Skip to content

Marionette Lines: What Are They And How To Get Rid Of Them Effectively

Marionette Lines: What are they and how best to get rid of them effectively?

Wondering why people are asking you “What’s wrong?” Or “Cheer up!” If you’re 40+, more often than not, the cause could be your Marionette Lines. For some, marionette lines appear even earlier.

Marionette lines are those lines from the edges of your lips travelling down towards your chin. You may well see them in other members of your family as there can be a genetic disposition to them. Parents, grandparents, aunt and uncles…

Not to worry, there are some amazingly effective treatments for marionette lines.

What Are Marionette Lines?

Marionette lines are one of those fittingly named wrinkles that invoke up a clear visual. Humans develop creases over time, running from the outer edges of the lips to the outer corners of the chin. Because of their drooping nature, marionette lines can make a face look pouty or moody. Prevention is key, however you may have already see your marionette lines have developed.

What are the Main Causes Of Marionette Lines?

Did you know that hereditary is a big factor as is gravity, neither of which we can do much about. Over many years, gravity pulls down on our faces, stretching our skin which was once smooth-and-tight and youthful looking. The skin is pulled towards your chin, leading to lines forming lines at either side. Unfortunately, this is compounded with our natural ageing process, leading to a reduction in collagen and elastin. The structural support for your skin diminishes, which further adds to the downwards trend and sagging skin.

Other factors can have an impact to, in particular, lifestyle. Smoking, tanning or sunbathing will all cause the ageing process to accelerate.

How To Get Rid Of Marionette Lines: 4 Treatment Options to help.

You’ve tackled the lifestyle aspects mentioned above. You have a great skin care regime which includes exfoliating, cleansing and moisturising. What options are there left for your marionette lines?

  1. Skin Treatments

ZO Firming Serum can help with marionette lines, focused on tightening and firming the skin. However, it’s effect may be somewhat limited for deep rooted lines.

  1. Chemical Peels

A chemical peel is a non-invasive anti-ageing treatment. A chemical solution, made from a carefully formulated acid, is applied to your face. This acid removes the top layer of your skin, leaving healthier, more youthful-looking skin beneath.

A chemical peel is a quick (15-30 minute) procedure, suitable for the treatment of mild wrinkles and some other signs of ageing such as age spots and also acne scars.

Available in a variety of strengths and types, including glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbonic acids, chemical peels can be selected to suit your own individual needs. Here at Elite Aesthetics, we offer Enerpeel: a new generation of peel that can be individually tailored to suit your skin type and age rather than the ‘one type fits all’ approach.

  1. Injectables

Juvederm and other dermal fillers are an option for mild marionette lines. Toxins such as botox can be used to relax the muscles and can be used to prevent marionette lines from forming. Hyaluronic acid (HA) fillers like Juvederm, on the other hand, can be injected below the corners of the mouth to lift the smile and fill out minor creases.

  1. Thread Lift

If you want to fix a marionette, you might need some strings. The thread lift is more or less what it sounds like: imagine it like a puppeteer that literally pulls the jowls taut from the sides. More technically speaking, it’s a minimally-invasive alternative to the facelift in which a string of fiber studded with small cones is threaded below the skin surface. The cones take hold of the tissue from below, suspending the skin in a more lifted position. The procedure is performed under local anesthesia, and it only requires a few days of downtime, during which you can expect some bruising and swelling. Because the threads are dissolvable, the results will last about six months.

Make An Enquiry

    We guarantee not to share your information.
  • This field is for validation purposes and should be left unchanged.
What Our Clients Say...

4.97/5 from 1229 reviews

Dr. Shirin is a fully-trained and highly-experienced aesthetic physician, who works diligently to ensure a 5 star quality service, and brings an honest and ethical approach to every one of our clients. With over 20 years of experience in the medical field, including several years as a GP and a sub-speciality in anaesthetics, Dr. Shirin is fascinated by the harmony between medicine and aesthetics, and with her expertise, Elite Aesthetics is able to offer effective, doctor-led treatments to vastly improve the lives of our clients.

To find out more about how we’ve put a smile on customers faces in the past, read our testimonials below for first-hand accounts of a variety of our treatments. You can also find out more about what we think at Elite on our blog, as well as reading more about what the press says about us. Our delighted clients hail from areas including Greenhithe, Dartford, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Read How I Improved My Lichen Sclerosus

Had a consultation with Elite yesterday, I must say I was a bit nervous, but Dr Shirin was so friendly and helpful.
I was given lots of advice and was given treatment options that were within my budget.
A few weeks after the P Shot I've really started to see a difference and have gained my confidence back.

