposure, stress, smoking and alcohol.
Dermal fillers remain the most effective option for deeper folds.
Polynucleotides, Juläine and skin boosters can improve skin quality, while anti-wrinkle injections help when muscle pull contributes to a downturned mouth.
Skin-tightening treatments like Morpheus8 or Sofwave may be recommended if laxity is significant.
Results vary depending on the treatment used.
Dermal fillers: typically 9–18 months, depending on product and individual anatomy
Juläine bio-stimulator: stimulates collagen for 12–24 months with gradual, long-lasting improvement
Polynucleotides: best results with a course; improvements generally maintained for 6–12 months
Skin boosters: usually last 6 months, with many clients repeating 2–3 times per year
Morpheus8: collagen remodelling continues for up to 3 months, with results lasting 1–2 years
Sofwave: lifting and tightening results develop over 12 weeks and typically last 1–2 years
No. Our approach focuses on subtle, natural enhancement. Treatments are designed to restore balance and softness to the lower face without altering your natural expression.
Downtime is usually minimal. Depending on treatment, you may experience mild swelling or redness for 24–48 hours, depending on the treatment. Most clients return to normal activities immediately.
Good skincare, daily SPF, hydration, active lifestyle and maintaining general skin health can help delay their development. However, most marionette lines form naturally over time as structural support decreases.
Yes. Early marionette lines respond well to regenerative treatments like polynucleotides and skin boosters, while more established lines may require dermal fillers or skin-tightening options.
Absolutely. Combination approaches often deliver the most natural, long-lasting results, for example, dermal fillers with polynucleotides, or anti-wrinkle injections alongside skin-tightening.
At L’Atelier, we focus on treating the cause of marionette lines rather than simply smoothing the surface. During a detailed facial assessment, we look at the factors contributing to the folds around the mouth, including volume loss, reduced collagen, skin laxity, muscle activity and natural facial structure. With this understanding, we create a personalised treatment plan that lifts, supports and rejuvenates the lower face for natural and long lasting improvement.
Dr Duncan Brennand is the Lead Aesthetic Physician at L’Atelier Aesthetics with extensive experience in advanced injectable treatments and facial rejuvenation. He specialises in restoring balance and support to the lower face, making him highly skilled in treating marionette lines and age-related volume changes.
With a precise and natural approach, Dr Brennand uses dermal fillers, bio stimulators and skin improving treatments to lift and soften the area without altering your natural expression. During your consultation, he will assess your facial structure and create a personalised plan designed to achieve subtle, long lasting improvement.
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