Marionette lines refer to the wrinkle lines that run from the corners of the mouth towards the jawline. Due to volume loss and slight tissue sagging in the lower third of the face, the corners of the mouth often appear pulled down – the face looks more tired or burdened, regardless of the actual expression.
The treatment does not aim to simply fill the wrinkle in isolation, but rather to provide anatomically oriented support to the surrounding structures. Small, precisely placed amounts of hyaluronic acid can gently balance the expression without affecting the natural facial movements.
The result appears calm, harmonious, and in sync with the individual's face.
Precision in Material and Technique
For the treatment of Marionette Lines, we exclusively use high-quality hyaluronic acids specifically designed for dynamic facial areas.
Depending on the findings, products with adjusted cohesiveness and elasticity are used, which integrate harmoniously into the tissue and provide natural support to the structures.
The treatment requires a precise understanding of facial anatomy as well as a differentiated injection technique. Only in this way can volume loss, tissue dynamics, and proportions be effectively balanced.
We consciously work with minimal amounts and maximum precision – aiming to support the natural balance of the face without creating visible transitions or overfilling.
Quick Facts
Duration of Treatment
approximately 20-30 minutes
Downtime
none, immediately socially acceptable
Pain Scale
approximately 2/10
Onset of Effect*
immediately visible
Duration of Effect*
approximately 6-12 months
Anesthesia*
not required
Frequently Asked Questions about Treating Marionette Lines
Chief Physician Themistoklis Stavrakis, M.D.
Specialist in Plastic and Aesthetic Surgery
Years of experience in plastic and aesthetic surgery, along with a particular focus on modern minimally invasive treatment concepts, shape the professional career of our founder. In our practice clinic in Berlin, we follow a clear approach: individually planned treatments tailored to anatomy, facial expressions, skin quality, and personal wishes.
"Beauty is how you feel"
International Teaching & Anatomical Expertise
Themistoklis Stavrakis, M.D. is internationally active as a speaker and trainer for modern injection techniques. As a Faculty Member of the Allergan Medical Institute (AMI), he regularly conducts training sessions, hands-on workshops, and scientific lectures for doctors both domestically and abroad. Previously, he served for many years as an international trainer for Galderma and was involved in numerous training programs.
This long-standing teaching activity is based on a solid anatomical understanding, precise injection techniques, and individually tailored treatment concepts.
Individual Treatment Instead of Standard Concepts
Every face is unique. Therefore, each treatment is carried out after a thorough analysis of the individual anatomy, facial expressions, and skin quality. The goal is to maintain natural proportions and subtly and harmoniously support personal radiance – without standardized treatment protocols.
Precision, Naturalness & Long-Term Results
Our goal is to combine modern aesthetic medicine with the highest precision and medical expertise. Each treatment is individually planned and carried out with the aim of achieving natural results that respect individual anatomy and provide long-lasting satisfaction.
Feel free to schedule a personal consultation. Together, we will develop a treatment plan tailored to your desires and anatomical needs.
Would you like individual consultation?
Do you want to know if a treatment for marionette lines with hyaluronic acid is right for you? I would be happy to advise you personally at our practice clinic.
