Marionette lines: causes, prevention and treatment
Marionette lines, also known as mouth corner wrinkles, are the vertical lines that run from the corners of the mouth down to the chin. They can give the face a tired or even sad expression. But why do these lines form, and what can you do about them? Here’s everything you need to know about the causes and the best ways to prevent and treat marionette lines – for a fresh, radiant complexion.
What are marionette lines and why do they appear?
The development of marionette lines is a natural part of aging and results from a combination of anatomical and external factors. These wrinkles usually appear in middle age, when the skin loses volume and elasticity. According to scientific studies , various biological and environmental influences contribute to wrinkle formation.
Anatomical factors:
- Loss of skin elasticity: As we age, the collagen and elastin content in our skin decreases. These two components are essential for firm, elastic skin. When they decline, the skin loses its tightness and marionette lines begin to form.
- Reduction of fat tissue: The subcutaneous fat pads that give skin its volume diminish over time. As a result, the skin sinks and wrinkles become more visible.
- Bone resorption: With age, jaw and facial bones naturally recede, weakening the structural support of the skin.
- Muscle changes: Constant movements of the mouth muscles can, over time, lead to the appearance of permanent lines.
External factors:
- Gravity: Gravity continuously pulls the skin downward, contributing to sagging in the lower face.
- Lifestyle: Smoking, UV radiation, and an unbalanced diet accelerate skin aging and promote facial wrinkles.
- Facial expressions and habits: Frequent facial movements such as laughing or frowning contribute to wrinkle formation. Even sleeping on your side can promote marionette lines over time, as the skin is repeatedly compressed.
What helps against marionette lines? – The best prevention and treatment methods
There are many ways to prevent or reduce marionette lines. With the right skincare, healthy habits, and innovative products, you can effectively combat their formation. 
Skincare – Your daily routine against mouth corner wrinkles
A skincare routine tailored to your skin’s needs can improve elasticity and balance hydration levels. Products containing hyaluronic acid are particularly effective, as they plump the skin from within and visibly smooth wrinkles. Hyaluronic acid binds moisture and strengthens the skin’s structure — ideal for dry or mature skin.
Non-invasive care for marionette lines – Hyaluron Mouth Patches and Silicone Pads
An innovative option for wrinkle care are Mouth Patches with hyaluronic acid. These soft cotton patches are perfect for face taping and are designed to hydrate and smooth the delicate mouth area. The hyaluronic acid helps fill lines and restore volume for a fresher look.
For those who prefer a non-invasive yet powerful alternative to injections or laser treatments, our Silicone Mouth Pads are ideal. Made from medical-grade silicone, they are enriched with hyaluronic acid and designed for overnight use. Thanks to the occlusion effect, the silicone layer locks in moisture and helps the hyaluronic acid penetrate deeper into the skin — leaving your skin smoother and visibly refreshed by morning.
Healthy lifestyle – The foundation for glowing skin
A healthy lifestyle is key to youthful, firm skin. A balanced diet, enough sleep, and daily sun protection promote skin health and slow aging. UV radiation is one of the biggest wrinkle triggers — so sunscreen is non-negotiable! Smoking and alcohol, on the other hand, impair blood flow and collagen production. Small daily habits truly make the difference for radiant, resilient skin.
Professional treatments for marionette lines
In addition to daily care and gentle, non-invasive methods, targeted professional treatments can also help reduce marionette lines.
- Hyaluronic injections: Hyaluronic acid can be injected into deeper skin layers to fill wrinkles and instantly add volume — making marionette lines less visible.
- Laser therapy & chemical peels: These stimulate collagen production and skin renewal, tightening and smoothing the skin. They should always be performed by a dermatologist.
- Thread lifting: Fine threads are inserted into the skin to gently lift and firm the tissue — particularly effective for deeper lines.
- Microdermabrasion: This mechanical exfoliation removes dead skin cells and improves elasticity, helping soften marionette lines visibly.
Hyaluronic acid and other anti-aging ingredients for marionette lines
In addition to hyaluronic acid, other proven ingredients help slow down skin aging. Retinol promotes cell renewal and strengthens skin structure, while Vitamin C protects against free radicals and supports collagen production. Combining these actives with hyaluronic acid enhances their anti-aging benefits and can visibly reduce marionette lines.
Can marionette lines be removed permanently?
Permanent removal of marionette lines is usually only possible through surgery. However, innovative products like our Hyaluron Mouth Pads offer a gentle yet effective alternative. They nourish the skin from within, visibly smooth wrinkles, and help maintain a youthful appearance — without any invasive procedures.
Conclusion: Whether it’s daily care with hyaluronic acid, mindful lifestyle habits, or professional treatments — the best care against marionette lines and mouth wrinkles is the one that suits you. Find your ideal routine to support your skin and restore its natural smoothness and glow.
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Sources:
Hong, G., Kim, S., Park, S. Y., Wan, J., & Yi, K. (2024b). Why do marionette lines appear? Exploring anatomical perspectives and thread-based interventions. Skin Research and Technology, 30(4). https://doi.org/10.1111/srt.13676
Quan, T. (2023). Human skin aging and the anti-aging properties of retinol. Biomolecules, 13(11), 1614. https://doi.org/10.3390/biom13111614