
Marionette lines extend from the corners of the mouth toward the chin and are shaped by repeated movement, volume loss, and changes in lower-face support. As collagen declines and the jawline and chin lose definition, downward pull can cause these lines to deepen.
Loss of midface and perioral support can further exaggerate the appearance of marionette lines, creating shadows that remain visible even at rest. For many, this can give the impression of sadness or heaviness that doesn’t reflect how they feel.