Botox for Marionette Lines: Dr Ahmed’s Lower-Face Lift
If you’ve started to notice deep facial lines running from the corners of your mouth to your chin - or that slightly sad or tired expression that just won’t shift - it may be time to meet one of Dr Ahmed’s most subtle-yet-transformative treatments: Botox for marionette lines.
This injectable favourite works by relaxing the facial muscles that pull the mouth downwards, softening deep folds and restoring balance to the lower face. Think of it as a gentle lift - without surgery, stitches, or minimal downtime.
What Are Marionette Lines?
Marionette lines are the vertical creases that develop from the mouth corners down toward the chin. These deep wrinkles are a natural part of ageing and often contribute to a downturned or sagging look - giving the face a marionette puppet-like appearance. They typically appear due to:
• Repetitive muscle activity and muscle contractions from everyday facial expressions
• Loss of volume in the mid-face and jawline
• Sun exposure and skin conditions that weaken elasticity
• Genetic predisposition and the natural development of marionette lines
Over time, this results in more pronounced lines, changes to your facial structure, and an unintentional sad or tired expression - even when you feel your best.
Why We Love Botox for Marionette Lines
When expertly administered, Botox for marionette lines offers multiple benefits:
• Softens the appearance of marionette lines without changing your natural facial anatomies
• Enhances symmetry and restores a youthful appearance
• Requires no surgery and involves minimal downtime
• A quick procedure with minimal discomfort
• Combines seamlessly with other effective treatments for greater lift and rejuvenation
It’s a subtle enhancement with powerful impact - particularly when muscle activity is the main contributor to lower face sagging.
How Botox Softens Marionette Lines
Botox, or botulinum toxin type A, is a trusted non-surgical treatment that works by relaxing the muscles responsible for pulling down the lower face. For treatment of marionette lines, we specifically target the Depressor Anguli Oris (DAO)—a small but powerful muscle that drags the mouth corners downward.
By precisely placing Botox injections into the DAO and nearby muscles, we allow the opposing cheek elevators to take over. The result? A smoother jawline, softened creases, and a more lifted, refreshed lower face.
How Long Do Results Last?
You’ll typically begin to see improvement within 3–5 days, with full results developing by two weeks. On average, Botox effects last around 3–4 months, depending on:
• Your natural muscle movement
• Your skin texture, elasticity, and overall skin health
• Your lifestyle and metabolic rate
Routine top-ups can prolong the effect and help prevent the deepening of facial wrinkles over time.
Who Is This Treatment For?
You may be a good candidate for Botox if you:
• Notice a downturned mouth or deep folds from mouth to chin
• Have mild to moderate marionette lines
• Are looking for a non-surgical, effective option with minimal downtime
• Want natural-looking results and improved facial harmony
• Are in good health and have realistic expectations
Dr Ahmed will evaluate your facial anatomies, movement patterns, and desired outcome during your consultation to determine whether Botox alone or a combination plan is right for you.
When Botox Isn’t Enough: Combination Treatments
For deeper folds or a more significant loss of volume, Dr Ahmed may recommend combining Botox with other treatment options for best results. These may include:
• Dermal fillers, including hyaluronic acid dermal filler, to restore facial volume and act as a filler for marionette lines
• Skin boosters or Profhilo to improve hydration, tone, and production of collagen
This combination approach allows us to tailor your treatment for marionette lines to both dynamic and static causes.
What to Expect at Your Appointment
At your visit to The Aesthetics Doctor, we’ll guide you through a streamlined treatment experience:
• We begin with a thorough consultation to review your medical history and examine facial lines, including nasolabial folds and the layer of skin around the mouth
• The treatment takes around 15 minutes, using ultra-fine needles for precise injection
• You may feel a light pinch, but most patients find the treatment comfortable and quick
Aftercare Instructions
• Avoid touching or massaging the area for 24 hours
• Remain upright for at least four hours post-treatment
• Avoid strenuous exercise, alcohol, or heat exposure for 24–48 hours
Common Side Effects
As with any injectable procedure, common side effects can include:
• Mild swelling, tenderness or bruising at the injection site
• Temporary redness or sensitivity
• Rarely, subtle changes in facial expressions, which typically resolve as the product metabolises
As always, choosing medical professionals with experience ensures the safest, most refined outcome.
Ready to Lift the Lower Face?
If you’re ready to soften the appearance of marionette lines, smooth your jawline, and restore harmony to your lower face, Botox could be the ideal solution.
Book your consultation with The Aesthetics Doctor today and explore the most advanced, effective treatments for lifting, softening, and redefining your facial contours.
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