Can lip lift or lip corner lift get rid of marionette lines? (photos)

Question

Do I have marionette lines ? can perioral mound removal help get rid of the marionette lines? Can lip lift or lip corner lift get rid of marionette lines?

Gary M. Horndeski, MD · Answer

A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of upper lip, increases the incisor show and pulls up the corners. This will help with the marionette lines as well.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your questions so clearly—it really helps to break down the different concerns around the lower face.

From what you’ve described and shown in your photos, you do have mild marionette lines, which are the vertical folds or creases that extend downward from the corners of the mouth. These lines are often caused by a combination of loss of support in the perioral tissue, subtle sagging, and gravity over time.

Here’s how the procedures you mentioned relate to marionette lines:

Lip lift (central philtrum lift)
Primarily shortens the distance between the base of the nose and the upper lip and increases upper lip projection.
It can improve the overall balance of the mouth and make the lower face appear more youthful, but it does not directly remove marionette lines.
Lip corner lift (corner of mouth lift)
Elevates the lateral parts of the upper lip and corners of the mouth.
This can slightly reduce the downward pull at the corners, which may soften the appearance of marionette lines indirectly, but it won’t fully eliminate them.
Perioral mound or filler-based treatments
Adding volume to the area just above the marionette lines or along the jawline can help smooth the transition and reduce the shadowing, which makes the lines less noticeable.
This is often a complementary approach alongside lifting procedures.

Lip lifts and corner lifts can improve mouth positioning and support, which may soften marionette lines slightly, but they won’t remove them entirely.
To more directly address marionette lines, volume restoration with dermal fillers, fat grafting, or combined lower-face rejuvenation strategies is typically required.
A combination approach often gives the most natural and harmonious result, rather than relying on a lift alone.

In essence, lifts help reposition and support, fillers help smooth and fill, and together they can create a refreshed, less fatigued lower face appearance.

Ruslan Zhuravsky, DO · Answer

Hello, unfortunately a lip lift or corner lip lift would not improve this issue. A true corner lip lift would result in an unnatural elevation in your case without making the issue better. The line you are referring to is a product of two issues; depth in the perioral area and fullness from the cheek. Some filler would improve it, but you have to be careful and avoid an overly full or rounded appearance in this area. Decreasing some medial cheek fullness would help also. There are several options for this.... the most minimal would be RF microneedling such as morpheus8. Done with the proper settings over time can improve this. .... facetite (or the smaller acutite) wand can also work well in this area. ... some are using kybella off label but it's not my choice as I have seen problems with it.It is possible that a buccal fat reduction can also help, but it's direct effect on this area specifically is variable. Hope that helps!Good luck!

Nelson Lee Novick, MD · Answer

At least from the photos there appear to be the early development of marionette folds. Rather than contemplating something aggressive at this early stage, you may wish to consider the use of a robust HA fifting filler to help lift and straighten the angles of the mouth and thus improve those folds. Treatment in experienced hands takes about five minutes and yield immediate results while engendering little to no significant downtime. Before jumping to expensive, invasive surgery, you would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck. .

Can lip lift or lip corner lift get rid of marionette lines? (photos)

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