Marionette lines, also known as oral commissure lines, occur when the depressor anguli oris muscle, or DAO muscle, pulls down the corners of the mouth, causing noticeable lines and a sad expression.
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.
This procedure involves injecting dermal fillers into the area with the use of a cannula. By using a cannula instead of a needle we are able to safety inject filler in this area and minimise any trauma and bruising. Dermal fillers are made up of hyaluronic acid, a hydrophilic molecule that attracts and holds water in the area in which we have injected. This helps to increase volume, plumping and firming the skin and reducing lines and wrinkles.
Botolinum Toxin injections are another treatment that can be used to relax the muscle in this area and can be used as an alternative or an add treatment to increase results. In older client with deeper lines this may be advised to you by your practitioner for best results.