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Haus Of Ästhetik

Haus Of Asthetik Ltd.

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BAKEWELL

Marionette Lines / Mouth-To-Chin Folds

Marionette lines are the vertical creases that extend from the corners of the mouth toward the chin, giving a downward or heavy appearance to the lower face. They form as the skin loses elasticity and volume, and the depressor muscles around the mouth become dominant. 


At Haus of Ästhetik, we treat marionette lines through structural restoration, targeted neuromodulation, and regenerative dermal therapies that lift and smooth while maintaining natural, balanced movement.

Overview

Marionette lines are the vertical creases that extend from the corners of the mouth toward the chin, giving a downward or heavy appearance to the lower face. They form as the skin loses elasticity and volume, and the depressor muscles around the mouth become dominant. 


At Haus of Ästhetik, we treat marionette lines through structural restoration, targeted neuromodulation, and regenerative dermal therapies that lift and smooth while maintaining natural, balanced movement.

  • Marionette lines are most common from the late thirties onward but can appear earlier in those with expressive faces or significant weight loss. They are often combined with volume loss in the cheeks and jowls, creating the impression of sadness or fatigue even when relaxed.

    • Linear depressions from the mouth corners to the chin

    • Downturned corners of the lips

    • Skin folding or shadowing around the jawline

    • Heaviness in the lower face and loss of youthful contour

  • What NICE/BNF advise: No indication-specific guidance for cosmetic correction with fillers/toxin. How: follow BNF-level readiness for hyaluronidase in case of HA-filler issues and apply prescriber-led consent, traceability, and reversal plans.

  • 1. Botulinum Toxin (DAO Relaxation)

    • Weakens the downward-pulling DAO muscles to lift the mouth corners subtly.

    • Restores balance between elevator and depressor muscles.

    • Effects develop within 7–10 days and last around 3–4 months.

    • Administered under MHRA and BNF prescribing standards.

    2. Teoxane RHA 3 or RHA 4 Fillers (Structural Support)

    • Rebuild the marionette region’s structure and reduce shadowing.

    • Restore smooth transition between the mouth and chin for a natural, refreshed look.

    • Dynamic hyaluronic-acid formulation maintains natural expression during speech.

    3. Mesoestetic Nexha Filler (HA + Succinic Acid)

    • Combines volumising HA with succinic acid to stimulate fibroblast activity and collagen production.

    • Offers both immediate lifting and long-term dermal regeneration.

    4. Skin-Rejuvenation Support (Mesoestetic Age Element Firming / Teoxane Redensity I)

    • Reinforces collagen, elasticity, and hydration to complement filler support.

    • Reduces superficial creasing and improves overall lower-face tone.

    5. Combined Lower-Face Harmonisation

    • Integrates neuromodulation and filler to address both muscle pull and volume deficiency.

    • Produces smooth, natural contour with improved facial balance.

    All injectables are performed by medical professionals under CQC Regulation 12, ensuring full consent, product traceability, and clinical documentation.

  • Suitable for adults with mild to moderate marionette lines caused by soft-tissue descent or muscle imbalance. Unsuitable for patients with active infection, pregnancy, or certain neuromuscular disorders. A full consultation assesses muscle strength, facial volume, and symmetry before planning treatment.

    • Toxin: softens downward pull and elevates mouth corners within two weeks.

    • Filler: instantly smooths lines and restores definition for 9–12 months.

    • Regenerative support: gradually strengthens skin and enhances tone.Patients report appearing more uplifted, rested, and naturally expressive.

    • Avoid rubbing, massaging, or applying pressure for 24 hours.

    • No exercise, alcohol, or excessive heat exposure for 48 hours.

    • Maintain hydration and use SPF 30+ daily.

    • Review after two weeks for refinement; repeat toxin every 4 months and filler annually.

    • Support results with Teoxane Advanced Filler or Mesoestetic Collagen 360° Cream.

  • Book a Lower-Face Rejuvenation Consultation at Haus of Ästhetik for comprehensive assessment of muscle activity, tissue support, and skin quality. We will design a tailored treatment plan using neuromodulation, dermal filler, and regenerative therapy to achieve balanced, confident results. All procedures are delivered in compliance with CQC Regulation 12: Safe Care and Treatment, ensuring professional safety, traceability, and informed consent throughout.

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