Marionette Lines
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Marionette Lines Overview
Marionette lines, also called melomental folds, are facial wrinkles that occur with natural aging. The lines run vertically between the mouth and chin, which can also create sagging in the lower half of your face.
Marionette lines get their name from marionette string puppets, which are known for having split jaws so puppeteers can help them talk. The skin around your mouth is particularly prone to wrinkling because it’s thinner compared with the rest of your face.
Marionette lines and nasolabial folds are in different locations on your face. Nasolabial folds are known as smile lines and extend from the nose to the mouth. Marionette lines appear below nasolabial folds.
Most people will get marionette lines as they age. However, some people may be more prone to developing these lines sooner or have more visible, deeper lines. For example, people who smoke and don’t use sun protection may form marionette lines early or have more prominent wrinkles.
Marionette lines typically appear around age 40. But you may see faint or subtle lines at the corners of your mouth in your 20s and 30s.
Yes, marionette lines are a sign of aging. These wrinkles can make you look older than you are.
Marionette Lines Symptoms
Marionette lines typically appear around age 40. But you may see faint or subtle lines at the corners of your mouth in your 20s and 30s.
Yes, marionette lines are a sign of aging. These wrinkles can make you look older than you are.
Marionette Lines Causes
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. To compound the problem, as the body ages, its supply of collagen gradually breaks down, which diminishes facial volume and elasticity. This loss of elasticity and volume makes facial wrinkles and folds appear more prominent.Marionette lines may develop due to:
Aging and naturally losing collagen and elastin in your skin.
Having parents or grandparents with marionette lines.
Not wearing sunscreen on your face.
Pursing your lips frequently.
Severe stress.
Smoking.
Sun exposure, which can lead to sun damage.
Marionette Lines Diagnosis
Your dermatologist or cosmetic surgeon may use a five-point rating scale to diagnose the severity of the marionette lines. The rating scale can help your surgeon determine the best treatment option. .
Marionette Lines Treatment
While wrinkles like marionette lines are a part of the natural aging process, it’s possible to temporarily reduce their appearance. There are no medical treatments besides surgery that’ll remove wrinkles permanently, but certain options like injections and dermal fillers may last longer than others.
Wrinkle treatments aren’t considered a medical necessity, so insurance won’t cover them.
ISO Metrik Treatment Plan for Marionette Lines
Strengthening the Lower Face to Reduce Wrinkles & Improve Jawline Definition
Marionette lines are the vertical wrinkles that run from the corners of the mouth down to the chin, creating a sagging appearance. These lines develop due to muscle weakening, loss of collagen, and structural changes in the jawline. As the depressor anguli oris (DAO), depressor labii inferioris (DLI), and mentalis muscles lose tone, the skin in the lower face begins to droop, deepening these lines.
The ISO Metrik Device applies targeted resistance training to these key muscles, which may help strengthen and lift the lower face, reduce the depth of marionette lines, and improve overall skin firmness. By using the device in all positions (vertical, horizontal, and 45-degree angles), this treatment engages multiple muscle groups for optimal results.
Causes of Marionette Lines
✔ Weakening of the DAO & DLI Muscles – These muscles pull the corners of the mouth downward; when weakened, the skin around the mouth begins to sag.
✔ Loss of Collagen & Elastin – Decreased skin elasticity allows deep wrinkles to form.
✔ Bone Resorption in the Mandible – Loss of lower jawbone density leads to structural decline, causing the skin to fold downward.
✔ Repetitive Expressions & Aging – Constant downward mouth movements, frowning, and general aging worsen marionette lines.
✔ Poor Circulation & Dehydration – Reduced blood flow and skin hydration can make wrinkles more prominent.
How the ISO Metrik Device May Help Reduce Marionette Lines
The ISO Metrik Device provides controlled resistance training that may:
✔ Strengthen the DAO, DLI, and mentalis muscles, helping to lift and tighten the lower face.
✔ Improve jawline support, which may reduce the appearance of marionette lines.
✔ Enhance circulation, which plays a role in collagen production and skin hydration.
✔ Support mandibular bone health, helping maintain facial structure and preventing sagging.
Optimized Positioning for Maximum Marionette Line Reduction
To fully engage the lower facial muscles, the ISO Metrik Device should be used in all three positions—vertical, horizontal, and 45-degree angles—to provide comprehensive resistance training.
1. Vertical Position for Direct Muscle Engagement
🔹 Holding the ISO Metrik Device in a vertical position isolates the depressor anguli oris and mentalis muscles, allowing them to strengthen and lift through controlled movement.
🔹 Squeezing and releasing movements engage the lower face, which may help reduce the sagging effect of marionette lines.
🔹 Helps restore a firmer jawline and chin area.
2. Horizontal Position for Full Lower Face Activation
🔹 Holding the ISO Metrik Device horizontally targets the depressor muscles and surrounding cheek muscles, reinforcing structural support.
🔹 Encourages balanced muscle activation, helping to prevent asymmetrical wrinkles.
🔹 Supports natural facial lifting, reducing the downward pull of the skin.
4. 45-Degree Angled Position for Multi-Directional Resistance
🔹 Tilting the device at a 45-degree angle engages both the depressor and cheek muscles, strengthening the entire lower face.
🔹 Stimulates mandible resistance, which may help prevent structural weakening that contributes to marionette lines.
🔹 Enhances skin elasticity by stimulating circulation and improving hydration.
Squeeze & Release Technique for Marionette Line Reduction
By gently squeezing and releasing the lip holders, users can:
✔ Activate and tone the DAO and mentalis muscles, which may help reduce the depth of marionette lines.
