Marionette lines are also called "puppet lines" or "laugh lines". These are facial wrinkles that extend from the corners of the mouth downward to the jawline. These creases contribute to an aged or sagging appearance in the lower face. Marionette lines appear naturally because of the aging process. These are primarily caused by the loss of collagen and elastin in the skin, as well as the effects of gravity and repetitive facial movements.
As individuals age, the skin's ability to produce essential proteins like collagen diminishes. It results in inadequate skin elasticity. This, combined with the gradual breakdown of fat pads or pockets in the face, leading to sagging and the formation of lines, including marionette lines. Other factors, such as sun exposure, smoking, and genetic predisposition, can also accelerate the development of these lines.
While marionette lines are a normal part of aging, they can be a source of concern for individuals seeking facial rejuvenation. Various cosmetic procedures, ranging from non-surgical interventions like dermal fillers to surgical options like facelifts, can help in filling facial lines. They address and minimize the appearance of marionette lines, restoring a more youthful and refreshed look to the lower face.