Face
Marionette Lines
What are marionette lines?
Marionette lines are the lines that extend from the corners of the mouth towards the chin. As they become more pronounced, they can contribute to a heavier, more tired or downturned appearance of the lower face.
Although they appear as lines on the surface, they are often the visible result of changes occurring in the deeper supporting structures of the face.
Why do they happen?
Marionette lines develop gradually as the face changes over time.
These changes may include:
- Reduced collagen production
- Skin laxity
- Changes in facial fat compartments
- Bone remodelling
- Loss of structural support
- Genetics
- Natural ageing
Why treating the cause matters
Marionette lines are often one visible sign of broader changes occurring in the lower face.
For some people, reduced collagen and skin support are the primary drivers. For others, changes in facial volume, skin laxity or the surrounding structures contribute more significantly to their appearance.
Understanding what is changing allows us to recommend the most appropriate treatment—or combination of treatments—to restore natural balance while preserving facial harmony.
How do we assess it?
Every consultation begins with understanding.
Your assessment may include:
- Medical consultation
- Full facial assessment
- Medical photography
- Advanced skin analysis
- Assessment of skin quality and structural support
- Review of previous treatments
Our approach
Our approach begins with understanding what is driving the concern.
Depending on your individual assessment, we may recommend collagen stimulation, regenerative treatments, skin tightening technologies, structural support or carefully selected injectable treatments. In some cases, consultant-led procedures may also form part of a comprehensive treatment plan.
Every recommendation is evidence-based, carefully sequenced and tailored to your individual anatomy, with the aim of restoring natural support while preserving expression and facial harmony.
Recommended Treatments
A personalised, connected plan.
Signature Protocols
- Zarya Tightening
- Zarya Lift
- Zarya Rejuvenation
Technology
- Ultherapy PRIME
- XERF
- UltraClear
Regenerative Treatments
- Sculptra
- Polynucleotides
- Skin Boosters
Injectable Treatments
Hyaluronic Acid Fillers (where appropriate)
Advanced Procedures
Consultant-led procedures where clinically appropriate
Zarya Insight
Marionette lines rarely develop in isolation. They often reflect changes occurring across the skin, collagen and deeper supporting structures of the lower face. Looking beyond the visible line allows us to create a more personalised strategy and achieve natural, balanced long-term results.
From the Journal.
- Understanding Lower Face Ageing
- Marionette Lines vs Nasolabial Folds
- The Science of Facial Support
- Why Collagen Matters
- Restoring Facial Harmony Naturally
Book a Consultation
Begin Your Zarya Journey
Every strategy begins with a conversation. Book a private consultation with our clinical team in Kensington.