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Marionette Lines + Jowls | Treatment with Dermal Filler Brisbane


Marionette Lines and Chin Wrinkles: Understanding Their Formation

As we age, our faces naturally go through changes, similar to how a favorite sweater gets looser and loses its shape over time. This happens because our skin loses elasticity and collagen, which are like the skin’s built-in support system. This loss of support can lead to sagging and wrinkles, including those lines around the chin and the ones that run from the corners of the mouth down towards the chin (often called marionette lines, named after the little puppets with movable mouths).

However, age isn’t the only factor at play. Several other things can contribute to the formation of these wrinkles:

  • Sun exposure: Like spending too much time outdoors without sunscreen can fade your favorite shirt, too much sun exposure damages the skin and breaks down collagen faster, making wrinkles appear sooner and deeper.
  • Smoking: Just like smoking harms your lungs, it also harms your skin! It reduces blood flow and exposes your skin to harmful chemicals, both of which contribute to wrinkles.
  • Repetitive facial expressions: We all make expressions, but constantly frowning or pursing your lips can eventually create permanent lines in those areas, similar to how repeatedly folding a piece of paper in the same spot creates a crease.
  • Genetics: Sometimes, wrinkles run in the family. If your parents or grandparents have these lines, you might be more likely to get them too, just like you might inherit your eye color or hair type.

While we can’t completely prevent these signs of aging, understanding what causes them can help us slow down their development or make them less noticeable. So, be sun smart, ditch the cigarettes, and maybe ease up on the frowns! By taking care of your skin, you can help keep your face looking its best, just like taking good care of your favorite belongings helps them last longer.



There are several options for the treatment of marionette lines available, such as minor surgical procedures to laser resurfacing and Anti Wrinkle injections. These cosmetic treatments help reduce the appearance of these common lines. Common cosmetic treatment alternatives are dermal fillers, chemical peels and skin boosters


Anti-wrinkle treatment for marionette lines

Anti-wrinkle medicine called Botulinum Toxin is a substance that temporarily paralyses muscles when injected into specific areas which can smooth out lines and reduce the appearance of wrinkles by relaxing the muscles underneath the skin. For marionette lines specifically, antiwrinkle works to restrict the downward pull of the Depressor Anguli Oris muscle (DAO), reducing their appearance significantly.

While it isn’t a permanent solution, as results typically last between three and six months before another treatment is needed, many find it a viable option due to its minimal downtime and quick acting results.


So how does this treatment work?

A cosmetic health professional will inject small amounts of medicine into your DAO muscles using a very fine needle (which causes little discomfort). The whole process is quick and usually takes less than 10 minutes.


Dermal filler

More than 1 million men and women annually worldwide choose dermal filler to treat marionette lines.

Marionette lines filler works by adding volume beneath the skin surface to lift and smooth targeted areas. Filler is particularly effective in treating deep lines because it will volumise and plump up the skin around your mouth and chin, making deep-set lines less noticeable. It may also be recommended to consider treating the cheeks with dermal filler to restore lost volume from above and help lift the sagging skin.


Chemical peels

Chemical peels are a popular treatment for marionette lines.  We apply a solution to your skin which causes it to exfoliate and eventually peel off, ultimately leading to a reduction in fine lines and wrinkles, as well as skin blemishes and hyperpigmentation, for example age spots. The new, regenerated skin is usually smoother and less wrinkled than the old one, making marionette lines less noticeable.

Chemical peels come in different strengths, including light, medium, and deep. Light peels gently remove the outermost layer of your skin, while medium peels reach the middle layers.



Microneedling is not a walk in the park but can be a game-changer for enhancing skin texture and reducing signs of ageing.

It’s a minimally invasive procedure that uses tiny needles to create controlled micro-injuries on your skin, stimulating your body’s natural healing process. This causes an increase in collagen production which helps to soften marionette lines, making them less noticeable over time.

