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Marionette Lines: Causes, Treatments and How to Reduce Their Appearance

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Last Reviewed: May, 2026

Marionette lines are a common part of skin ageing that typically begin as fine lines around the mouth and gradually become more visible as they extend toward the chin. They can develop due to a range of factors such as facial movement, sun exposure and natural changes in the skin over time1.

While they are a normal part of ageing skin, marionette lines are often a concern for those noticing changes in the lower face. In this article, we explore what they are, why they develop and the skincare and treatment options that may help reduce their visible appearance.

What are marionette lines?

Woman smiling and touching her face as she looks over her shoulder on a white background
Marionette lines develop as the skin changes and are a normal part of ageing

Marionette lines, also known as puppet lines or melomental folds, are facial lines that extend from the corners of the mouth toward the chin. They are a common feature of skin ageing and may become more visible over time as Collagen levels decline and skin loses elasticity. They are most noticeable on the lower face and may become more visible when the face is at rest or during everyday expressions such as smiling or speaking.

Marionette lines vs nasolabial folds

Marionette lines are often confused with nasolabial folds. Marionette lines extend from the corners of the mouth down toward the chin, while nasolabial folds run from the sides of the nose toward the corners of the mouth3. Although both are common signs of skin ageing, they affect different areas of the face and follow distinct patterns.

What causes marionette lines?

Marionette lines develop as a result of intrinsic skin ageing and external environmental factors4. Over time, changes in skin structure, combined with repeated facial movement and sun exposure, can make lines around the mouth and chin more visible.

Natural skin ageing

As skin ages, it naturally changes in appearance, elasticity and volume. Over time, the skin around the mouth may appear less smooth, and expression lines can become more visible. The effects of gravity and repeated facial movement can also contribute to the formation of lines that extend from the corners of the mouth towards the chin5. These changes, along with a natural reduction in components such as Hyaluronic Acid, can affect6 how smooth, firm and hydrated the skin appears.

This can lead to:

  • More visible mouth lines.
  • Fine lines and wrinkles around the mouth appearing more defined.
  • Skin appearing less firm, smooth and supple.

Sun exposure and photoaging

UV exposure is one of the most significant external factors linked to premature skin ageing7. Over time, daily sun exposure can contribute to dryness and make lines around the mouth more visible.

It can:

  • Make marionette lines appear more noticeable.
  • Contribute to moisture loss in the skin.
  • Intensify the appearance of fine lines around the mouth.
Daily UV exposure can make marionette lines and mouth lines appear more noticeable over time.

Lifestyle factors

Lifestyle factors such as smoking, stress and dehydration may also affect how the skin looks over time, making mouth lines appear more pronounced8.

These factors may:

  • Reduce skin radiance.
  • Contribute to a dry or dehydrated-looking complexion.
  • Make signs of skin ageing appear more visible over time.

At what age do marionette lines appear?

There is no fixed age at which marionette lines develop. Some people may notice fine lines around the mouth in their 20s, while others may experience more visible changes later in life. Skin type, sun exposure, lifestyle and facial movement patterns can all influence when they become more noticeable8.

These include:

  • Applying SPF daily (ideally SPF 30 or higher) to help protect the skin from UV exposure, one of the key external factors linked to premature skin ageing10.
  • Using hydrating skincare products as part of a daily routine to help maintain moisture levels in the skin.
  • Protecting skin from excessive sun exposure throughout the year, not only during summer months.
  • Avoiding smoking where possible, as it can contribute to a duller, less even-looking complexion over time11.
  • Maintaining a consistent skincare routine with cleansing and moisturising steps to help support the skin’s overall condition.

Facial massage and exercise for marionette lines

Some people use facial massage or gentle facial exercises as part of their skincare routine to help the skin appear more refreshed. These techniques may help relax facial tension around the mouth and jaw area and can be included in a wider self-care approach.

Facial massage and exercises do not permanently change the appearance of marionette lines, and results vary from person to person. However, they may help the skin look temporarily more relaxed and revitalised when used consistently12.

Facial massage may help the skin appear more refreshed and relaxed temporarily.

How to blur the appearance of marionette lines with makeup

Hydrating makeup products can help soften the visible appearance of marionette lines temporarily. Lightweight foundations and radiant finishes may help create a smoother-looking complexion, while heavier matte textures can emphasise lines.

Using a hydrating primer and applying makeup lightly around the mouth area can help achieve a more even, natural-looking finish.

Dermatologist-recommended skincare routine for marionette lines

A consistent skincare routine can help improve the appearance of marionette lines and support smoother-looking skin around the mouth area. This routine includes products from Eucerin’s Hyaluron-Filler + Elasticity range, which is designed to target the appearance of deeper wrinkles and support improved firmness and radiance.

