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Hello, I'm Dr. Kim Yong-woo (Dr. Returning), a board-certified plastic surgery specialist.
In today's post, we're diving into the underlying causes and target solutions for Marionette Lines—the stubborn wrinkles around the mouth that stand alongside nasolabial folds as the two most prominent hallmarks of facial aging.
When patients visit my clinic for a facelift consultation, their chief complaints almost always center on nasolabial folds and marionette lines. To address the key question right away: yes, a facelift can effectively smooth out marionette lines. That said, post-operative satisfaction hinges entirely on a precise diagnosis of each patient's unique anatomy and tailored surgical execution.
Where Does the Name "Marionette" Come From?
Originating from traditional string puppetry, a marionette is a jointed figure controlled from above by threads. To enable the puppet to open and close its mouth during a performance, vertical cuts are crafted downward from the corners of its lips. Because age-related creases extending from the mouth corners mirror these puppet joints, they earned the title "Marionette Lines."
Primary Drivers of Perioral Lines
Structural Bone Resorption (Aging or Post-Contouring Surgery) As explored in my earlier articles, midface sagging caused by aging is frequently driven by bone volume loss over time.