✔ Improve circulation, which plays a role in collagen and elastin production for smoother skin.
✔ Increase facial firmness, helping prevent the downward pull that worsens these lines.
Why Consider the ISO Metrik Device for Marionette Line Treatment?
Unlike temporary fillers or topical treatments, the ISO Metrik Device:
✔ Strengthens and tones the lower facial muscles, which may help lift sagging skin.
✔ Encourages balanced muscle activation, reducing asymmetry and deep wrinkles.
✔ Applies mechanical resistance to facial muscles, potentially influencing skin firmness and elasticity.
✔ Provides a non-invasive, long-term option for managing marionette lines.
Achieve a Lifted, More Defined Lower Face Naturally
The ISO Metrik Device offers a scientifically backed, resistance-based approach to reducing marionette lines, improving skin elasticity, and restoring lower facial structure.
Start your journey to a more youthful, lifted lower face today!
Surgery for marionette lines
The only wrinkle treatment considered permanent is surgery. For significant wrinkles, a dermatologic surgeon might recommend a rhytidectomy (facelift). With this type of surgery, incisions are made to remove or transfer fat, while underlying tissues are lifted upward to help tighten your face.
Since a facelift is a major surgery, it’s typically only recommended once other wrinkle methods have failed. For the treatment of marionette lines only, a surgeon might recommend a partial rhytidectomy (mini facelift).
Due to the significance of the procedure, you’ll need to take 1 to 2 weeks off work to recover. Weight fluctuations and excessive sun exposure could undo the results of your procedure, so it’s important to talk to your surgeon about adopting healthy lifestyle habits ahead of time. See below for suggestions.
Laser resurfacing
While also considered an invasive therapy for wrinkles, laser treatments don’t require the incisions that facelifts do. Laser resurfacing works by removing the top layers of your skin via lasers.
While an effective treatment for some, laser resurfacing carries the risk of scarring and hyperpigmentation. The results are long lasting but not permanent — you’ll likely need repeat treatments every few months.
Botox for marionette lines
Botulinum toxin type A (Botox) injections are popular solutions for facial wrinkles around the mouth and eyes. These work by relaxing the facial muscles underneath the injection site. In turn, your skin will become smoother with a reduced appearance in wrinkles.
Botox may cause minor bruising and irritation at the injection site. In order for Botox injections to treat marionette lines, you’ll need to repeat the treatment every 3 to 4 months. This treatment method works best if you’re just starting to develop these types of wrinkles.
Marionette Lines Treatment
Hyaluronic acid
Hyaluronic acid is a substance that’s naturally available in skin tissues. Like collagen, hyaluronic acid can diminish with age. This substance is found in certain dermal fillers, serums, and skin care products. When applied to wrinkles, it’s thought to smooth the skin.
Topical treatment
If you don’t already use an anti-aging serum, you should consider adding one to your daily skin care routine. Ideally, you’ll want to start using serums at the earliest stages of facial wrinkles.
Best serum for marionette lines
Marionette lines may benefit from a serum that contains a combination of the following ingredients:
Antioxidants, such as vitamins C and E to help fight free radicals that can further aging skin
Vitamin A derivatives, such as retinoids
Hyaluronic acid
Niacinamide (vitamin B3), which are thought to help increase collagen production and improve elasticity
Peptides, which are proteins that have firming effects on your skin
How to hide marionette lines with makeup
Another option that doesn’t involve any dermatologist treatment is makeup. If you wish to cover up your wrinkles, consider the following steps:
Apply your foundation first.
Next, apply cream concealer after applying your foundation.
Gently dab the concealer onto your skin with your ring finger or a concealer brush until the product is absorbed. Don’t rub in the concealer.
Apply setting powder with a large makeup brush.
Focusing on eye makeup can also help divert attention away from the lower half of your face if you wish to do so. But remember: Everyone gets wrinkles. They’re a natural part of aging, and many consider them beautiful!
Preventing marionette lines and other wrinkles
While there’s no way to entirely prevent skin aging, there are preventive measures that may slow down the development of marionette lines. Consider the following health and lifestyle tips.
Marionette Lines Treatment
Daily skin care
Wrinkle treatments won’t go far if you don’t take care of your skin on a regular basis. Wash your face twice per day, and remove makeup before bedtime. Use your desired anti-aging serum as well as facial moisturizer to keep your skin hydrated.
Weight management
Weight fluctuations can increase the risk for sagging skin. This includes under the jawline, which may also make marionette lines more noticeable. If you need to lose weight for medical reasons, be sure to do so gradually and work with a doctor so you can maintain it.
Reduce sun exposure
Over time, unprotected sun exposure can damage both the epidermis and dermis, which may increase your risk for fine lines, wrinkles, and sagging skin. You can help protect your skin by wearing SPF 30 sunscreen every day and hats to shade your face.
Also, avoid being in direct sunlight between the late morning and early afternoon hours — this is when UV rays are strongest.
Adopt a skin-friendly diet
Drinking lots of water can keep your skin hydrated, but eating the right foods can also help keep your skin healthy in the long term. Anti-inflammatory foods, such as colorful fruits and vegetables, fish, and unprocessed grains, may be especially beneficial.
Other lifestyle considerations
Other lifestyle habits may contribute to marionette lines and other facial wrinkles, including:
Alcohol consumption
Drinking too much caffeine
Not drinking enough water
Smoking
Excessive stress
Inadequate sleep
Takeaway
Marionette lines occur naturally with age, just as other facial wrinkles do. Your genes, lifestyle, and overall health may play a role, but there’s no way to completely prevent them. If you’re concerned about your marionette lines, talk to a dermatologist about treatment options and tips for long-term skin care.
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