
Marionette lines are vertical folds that form from the corners of the mouth toward the chin. They can contribute to a heavier or downturned look in the lower face, even when facial expression is neutral.
Their depth and visibility vary based on facial structure, movement patterns, and changes in skin and volume support over time.
These lines often form as a result of volume loss, skin laxity, and repeated motion around the mouth. As collagen and underlying support diminish, the skin in this area becomes more susceptible to folding.
Gravity and natural anatomy also play a role, making the lower face particularly responsive to age-related changes.