The treatment may cause mild discomfort, but don’t worry we apply a numbing cream before the session to minimise your discomfort.

Microneedling isn’t just about getting rid of marionette lines; it also improves overall skin health by reducing scars, pore size, and wrinkles too.

Moreover, this process enhances product absorption so your favourite serums and creams will work more effectively post-treatment.

Patience is key when dealing with skincare treatments like microneedling. While some results may be visible immediately after the treatment, you’ll need several sessions spaced out over months for optimal results, 4-6 treatments performed 4 weeks apart is optimal.



Retinoids, such as retinol and tretinoin, hailed as a magic potion in skincare, can work wonders on your complexion by speeding up cell turnover and boosting collagen production. This potent ingredient found in some anti-ageing creams and serums has been scientifically proven to reduce the appearance of facial wrinkles, including those pesky marionette lines that form around the mouth.
Retinoids do this by encouraging new skin cells to grow and come to the surface faster, pushing out the older, wrinkled cells.

Now you might be wondering how you can incorporate retinoids into your skincare routine. It’s quite simple! Start with an over-the-counter product containing retinol (a less potent form of retinoid) and gradually increase its concentration as your skin gets used to it.

These products make your skin more sensitive to sun damage, so always pair them with a high SPF sunscreen during daytime use. And don’t forget – patience is key when using retinoids; it may take several weeks or even months before you notice significant improvements in your marionette lines. But – it’s worth the wait!


Topical treatment

Applying topical treatments to your skin can combat the signs of ageing, including marionette lines. There’s an abundance of creams and serums available that claim to help reduce these lines and leave your skin looking youthful and radiant.

  • Here’s what you should look for in a topical treatment for marionette lines:
    Peptides: These are short chains of amino acids that stimulate collagen production in the skin. By boosting this natural process, peptides help restore firmness and elasticity to your skin.
  • Antioxidants: Ingredients like Vitamin C and E defend against free radicals – harmful molecules that damage our cells. Not only do antioxidants slow down the ageing process, but they also help repair existing damage.
  • Hyaluronic Acid: This is naturally found in our bodies. As we age, the production of hyaluronic acid decreases leading to dryness and wrinkles. Topical products with this ingredient hydrate the skin deeply, making it plumper thus reducing the appearance of lines.
  • Alpha Hydroxy Acids (AHAs): They work by exfoliating the top layer of dead skin cells revealing fresh new cells underneath which results in smoother-looking skin.
  • Retinol: A derivative of vitamin A, retinol promotes faster cell turnover while stimulating collagen production.


Laser resurfacing

Laser resurfacing is a non-invasive treatment that uses concentrated beams of light to improve the appearance of skin. It works by removing layers of skin with precision, stimulating collagen production, and thus reducing the appearance of marionette lines.

Here’s what you should know about this procedure:

  • Laser resurfacing is usually an outpatient procedure, meaning you can go home on the same day as your treatment.
  • The procedure typically takes between 30 minutes to two hours depending on the size and condition of the area being treated.
  • You may experience redness or swelling after the procedure, but these side effects usually subside within a few days.
  • A series of treatments may be necessary for optimal results, so patience will be key in seeing significant improvement in your marionette lines.
  • Lastly, it’s important to follow your doctor’s post-treatment care instructions carefully which can include staying out of direct sunlight and keeping your skin moisturised.




Remember that while laser resurfacing can help reduce marionette lines significantly, it doesn’t prevent them from reappearing over time due to the natural ageing process. So, maintain a healthy lifestyle and skincare routine for longer-lasting results.