Thank You!



Elite is an outstanding professional clinic with high standard treatments. All the staff members are friendly and offer you honest opinions when it comes to products and treatments. This is a welcoming clinic that I can 100% recommend. Treatments are spoken through and explained in detail, also aftercare. I have been going nearly a year now and am happy with all the treatments I’ve had, wouldn't go anywhere else. The Bocox treatment started to work within a few days, which I was surprised about. So glad I went to Elite for treatment.



Thank you Dr Shirin, the O Shot has really helped me with my Lichen Sclerosus. I'd heard about the treatment on the LS Facebook Groups and message a few people that had treatment with Dr Shirin. I was like many in the group who had run out of treatment options and using creams on a daily basis. I have to say a few months after treatment, I can see a real positive change and I'm hoping my LS will continue to improve. Dr Shirin did say that I might have to have a second treatment given how severe my case is.




A great discovery in the neighbourhood ! There is no need to go up to London for a beauty treatment of any kind. You'll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more. I love the results of the Thread Lift I had.


Great service as always, skin is glowing very happy


Very happy with the result of my recent visit. For sure will continue with Elite in future

  • Accreditations
  • accreditations

We have extensive knowledge and experience in the medical and aesthetics industries, but we know that above all, the results matter! All of our treatments are vigorously tested in-house before we offer them to our clients to ensure they are safe, effective and will give you, our wonderful clients, the results you want. Your happiness, well-being and satisfaction are at the very core of everything we do here at Elite Aesthetics, and as a result we will never over-treat or carry out a procedure that Dr. Shirin, deems inappropriate or unsafe. Ethical treatment guides our practice, and we aim to become an industry leader in this respect. This means you can always feel confident that you are in safe hands when you choose Elite Aesthetics.

Our practice is led by our founder, Dr. Shirin Lakhani, who is an advocate for greater regulation in the aesthetics industry. Dr. Shirin and Elite Aesthetics believe greater regulation is vital to the development of aesthetics industry as a whole, and as such, our clinic’s philosophy is based on providing doctor-led care to the highest, medically approved standards. We adhere to stringent ethical and medical principles ensuring all the procedures we offer are safe and effective. Dr. Shirin is also fully registered with the GMC (reference number 4634863), and Elite Aesthetics is CQC (Care Quality Commission) Registered, an endorsement recognised by the UK Government, The Department of Health and NHS England.

Elite Aesthetics has been awarded Thread Lift Certification by MINT Threads.

Aesthetics Clinic

Elite Aesthetics
Based on 338 reviews
powered by Google

17:16 05 Jun 23
Hi, Alex here,Just had my Lichen treatment today with Dr Shirin,The whole team at elite are very friendly, comforting and understanding, and did everything they could to give me a wonderful and welcoming experience. They are all so kind, friendly and knowledgeable, world experts at what they do. I am lucky to have them near London. They are also super responsive on the phone and email, so I know they care about thier patients, and I'm very well taken care of, (as with other clinics I have been to, its often difficult to get them to respond to questions), but this clinic is the most responsive I have ever seen!This is a beautiful and wonderful place and I highly recommend it, and I will be recommending it to all my friends as well. They definitely deserve the super high reviews they are getting, so I'm happy to add another one! A Big thank you from me and my family for all you have done for us during this journey!

Margaret QuirkeMargaret Quirke

19:44 11 Apr 23
Great team, friendly and professional. Made me feel very comfortable. They explain everything in detail.very welcoming upon arrival too.I've been going now for a number f weeks and the attitude and cleanliness is consistent. The reception area is always spotless no matter the weather.The staff attitude is always friendly and they put me at great ease

Salima CharifSalima Charif

09:34 30 Mar 23
Good service, honesty and excellent customer service as always 👍

Valerie LambValerie Lamb

08:40 15 Mar 23
Yesterday I had a 'body sculpt' session, to help lymphatic drainage. I was zipped into a suit up to my waist. This massaged and lightly squeezed my feet, ankles, calves, thighs and abdomen. I was breathing oxygen rich air via nasal tubes. It was very relaxing and I slept really well last night. Thank you Elite Aesthetics.

Izzy ChaplinIzzy Chaplin

20:11 09 Mar 23
Today was the first time I visited Elite. The staff were all so friendly and accommodating. Dr. Shirin is so knowledgeable and really helped me understand all the concerns I had. I will definitely be returning. I highly recommend Elite to everyone, especially those concerned with the menopause !


Take Your First Step...
Testimonials (Avg: 5 / 5) of 1229