Title Comprehensive Guide To Combating Drooping Mouth Corners And Marionette Lines Delving Into Effective Treatment Options


Drooping mouth corners and marionette lines are a bane for countless individuals, frequently lending an unintentional somber or fatigued countenance. Rest assured, however, that an assortment of treatments—both non-surgical and surgical—exist to help mitigate these cosmetic concerns related to volume loss and loss of collagen.Understanding the Causes of Drooping Mouth Corners and Marionette Lines:

Several factors contribute to the emergence of sagging mouth corners and marionette lines. Foremost among these is the natural aging process, which ushers in a decline in skin elasticity and a reduction in collagen production, ultimately leading to laxity in facial structures. Additionally, habitual facial expressions, heredity, and lifestyle factors like smoking or sun exposure can compound this condition.

drooping mouth corners

Non-Surgical Solutions:

For those hesitant to undergo invasive procedures, non-surgical treatments can provide effective, albeit temporary, relief for drooping mouth corners and marionette lines.

  1. Dermal Fillers: Hyaluronic acid-based dermal fillers offer a non-invasive approach to counteract sagging mouth corners and marionette lines caused by volume loss. By replenishing lost volume, these fillers restore facial contours and lift downturned corners, bestowing a rejuvenated appearance. Depending on the filler type, results can last anywhere from six months to two years. Some popular dermal fillers include Juvederm, Restylane, and Belotero.
  2. Anti-Wrinkle Treatment with Botox: Botulinum toxin, commonly known as Botox, can assuage drooping mouth corners and marionette lines by relaxing overworked depressor anguli oris (DAO) muscles. This anti-wrinkle treatment not only elevates the mouth corners but also prevents further downturn by impeding the DAO muscles' activity. Botox injections typically last between three to six months, necessitating periodic maintenance.
  3. PDO Thread Lift: Polydioxanone (PDO) threads, a biocompatible and absorbable material, can be employed to lift sagging mouth corners and marionette lines. Threads inserted into the skin provide an immediate lift, while stimulating collagen production for sustained results. PDO thread lifts generally last for six months to two years, depending on the treatment area and patient's individual response.
  4. Radiofrequency (RF) Skin Tightening: RF technology harnesses electromagnetic energy to heat the deeper layers of the skin, triggering collagen production and tissue remodeling. This non-invasive treatment can tighten sagging skin around the mouth corners and marionette lines, resulting in a lifted appearance. Multiple sessions may be required to achieve optimal outcomes, with results lasting up to two years.
  5. Ultherapy: Utilizing micro-focused ultrasound energy, Ultherapy stimulates collagen production in the skin's foundational layers. This non-surgical treatment can elevate drooping mouth corners and marionette lines and improve overall facial contours. Results can last up to two years, though maintenance sessions might be necessary.

Surgical Options:

drooping mouth corners
Before and after

For individuals seeking more permanent solutions, surgical treatment options merit consideration:

  1. Corner Lip Lift: This procedure entails the excision of a small, triangular skin segment above the mouth corners, followed by suturing the incisions. The result is an instant elevation of the mouth corners and a more youthful appearance. A corner lip lift provides long-lasting results, though patients should be aware of the potential for visible scarring.
  2. Mid-face Lift: A mid-face lift targets the entire cheek area, repositioning sagging tissues to their original positions. Consequently, this procedure not only lifts the mouth corners and reduces marionette lines but also addresses other age-related changes in the mid-face region. A mid-face lift offers enduring results, but patients must weigh the procedure's invasiveness and potential recovery time against their desired outcomes.
  3. Lower Facelift: A lower facelift is an extensive surgical procedure that addresses multiple age-related concerns, including drooping mouth corners, marionette lines, jowls, and laxity in the neck area. By tightening underlying facial muscles and re-draping the skin, a lower facelift can provide a comprehensive rejuvenation of the lower face. While this procedure offers lasting results, patients must consider the invasiveness, potential scarring, and extended recovery time.
  1. Fat Transfer: Autologous fat transfer, or fat grafting, involves harvesting fat from one area of the body, purifying it, and then injecting it into the desired facial region to restore volume. When used to address sagging mouth corners and marionette lines, fat transfer can provide a natural-looking lift and rejuvenation. Since the fat comes from the patient's body, the results are long-lasting and well-tolerated.

Preventing Drooping Mouth Corners and Marionette Lines:

Preventive measures can help delay the onset of drooping mouth corners and marionette lines or minimize their severity. Here are some strategies to consider:

Drooping Mouth Corners

  1. Sun Protection: Prolonged sun exposure accelerates skin aging and contributes to sagging mouth corners and marionette lines. Using broad-spectrum sunscreen with at least SPF 30, wearing wide-brimmed hats, and seeking shade can help protect the skin and slow down the aging process.
  2. Healthy Lifestyle: Maintaining a balanced diet rich in antioxidants, vitamins, and minerals can support skin health and resilience. Additionally, regular exercise, adequate hydration, and sufficient sleep can help preserve skin elasticity and tone.
  3. Skincare Regimen: Incorporating skincare products containing collagen-boosting ingredients like retinol, vitamin C, and peptides can help maintain skin firmness and elasticity. Consistent use of such products may delay the appearance of sagging mouth corners and marionette lines.
  4. Facial Exercises: Performing targeted facial exercises, like those focusing on the orbicularis oris and zygomaticus major muscles, can help strengthen the muscles around the mouth, potentially delaying the onset of drooping mouth corners and marionette lines.


Drooping mouth corners and marionette lines need not be a permanent affliction. With a diverse array of non-surgical and surgical treatment options available, it is possible to regain a youthful, refreshed visage. Consultation with a qualified aesthetic practitioner is imperative to determine the most suitable treatment for your unique needs. By combining professional treatments with preventive measures, you can optimize your facial appearance and slow down the aging process.