Hello, this is Dr. Kim Yong-woo (Dr. Returning), a board-certified plastic surgeon.
In this post, we will explore the causes and solutions for Marionette Lines (lines around the mouth), which, along with nasolabial folds, are considered the "two major mountain ranges" of deep facial wrinkles.
The primary concern for patients who decide to undergo a facelift and come in for a consultation is typically nasolabial folds and marionette lines. To give you the conclusion first: A facelift can resolve marionette lines. However, satisfaction can vary depending on how accurately the individual’s anatomical differences and condition are diagnosed and how the surgery is performed.
Etymology of "Marionette"
Etymology: The shape of the mouth of a marionette puppet used in puppet shows.
The word "marionette" refers to a puppet manipulated from above using strings attached to its joints, used in puppet shows. To allow the puppet to move its mouth, slits (joints) are made downwards from both corners of the mouth. Because these resemble the wrinkles that form around the mouth due to aging, the term "Marionette Lines" came into use.
Causes of Lines Around the Mouth
1. Bone Volume Loss due to Aging or Facial Contouring Surgery
As I have mentioned several times in previous posts, sagging due to aging is accompanied by bone resorption (bone loss).