The Best In-Office Treatments to Soften Marionette Lines
NewBeauty Facebook Pinterest Instagram Youtube find a doctor Face Adult Acne Antioxidants Anti-Aging Celebrity Chronic Skin Conditions Eye Hydration Hyperpigmentation Makeup View All Eyebrows Eye Color Foundation Fragrance Lip Color Makeovers Male Skin Care Peels Pre-Event Prep Retinoids Sensitive Skin Skin Care Skin Health Smile Sun Care Treatments Fillers Microneedling Post-Procedure Skin Care Neurotoxins Regenerative Aesthetics Skin Lifting Body Body Sculpting Breasts Butts Cellulite Hair Removal Hands + Nails Legs Pregnancy Find a Doctor Hair Bond Repair Celebrity Dry Hair Frizzy Hair Gray Hair Hair Color Hair Growth Hair Repair Scalp Health Styling + Tips Awards NB100 Awards 15th Annual Beauty Awards 2025 NewBeauty Readers’ Choice Awards Shopping Gift Guides Product Reviews NewBeauty Storefront Wellness Fitness GLP-1s Health Menopause About Us TESTTUBE Search for: Search HomeCosmetic TreatmentsRegenerative Aesthetics The Best In-Office Treatments to Soften Marionette Lines From biostimulatory fillers to PDO threads, dermatologists share their top recommendations. Allie Hogan Published: Mar 13, 2026 Photo by Matthieu Jungfer on Unsplash In This Article Featured ExpertsFillerNeuromodulatorsDevicesPDO ThreadsPRP, Exosome and Peptide-Based Treatments Changes around the mouth are among the most noticeable signs of lower-face aging—and often some of the trickiest to treat. “Marionette lines are often described as simple folds that run from the corners of the mouth downward, but in reality, they reflect a broader structural shift occurring in the lower face,” says New York dermatologist Julie Russak, MD. “Bone support diminishes, soft tissue begins to descend, muscles that pull the mouth downward become more dominant and the skin itself loses elasticity and resilience.” Because several factors are at play, treating the lines alone rarely produces the most natural-looking outcome. “The most effective approach is to restore balance across the lower face and support the skin’s ability to withstand constant movement and mechanical strain,” says Dr. Russak. Luckily, there are several in-office…