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Book your tear-trough consultation at Dr Hans Clinics, London.
Marionette Line London - Derma Filler
Marionette Line Filler in London - Restoring Lower Face Balance and Softness
From £250 per session
Marionette lines are the downward creases that run from the corners of the mouth toward the chin, often giving a tired or downturned expression.
They develop as midface support diminishes and the depressor anguli oris (DAO) muscles pull the mouth corners down.
At Dr Hans Clinics, treatment focuses on re-supporting the area to restore harmony and neutral expression.
We use CE-certified hyaluronic acid (HA) fillers including Kysense®, Juvederm®, Belotero®, and Revanesse®, selected for appropriate lift capacity, softness, and reversibility.
All treatments are performed following a medical consultation and prescriber approval.
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HOW MARIONETTE FILLER WORKS
● With age, volume loss around the oral commissure and chin creates shadowing and downward folding.
● By restoring volume in the pre-jowl sulcus and perioral area, hyaluronic-acid filler provides lift and structural continuity between the cheek, mouth corner, and chin.
Mechanism:
● HA attracts water molecules, restoring dermal hydration and soft-tissue thickness.
● Subdermal and deep bolus placement along the marionette groove re-supports the oral commissure.
● Filler rheology (G′ and cohesivity) determines firmness and integration to maintain natural movement.
Onset: Immediate
Peak : 2 Months
Duration: typically 9 – 15 months
● By restoring volume in the pre-jowl sulcus and perioral area, hyaluronic-acid filler provides lift and structural continuity between the cheek, mouth corner, and chin.
Mechanism:
● HA attracts water molecules, restoring dermal hydration and soft-tissue thickness.
● Subdermal and deep bolus placement along the marionette groove re-supports the oral commissure.
● Filler rheology (G′ and cohesivity) determines firmness and integration to maintain natural movement.
Onset: Immediate
Peak : 2 Months
Duration: typically 9 – 15 months
WHY PATIENTS CHOOSE DR HANS CLINICS
● Doctor-led anatomical assessment to correct downward vectors without stiffness.
● Conservative dosing focused on proportional restoration.
● Use of micro-cannula to reduce bruising and vascular risk.
● CE-certified products only, with full documentation of batch and lot numbers.
● Conservative dosing focused on proportional restoration.
● Use of micro-cannula to reduce bruising and vascular risk.
● CE-certified products only, with full documentation of batch and lot numbers.
EVIDENCE & SAFETY
● Clinical studies confirm hyaluronic-acid fillers are effective for lower-face rejuvenation when performed by qualified medical practitioners (Aesth Surg J 2020; J Clin Aesthet Dermatol 2021).
● Temporary swelling or tenderness is expected for 24 – 48 hours.
● Rare complications include oedema, Tyndall effect (blueish hue), or vascular compromise – mitigated by appropriate product choice and anatomical precision.
● Serious complications such as vascular occlusion are exceedingly rare and mitigated by sterile technique, aspiration, and reversal protocols.
● Contra-indications: active skin infection, pregnancy, unhealed wounds, or recent dental work.
● Temporary swelling or tenderness is expected for 24 – 48 hours.
● Rare complications include oedema, Tyndall effect (blueish hue), or vascular compromise – mitigated by appropriate product choice and anatomical precision.
● Serious complications such as vascular occlusion are exceedingly rare and mitigated by sterile technique, aspiration, and reversal protocols.
● Contra-indications: active skin infection, pregnancy, unhealed wounds, or recent dental work.
TREATMENT PLAN & TECHNIQUE
● Consultation:Assessment of facial symmetry, vector analysis, and muscle pull.
● Technique:
● Anaesthesia: Topical or local if required.
● Procedure time: 30 – 45 minutes including consultation.
● Follow-up : 2 weeks to assess integration and symmetry.
● Technique:
- Deep linear threads or micro-bolus placement in pre-jowl sulcus and marionette groove.
- Superficial refinement to smooth shadow line.
- Cannula used in most cases for improved control.
● Anaesthesia: Topical or local if required.
● Procedure time: 30 – 45 minutes including consultation.
● Follow-up : 2 weeks to assess integration and symmetry.
TIMELINE OF RESULTS
● Immediately: Downturned corners soften.
● 1 – 2 weeks : Filler integrated, natural contour restored.
● 6 – 12 months : Result maintained; review advised annually.
● 1 – 2 weeks : Filler integrated, natural contour restored.
● 6 – 12 months : Result maintained; review advised annually.
AFTERCARE
● Avoid pressure or massage for 48 hours.
● No gym, alcohol, or high heat for 24 hours.
● Avoid dental work or facial treatments for 2 weeks.
● SPF 50 daily and gentle skincare.
● No gym, alcohol, or high heat for 24 hours.
● Avoid dental work or facial treatments for 2 weeks.
● SPF 50 daily and gentle skincare.
COMPLIANCE STATEMENT
● Hyaluronic acid fillers used at Dr Hans Clinics are CE-marked Class III medical devices.
● Fillers used at Dr Hans Clinics – including Kysense®, Juvederm®, Belotero®, and Revanesse® – are CE-marked Class III medical devices administered by medical professionals only.
● Treatments are provided after medical consultation and prescriber assessment.
● No product is advertised as superior; selection depends on skin thickness and anatomy.
● Fillers used at Dr Hans Clinics – including Kysense®, Juvederm®, Belotero®, and Revanesse® – are CE-marked Class III medical devices administered by medical professionals only.
● Treatments are provided after medical consultation and prescriber assessment.
● No product is advertised as superior; selection depends on skin thickness and anatomy.
EVIDENCE REFERENCES
● Pavicic T et al. Lower-eyelid rejuvenation with HA fillers: safety and outcomes. Aesthetic Surg J 2021.
● Pavicic T et al. Assessment of HA filler performance in marionette and perioral correction. J Clin Aesthet Dermatol 2021.
● Pavicic T et al. Assessment of HA filler performance in marionette and perioral correction. J Clin Aesthet Dermatol 2021.
Pricing
Each syringe is single-use, sterile, and disposed of after treatment.
Price includes initial treatment and standard review. Due to individual anatomy and how filler settles, further product may occasionally be required to achieve balance and will be charged separately.