Eat balanced meals with plenty of fruits, vegetables, lean proteins, and good fats Avoid crash diets which cause rapid weight loss and gain
Regular exercise keeps you fit and promotes healthier skin Don’t become sedentary; sitting too much is bad for both your waistline and your skin
Drink plenty of water every day for hydration Don’t consume excessive alcohol; it dehydrates you & damages your skin over time
Get enough sleep – lack of rest can lead to weight gain & poor skin condition Don’t compromise on sleep; late nights affect metabolism negatively
Keep stress levels under control as it affects both weight & complexion Avoid stress eating or skipping meals due to hectic schedules

Remember that maintaining balance is key. It’s about adopting a lifestyle that features regular physical activity, wholesome nutrition, adequate hydration, and restful sleep while managing stress effectively.


Reduce sun exposure

Excessive sun exposure can wreak havoc on your skin, making it essential to shield it from those harsh UV rays. Sunscreen is your best friend here. Apply a broad-spectrum sunscreen with SPF 30 or higher every day, even when the sky seems cloudy because UV rays can penetrate clouds and reflect off surfaces like water, sand, and snow.

Also consider wearing wide-brimmed hats and sunglasses for added protection when you’re out in the sun.

Reducing sun exposure doesn’t mean living like a hermit though! You should still enjoy outdoor activities; just be mindful of the time spent under direct sunlight especially between 10 am to 4 pm when UV levels are high. Try finding shady areas or use an umbrella if necessary.

Prevention is always better than cure, so take these small steps now to help prevent marionette lines and other signs of skin ageing later on in life.


Adopt a skin-friendly diet

Munching on nutrient-rich noshes not only nourishes your body, but it can also contribute to a healthy and glowing complexion. Incorporating certain foods into your diet can help improve skin elasticity, fight against ageing, and reduce marionette lines. You’ll want to focus on those packed with antioxidants, vitamins A, C, and E, omega-3 fatty acids, and water for hydration.

Antioxidant-rich foods: These combat harmful free radicals in your body, which can damage cells and accelerate the ageing process.

  • Berries like blueberries, strawberries & raspberries
  • Dark chocolate (at least 70% cocoa)
  • Nuts such as almonds & walnuts


Hydrating Foods: Staying well-hydrated improves skin elasticity, making it less prone to wrinkles.

  • Watermelon and cucumber – both are up to 90% water
  • Celery sticks are another hydrating snack option


While a balanced diet is key in maintaining good skin health, it’s just one aspect of a comprehensive skincare strategy. Make sure you’re also getting enough sleep, exercising regularly, and following a proper skincare routine alongside healthy eating habits.


Other lifestyle considerations

Beyond a balanced diet, there’s more to maintaining vibrant skin that simply can’t be overlooked.

Regular exercise is crucial as it boosts circulation and helps deliver oxygen and nutrients to your skin, which in turn promotes collagen production.

Also, managing stress can play a significant role in the condition of your skin; chronic stress may speed up the ageing process leading to wrinkles and marionette lines. So, consider incorporating activities such as yoga or meditation into your routine.

Additionally, getting adequate sleep should not be underestimated. Your body repairs itself while you’re asleep including producing new skin cells – neglecting this important rest period could lead to premature ageing and deeper marionette lines.

Lastly, remember the importance of hydration for your overall health and specifically for maintaining plump, radiant skin. Aim for at least eight glasses of water a day to keep those pesky lines at bay.



The right makeup technique can work wonders in concealing marionette lines? By using the correct products and applying them in a specific way, you can diminish the appearance of these lines. The key is to use light-reflecting products to bring attention away from the lines and to areas of your face where you want focus.

To achieve this effect, here are some basic steps:

  1. Start by cleansing your skin properly. This helps to remove any dirt or oils that could cause makeup to settle into your lines.
  2. Apply a primer all over your face. Primers smooth out wrinkles and fine lines, making them less noticeable.
  3. Choose a foundation with light-diffusing properties. These foundations help reflect light away from wrinkles and make your skin look smoother.
  4. Use a highlighter on top of the cheekbones and down the centre of your nose for added luminosity.
  5. Finally, avoid using too much powder as it can make fine lines appear more pronounced.

Book a consultation at Hamilton Skin Clinic Brisbane 

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