Step 1: Cleanse

Begin with a gentle facial cleanser to remove impurities, excess oil and traces of makeup, helping to prepare the skin for the rest of your routine. Cleansing helps create a fresh base for the application of skincare products.

Step 2. Serum

Apply a serum to help provide hydration and support smoother-looking skin. Well-hydrated skin can appear plumper and more even, helping to reduce the visible appearance of fine lines around the mouth and chin area.

Eucerin Hyaluron-Filler + Elasticity 3D Serum combines high and low molecular Hyaluronic Acid to help visibly plump deep wrinkles and provide intensive hydration.

Step 3. Moisturiser & Sun Protection (AM/PM)

  • AM: Eucerin Ultra-light Day SPF 50 provides daily hydration and very high sun protection in one step. With SPF 50, the formula helps protect the skin from UV-induced premature ageing and the deepening of wrinkles while helping to maintain skin’s elasticity and a more even, radiant-looking complexion.
  • PM: Eucerin Hyaluron-Filler + Elasticity Night provides intensive overnight care to help support the skin natural overnight recovery process. The formula combines Hyaluronic Acid and Thiamidol to help improve the appearance of skin elasticity and visibly plump deep wrinkles, leaving skin feeling smoother and more visibly hydrated by morning.

Effective ingredients for marionette lines

Targeted skincare ingredients can help support the appearance of smoother-looking skin and reduce the visibility of fine lines over time13. When used consistently, they form part of a daily routine to improve hydration, texture and radiance in the skin around the mouth and chin area.

Epicelline and visible signs of skin ageing

As skin ages, visible signs such as fine lines, uneven texture and a loss of radiance can become more noticeable. The Eucerin Hyaluron-Filler + Longevity Epigenetic Serum contains Epicelline, a patented ingredient which helps improve the visible signs of skin ageing and support a more even, smoother and revitalised-looking complexion over time when used as part of a consistent skincare routine. In a product-in-use test, 98%* of users reported an improvement in the visible signs of skin ageing after regular use.

*product-in-use test with 160 women over 4 weeks.

Hyaluronic Acid for hydrated-looking skin

Hyaluronic Acid is known for its hydrating properties and is commonly used in skincare products designed for ageing skin14. Hydrated skin often appears smoother and plumper, helping to reduce the visible appearance of fine lines and wrinkles caused by dryness.

How to reduce and prevent the appearance of marionette lines

There is no instant solution for marionette lines, but a consistent skincare routine, daily sun protection and healthy lifestyle habits may help reduce their visible appearance over time. One important factor to consider is photoaging, which refers to premature skin ageing caused by repeated exposure to UV radiation. Over time, UV exposure can contribute to visible signs of skin ageing, including wrinkles, loss of firmness and age spots. Daily sun protection can help protect the skin from further photoaging, while maintaining hydration and using targeted skincare products8 may help support a smoother, more refreshed-looking complexion.

Daily habits that can help reduce and prevent the appearance of mouth lines

Simple daily habits can help support smoother-looking skin around the mouth area and reduce the visibility of fine lines over time9. Consistency is key, as small steps taken daily can help maintain a more even and hydrated-looking complexion.

Professional treatments for marionette lines

Some people may choose to explore cosmetic procedures if marionette lines become more pronounced16. The best approach depends on individual skin concerns, desired results and professional advice. While these treatments may help improve the appearance of lines, results are not permanent and may require maintenance over time.

Non-invasive procedures for marionette lines

Non-invasive cosmetic procedures such as laser treatments, skin resurfacing and radiofrequency treatments are sometimes used to improve the appearance of ageing skin. Some of these treatments may require multiple sessions, and results can vary depending on the individual. Certain procedures may also increase skin sensitivity, particularly to sunlight, after treatment.15

Dermal fillers for marionette lines

Dermal fillers are cosmetic treatments designed to add temporary volume beneath the skin16. Some people choose fillers to reduce the appearance of marionette lines, particularly around the corners of the mouth. Results are not permanent and typically require repeat treatments every 6-12 months to maintain the effect.

What are the risks of marionette line fillers?

As with any cosmetic procedure, dermal fillers may involve side effects and risks. These can include swelling, bruising and temporary unevenness around the treated area16. Cosmetic treatments in general may also carry risks, depending on the procedure used.

Anyone considering cosmetic procedures should seek advice from a qualified professional before treatment.

Anyone considering cosmetic procedures should seek advice from a qualified professional.

