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Expert care for a wide range of skin conditions, ensuring healthy, radiant skin.

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Comprehensive care for skin lesions and bumps, promoting clear and healthy skin.

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Revitalize your skin with advanced treatments designed to restore a youthful glow.

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How Marionette Lines Botox Restores Your Youth

Quick Summary

Marionette lines make your mouth look downturned, even when you feel perfectly smiling. Botox offers a non-surgical and simple way to reduce marionette lines making your face more relaxed especially when you smile. If you are noticing creases forming on the lower part of your face and looking for ways to address these, Botox might be worth considering.

This article will make you understand how marionette line forms and how Botox is done to achieve a more refreshed look.

Marionette lines are lines that show from the corners of your mouth towards the chin. These lines make your face look sad or tired especially when the lines are deep. Marionette lines usually appear in mid-adult years. They are more visible after the age of 40.

There are natural changes that affect our skin while we age, which include:

The mouth area also moves a lot like talking, smiling, and frowning that uses the same muscles every time it moves.

Botox, also called Botulinum toxin, is an injectable treatment that temporarily relaxes certain muscles by blocking the signals that make those muscles move.

Botox is known for its effectiveness in reducing forehead wrinkles and crow’s feet. But it can also help in minimising marionette lines when injected by experienced medical professionals, and when done correctly, will result in a natural look.

Related read:

When Botolinum toxin is injected to a specific muscle called DAO, or depressor anguli oris, it will slightly calm the muscle and will look more neutral and less downturned. Your lower face will look lifted in a soft, natural way.

Botox will not add volume, it will simply reduce the downward motion. This is why people often look happier and more refreshed without any dramatic change on their face.

There are different treatments of marionette lines depending on what is causing your lines:

Related read:

Effective & professional doctor-led Marionette Lines Botox at our central London clinic

Verified Before & After

Verified Before & After

This is a simple in-clinic procedure that only takes less than 20 minutes you can return to normal activities straight away.

The changes are gentle and subtle. There are no dramatic changes after the procedure.

There is no need for general anaesthesia or no cutting involved. The downtime is minimal.

Your face will look less tired or sad after the treatment, and you will look more relaxed.

Related read:

Botox does not have an instant result. You will notice visible changes in 4 to 7 days and reach its full effect in the second week.

Results may vary from each person. Some people will notice a subtle lift, while others notice that lines become softer.

Remember that Botox is not enough if your main concern is volume loss. But if the muscle is the main cause, Botox works well. This is why a consultation to a dermatologist is helpful before any procedure.

Your practitioner will check your lower face, muscle strength, medical history, and talk about your goals. They may also recommend other treatments to pair with Botox for overall glow up that fits your face.

Your skin will be cleaned, and treatment points are marked. After that, your practitioner will inject the Botox using a tiny needle, and most people describe it as a quick pinch.

The product is injected into the DAO muscle on both sides of your mouth. No anaesthesia is needed and it will only take a few minutes.

These are the basic aftercare advice you need to after after Botox:

Redness and mild swelling may happen but it is temporary and settles quickly.

Botox normally lasts for 3 to 4 months, but it varies from person to person depending on your metabolism and muscle strength.

You can return every 3 to 4 months for maintenance. With regular treatments, the muscles may become less strong over time and sometimes makes the results last slightly longer.

Botox is not suitable for:

Your practitioner will check everything during the consultation and make sure to recommend options if Botox is not the right treatment for you.

Related read:

Most Botox side effects are mild and temporary like:

These side effects settle within a few days. Uncommon effects include slight asymmetry or temporary weakness of the lips if Botox migrates outside the intended area.

Related read:

Many people choose botox for marionette lines because it is not permanent, you can try it without a long-term decision. It also feels like a lighter option compared to fillers or surgery. You get a softer look but your natural face shape stays the same.

Botox works well for:

For deeper lines, combining Botox with filler is often the best option.

Look for someone who:

Before and after photos can also help you decide and understand their specialisation.

Using Botox for marionette lines offer a simple and gentle solution for lower face lines by keeping your face natural. The treatment helps your expression look more relaxed and balanced.

If you are noticing a tired or slightly sad look around the lower face, this treatment may be worth choosing. A consultation with a professional like the Harley Street Skin Clinic is the best to start.

Reserve a botox appointment

One of our experts will be more than happy to answer any questions you have.

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Jaswinder Marwaha

Had an initial consultation, the staff put you at ease immediately and were very knowledgable. Would recommend to anyone that is thinking about going to a clinic.

16th June 2026

Ah Q

I had a positive experience with Dr Cumbo. This was for a review and procedure. There was close attention to detail provided

13th June 2026

Melis Mackley

Love this clinic I practically live here

16th June 2026

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The Harley Street Skin Clinic is an award-winning boutique private cosmetic clinic in the heart of London. We offer the most advanced surgical and non surgical techniques in our fully-fitted consulting rooms, state-of-the-art operating theatres and purpose-built aesthetics and laser suite.

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