Cosmetic Surgery > Face > Marionette Lines
Marionette lines (bitterness folds) are permanent folds located between the lip corners and the chin.
Their appearance is often concurrent with the appearance of jowls; visually, it is an important factor in the perception of the face as aged and sad.
Filling these depressions can be performed with injections of hyaluronic acid with volumising properties, or by lipofilling as part of a combination with another technique to globally rejuvenate the face.
In cases of significant drooping of the labial commissure with considerable excess skin in the jowl area, filling the marionette lines without skin re-tightening is not indicated.