Marionette Lines – What are They and How Do I Treat Them?

marionette lines

Marionette lines are commonly called “laugh lines” or “smile lines” and are a natural sign of aging that appear downwards around the mouth and chin. They can make you look like you have a frown on your face. These lines form as facial volume minimizes with age and deeper creases form below the mouth.

How to Treat Marionette Lines

If you’re already dealing with marionette lines, there are ways to help minimize and treat them, including:

Dermal Fillers

Many patients choose to treat marionette lines with fillers as they have minimal downtime.

JUVÉDERM® is often used to treat these lines. It’s a smooth consistency gel made of hyaluronic acid (HA), a naturally occurring substance in your skin that helps to add volume and hydrate your skin.

RADIESSE® is another filler commonly used for treating marionette lines. Fillers are a fairly inexpensive way to treat these lines. You can speak with your Provider or Aesthetician about which one may be best for you and your specific skin care goals.


Sciton® BroadBand Light (BBL) can also help with marionette lines and other issues caused by aging skin. It is an innovative light-based technology that sets new standards for treating skin conditions associated with aging, active lifestyles, and sun damage. The number of treatments needed will depend on a variety of factors, so speak with your Provider to discuss specifics.


In some cases, microneedling can also help with marionette lines. You can speak with your Skin Care Provider to see if it can be effective in your case (plus it may help in general with reducing the impact of aging skin).

How to Prevent Marionette Lines

There’s no guaranteed way to prevent them, but there are general everyday tips to help reduce marionette lines and the impact of aging on your skin including taking care of your skin. Wearing sunscreen every day and using quality skin care products to care for your skin will help protect your skin at any age (and as you age).


Visit your local Greater Reno-Tahoe area Dermatologists to schedule an appointment with an experienced Skin Care Provider to talk about marionette lines or any other skin concerns caused by aging.