Duration of Treatment
approximately 20-30 minutes
EN
20+
Years of experience
Specialist
in Plastic Surgery
Former
Chief Physician
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.
Quick Facts
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
The sagging expression around the corners of the mouth can be specifically balanced out. The goal is a more harmonious, calmer overall appearance – while fully preserving facial expressions.
Indirectly. By specifically stabilizing the lower third of the face, the pulling direction of the mouth area can be positively influenced, making the expression appear less downward.
With precise application, the natural facial expressions remain completely intact. The goal is to balance structural tension relationships – not to restrict movement.
With correct technique and suitable product choice, the risk of migration is very low. Key factors are precise placement in the correct anatomical layer and the selection of an appropriate product. Clinical observations confirm that hyaluronic acid remains stable in the tissue when applied correctly. Visible shifts usually occur with superficial injections, inappropriate product selection, or excessively large amounts applied.
Yes. Small amounts and precise placement techniques ensure that the result harmoniously integrates into the face – without being recognizable as a treatment.
Hyaluronic acid is broken down by the body and is not a permanent material. In some cases, small residual amounts may be detectable in the tissue for longer, but they are usually neither visible nor aesthetically relevant. An additional advantage: Hyaluronic acid can be specifically and completely dissolved with hyaluronidase if needed.
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.
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.
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.
