Marionette Line Lifting in Seoul, Korea| Grand Plastic Surgery


Marionette Line Lifting targets the downward grooves that run from the corners of the mouth toward the chin. These lines can make the face appear tired, sad, or aged. In Korea, marionette line lifting focuses on correcting the underlying causes—midface descent, jowl formation, and volume loss—rather than simply filling the crease.

The result is a naturally refreshed lower face with smoother, softer expression lines.

What Causes Marionette Lines?

Marionette lines develop when:

  • The cheek and midface descend downward
  • The SMAS (deep facial support layer) weakens
  • Jowls form and weigh down the corners of the mouth
  • Volume decreases in the under-cheek area
  • Repetitive expressions deepen the crease
  • Skin elasticity decreases with age

Because the cause is structural, effective correction requires lifting—not just filling.

What Is Marionette Line Lifting?

Marionette Line Lifting elevates the tissues that pull the corners of the mouth downward. It improves:

  • Drooping mouth corners
  • Deep marionette creases
  • Early jowls
  • Lower-face heaviness
  • A tired or sad-looking expression

The goal is a smoother, softer, and younger-looking mouth and chin area.

How Marionette Line Lifting Works

Depending on the severity of sagging, the lifting process may include:

1. SMAS or Lower-Face Lifting

Deep tissues around the jawline and mouth are repositioned to eliminate heaviness.

2. Midface Elevation

Lifting the cheek fat pads naturally reduces downward pressure on the marionette folds.

3. Releasing the Heavy Crease

Tight ligaments around the mouth corner can be softened to improve the fold.

4. Optional Volume Restoration

Micro-fat or filler may be added for a small amount of natural fullness.

5. Skin Redraping

Skin is smoothed over the lifted structure without looking stretched.

This two-layer approach—lift + optional volume—softens marionette lines far more effectively than filler alone.

Marionette Line Lifting Treatment Options

Treatment depends on the depth of the lines and the cause:

1. Lower Facelift / Mini Facelift

Strongest lift for moderate to severe marionette lines.

2. Midface Lift

Raises the cheek area, removing downward weight from the mouth.

3. SMAS Lifting

Tightens the deep muscle layer for longer-lasting lower-face rejuvenation.

4. Thread Lifting (PDO / PLLA / PCL)

Ideal for mild to moderate folds; offers subtle elevation.

5. Elasticum (Elastic Band Lift)

Minimally invasive strong lifting for improved mouth-corner support.

6. Fat Grafting (Micro-Fat)

Adds soft, natural padding to soften the fold.

7. Fillers

Short-term improvement for superficial creases.

Combination treatments often deliver the best, most natural outcome.

Who Is a Good Candidate?

Marionette line lifting is ideal for individuals with:

  • Deep or moderate creases around the mouth
  • Downturned lip corners
  • Heavy lower face or early jowls
  • A tired, stern, or sad-looking expression
  • Minimal improvement from fillers alone
  • Desire for long-lasting, natural rejuvenation

Suitable for ages late 20s to 60s depending on anatomy and severity.

Expected Results

Marionette Line Lifting provides:

  • Lifted, more youthful mouth corners
  • Smoother lower-face contour
  • Reduced heaviness near the chin
  • Brighter and friendlier resting expression
  • Balanced and natural facial proportions
  • Long-lasting improvement without overfilling

The result looks subtly refreshed—not overdone.

Recovery Timeline

Recovery varies depending on the chosen technique:

Surgical Lifting (Lower Facelift, SMAS)

  • Days 1–3: Swelling and tightness
  • 1 week: Stitches removed
  • 2–3 weeks: Smoother contour visible
  • 1–2 months: Final refinement

Thread Lift

  • 0–2 days: Mild swelling or tenderness
  • 1–3 weeks: Threads settle naturally

Fat Grafting / Fillers

  • 1 week: Early improvement
  • 1–3 months: Final, blended result

Marionette Line Lifting vs. Nasolabial Fold Lifting

  • Marionette lines occur lower on the face
  • They often worsen earlier due to jowls
  • They require deeper lifting around the jawline, not just midface elevation

Both conditions can be treated together for full lower-face rejuvenation.

Frequently Asked Questions

Are fillers enough to fix marionette lines?
Fillers help minor creases but often worsen heaviness over time. Lifting is key for structural correction.

Will lifting change my smile?
No—proper technique preserves natural expression while improving the resting appearance.

How long do results last?
Surgical lifting lasts years; threads last 12–24 months; fat grafting may be long-term.

Can procedures be combined?
Yes—lifting + micro-fat grafting is one of the most effective approaches.

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