Lines around the nose, mouth and chin are a natural part of facial movement and ageing. Over time, however, nasolabial folds can become deeper and marionette lines can become more noticeable, sometimes making the lower face appear heavier or more tired.
At Pure Perfection, we do not automatically treat the line itself. These changes are often influenced by volume loss, reduced facial support and changes in skin quality elsewhere in the face. By understanding what is contributing to the folds and lines, we can plan treatment that restores support and softens their appearance without overfilling the lower face.
What Are Nasolabial Folds & Marionette Lines?
Nasolabial folds are the creases that extend from the sides of the nose towards the corners of the mouth. Everyone has them to some degree, and they naturally become more visible when we smile or make facial expressions.
Marionette lines develop from the corners of the mouth towards the chin and jawline. As they become more established, they can contribute to a downward appearance around the mouth.
Although both concerns affect the lower face, they do not necessarily develop for the same reason. Treatment therefore needs to consider facial structure, volume distribution and skin quality rather than simply focusing on the visible line.
What Causes Nasolabial Folds & Marionette Lines?
Facial anatomy and genetics influence how prominent these lines are naturally. As we age, changes in facial fat, bone structure and collagen can reduce support through the mid and lower face, allowing existing folds to become deeper.
Loss of cheek volume can make nasolabial folds more noticeable, while changes around the mouth, chin and jawline can contribute to marionette lines.
Reduced collagen and elasticity can also make the skin less able to resist creasing. Sun exposure, smoking and other lifestyle factors may accelerate these changes by affecting skin quality.
Treatments for Nasolabial Folds & Marionette Lines at Pure Perfection
Treatment is based on what is creating the lines rather than simply how deep they appear.
Dermal Fillers
Dermal fillers can be used to restore facial support and soften nasolabial folds and marionette lines.
In some cases, filler may be placed directly into or around the affected area. In others, restoring support elsewhere in the face, such as the cheeks, may reduce the appearance of the folds without placing unnecessary volume around the mouth.
The aim is to soften rather than completely erase natural facial folds, helping the face look refreshed while maintaining normal movement and expression.
Radiesse®
Radiesse® may be considered when reduced structural support and declining collagen are contributing to changes through the lower face. As a biostimulatory treatment, it can support collagen production while helping to improve firmness and facial support.
Profhilo®
Profhilo® may form part of a wider treatment plan when reduced hydration, elasticity and overall skin quality are making lines more noticeable. It does not replace lost facial volume in the same way as dermal filler.
Polynucleotides
Polynucleotides support the skin’s regenerative processes and may be considered when improving elasticity, hydration and overall skin quality is part of the treatment goal.
Skin Needling – XCellaris Pro Twist
Skin needling stimulates the skin’s natural repair response and collagen production. It may be useful when finer lines and changes in texture around the lower face accompany more established folds.
For some patients, combining structural support with treatments that improve skin quality provides a more balanced result than focusing on the folds alone.
FAQs
What is the difference between nasolabial folds and marionette lines?
Nasolabial folds run from the sides of the nose towards the corners of the mouth. Marionette lines extend downwards from the corners of the mouth towards the chin and jawline.
Can dermal filler treat nasolabial folds?
Yes. Dermal filler can soften nasolabial folds, but treatment does not always involve injecting directly into the fold. Restoring support elsewhere in the face may sometimes provide a more natural result.
Can marionette lines be treated with filler?
Dermal filler can be used in suitable patients to restore support around the lower face and soften marionette lines. The appropriate placement depends on your facial anatomy and the cause of the lines.
Will treatment completely remove the lines?
The aim is generally to soften established folds rather than eliminate every line. Nasolabial folds are a normal part of facial anatomy and movement, so completely removing them can create an unnatural appearance.
Which treatment is best for lines around my mouth?
This depends on whether the lines are being caused primarily by volume loss, reduced structural support, skin ageing or a combination of factors. A consultation allows us to assess the whole face before recommending treatment.