Marionette lines: key takeaways

Marionette lines are lines that extend from the corners of the mouth toward the chin and may become more visible over time due to natural skin ageing, facial movement and environmental factors such as UV exposure. They are a common feature of skin ageing, and their visible appearance can be supported with a consistent skincare routine, daily sun protection and healthy lifestyle habits. Some people may also choose professional cosmetic procedures depending on their individual needs.

FAQs about marionette lines (11)

  • What are marionette lines?

    Marionette lines are facial lines that run from the corners of the mouth toward the chin. They are a common sign of skin ageing and may become more visible over time.

  • What causes marionette lines?

    Marionette lines are caused by natural skin ageing, repeated facial expressions and external factors such as UV exposure. Lifestyle factors like smoking and dehydration may also make mouth lines appear more visible.

  • At what age do marionette lines appear?

    There is no specific age at which marionette lines appear. They may develop earlier or later depending on skin type, sun exposure, facial movement and lifestyle factors.

  • Are marionette lines just deep wrinkles?

    Marionette lines often begin as fine lines around the mouth and may become more pronounced over time. Their depth and visibility vary depending on individual skin ageing.

  • Can skincare help marionette lines?

    A consistent skincare routine with hydrating ingredients and daily SPF may help soften the visible appearance of marionette lines. Products containing Epicelline, such as Eucerin Hyaluron-Filler + Longevity Epigenetic Serum can support a more hydrated, smoother-looking complexion.

  • How to get rid of marionette lines without fillers?

    Marionette lines cannot usually be removed completely, but daily SPF, hydrating skincare, healthy lifestyle habits and targeted skincare can help reduce their visible appearance over time. Some people also consider professional treatments depending on their skin concerns.

  • What is the best treatment for marionette lines?

    The best approach depends on individual skin concerns. Some people choose skincare routines, while others consider professional cosmetic procedures after seeking advice from a qualified practitioner.

  • What is the best non-invasive procedure for marionette lines?

    Non-invasive procedures such as laser treatments, radiofrequency and skin resurfacing are sometimes used to improve the appearance of ageing skin. Suitability and results vary depending on the individual.

  • Are marionette lines permanent?

    Marionette lines are a natural part of skin ageing. Their visible appearance may be reduced with skincare, makeup or in some cases, cosmetic procedures.

  • Can facial massage help marionette lines?

    Facial massage may help the skin appear more refreshed temporarily and can be included as part of a regular skincare routine.

  • How can makeup blur marionette lines?

    Hydrating makeup products, lightweight foundations and radiant finishes may help reduce the visible appearance of marionette lines temporarily.

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Citations

  1. National Center for Biotechnology Information. PMC8438644. https://pmc.ncbi.nlm.nih.gov/articles/PMC8438644/
  2. National Library of Medicine. PubMed: 24238002. https://pubmed.ncbi.nlm.nih.gov/24238002/
  3. National Center for Biotechnology Information. PMC11050910. https://pmc.ncbi.nlm.nih.gov/articles/PMC11050910/
  4. National Center for Biotechnology Information. PMC10993050. https://pmc.ncbi.nlm.nih.gov/articles/PMC10993050/
  5. National Center for Biotechnology Information. PMC11845971. https://pmc.ncbi.nlm.nih.gov/articles/PMC11845971/
  6. National Center for Biotechnology Information. PMC3583886. https://pmc.ncbi.nlm.nih.gov/articles/PMC3583886/
  7. Journal of the American Academy of Dermatology. https://www.jaad.org/article/S0190-9622(03)02127-3/abstract
  8. Cleveland Clinic. Wrinkles. https://my.clevelandclinic.org/health/diseases/10984-wrinkles
  9. American Academy of Dermatology. Wrinkles. https://www.aad.org/public/cosmetic/wrinkles
  10. Skin Cancer Foundation. Sunscreen. https://www.skincancer.org/skin-cancer-prevention/sun-protection/sunscreen/
  11. American Academy of Dermatology. Reduce Premature Aging Skin. https://www.aad.org/public/everyday-care/skin-care-secrets/anti-aging/reduce-premature-aging-skin
  12. Cleveland Clinic. Can Doing Facial Exercises Help You Look Younger? (Face Yoga). https://health.clevelandclinic.org/can-doing-facial-exercises-help-you-look-younger-face-yoga
  13. Journal of the American Academy of Dermatology. https://www.jaad.org/article/S0190-9622(12)01397-7/abstract
  14. National Center for Biotechnology Information. PMC10078143. https://pmc.ncbi.nlm.nih.gov/articles/PMC10078143/
  15. National Center for Biotechnology Information. PMC2884835. https://pmc.ncbi.nlm.nih.gov/articles/PMC2884835/
  16. Cleveland Clinic. Dermal Fillers. https://my.clevelandclinic.org/health/treatments/22667-dermal-fillers

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