Marionette Lines2024-05-10T14:22:57+00:00

Marionette lines: filler treatment

Marionette lines are the wrinkles that run down from the corners of the mouth, which can make the face look tired or sad. We’d like to preserve the characteristics that make each person unique, but a sad appearance doesn’t make anyone happy. The drooping corners of the mouth can be treated with filler, providing a rejuvenated and more youthful appearance. At MOOI Clinic, we work with several A-brand fillers to treat your marionette lines at our private clinic in Maastricht. We’re happy to advise you on choices and options. Schedule a consultation with our cosmetic doctor.

What are Marionette lines and how do you get them?

Marionette lines are the lines that run down from the corners of the mouth and cause drooping corners of the mouth. The lines run toward the side of the chin. These lines are called Marionette because they resemble the lines of a marionette puppet or ventriloquist.

Marionette lines result from a loss of skin firmness as you age, causing the corners of the mouth to sag downward and wrinkles to show between the corners of the mouth and chin. Skin firmness is lost due to a combination of factors, including natural aging, loss of collagen and elastin in the skin, and gravity pulling down on the skin and tissues. As the skin weakens, this causes the corners of the mouth to droop. Facial volume can also decrease as we age, giving the skin less support and making marionette lines even more noticeable. Other factors that contribute to the development of marionette lines are sun exposure, smoking, poor diet, stress and facial expressions such as frowning, smiling and pouting.

Why use fillers for drooping corners of the mouth?

Hanging corners of the mouth are a common sign of aging. By filling marionette lines, the corners of the mouth are lifted. Correcting the drooping corners of the mouth will give your face a rejuvenated and more youthful appearance. Lifting the drooping corners of the mouth with fillers tightens the skin around them. This will create a MOOI and cheerful look and eliminate a tired, glum and/or sad expression.

What brands does MOOI Clinic work with?

At MOOI Clinic, we work exclusively with a variety of A-brand fillers to fill in your marionette lines. Our fillers are of the highest quality. At MOOI we work only with temporary fillers, as advised by the Dutch Society of Plastic Surgeons and the Dutch Society of Cosmetic Medicine. The body breaks these down on its own within three to 18 months.

Most fillers consist of the substance hyaluronic acid, which is a naturally occurring sugar molecule present in large quantities in our skin. Hyaluronic acid fillers are made of synthetic hyaluronic acid, which is designed to mimic the natural hyaluronic acid in the body. When hyaluronic acid fillers are injected into the skin, it acts like a sponge that attracts and retains water, improving the volume and structure of the treated area. Hyaluronic acid fillers are safe because our bodies break down this substance over time. At MOOI Clinic, we work with the A-brands of fillers such as: Belotero.

The filler treatment

When treating marionette lines with filler, fillers are injected to lift the drooping corners of the mouth giving an elevated look. The treatment begins with a consultation with one of our specialists to assess your facial contours and discuss your desired results. During the consultation, we’ll discuss the different filler options, risks and benefits of treatment.

The treatment itself usually takes no longer than 15 minutes. The doctor will first apply a numbing cream, if necessary, to reduce the discomfort of the injections. The filler is then carefully injected into the marionette lines with a thin needle to increase volume and lift the corners of the mouth. Treating marionette lines with filler is a relatively quick and easy procedure with MOOI results. The effect of treatment with fillers is immediately visible.

After treatment

After treating marionette lines with filler, you don’t need any recover time and there is no pain afterwards. In a few cases, bruising, some redness or minor swelling develops. These side effects are mild and disappear within a few days to a week. You may feel the filler during the first two weeks. But don’t worry, this isn’t visible and disappears after two weeks.

It’s important to rest your skin for the first 24 hours after the treatment. Try to avoid strenuous exercise, sunlight and the use of makeup on treated skin.

Treating marionette lines gives you MOOI results. It transforms the drooping corners of the mouth that make you look sad or tired, into a fresh and lifted look.

Our specialists

Our specialists

Your appearance is precious to us. We believe that for proper treatment, you need the right people. Training, competence and quality can only be provided with specialists who understand their trade. We do not want to be the largest clinic in the Netherlands, but the best.


The duration of the effect of marionette lines filler treatment varies from person to person and depends on several factors. Such as the type of filler used, the amount injected and the individual response based on a person’s age, skin type, muscle activity and lifestyle.

Generally, the results of marionette lines filler treatment can last up to one year before a follow-up appointment is needed. This means that during this period you will have smoother skin and a more youthful appearance. As time passes, the filler is gradually broken down by the body and the marionette lines may slowly increase again.

The amount of filler needed to elevator the corners of the mouth varies from person to person and depends on several factors, such as the degree of correction desired and the type of filler used. In general, 1 ml of filler is often used to treat marionette lines.

As with any filler treatment, there is a chance of bruising. Another risk associated with filler treatment is accidentally clogging a blood vessel with filler. However, the risk is very small. If this happens it is easily remedied with a solvent.

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Choose a clinic where quality and safety are paramount! At MOOI Clinic, we only treat with A-brand products and experienced specialists.

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