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Marionette lines filler

€21930 min

Cosmo Clinic Team

Marionette Lines Filler targets the downward lines that run from the corners of the mouth toward the chin – often contributing to a sad or tired expression. Using hyaluronic acid-based dermal filler, the area is gently lifted and smoothed to restore youthful contours and a more uplifted appearance.

At Cosmo Clinic in Lisbon, marionette line treatment is frequently combined with an assessment of the mid and lower face to address the contributing anatomy. Our doctors use filler to address root causes rather than treating the line superficially. Treatment takes around 30 minutes.

Book a free first consultation at Cosmo Clinic with one of our English-speaking doctors to discuss your options.

Marionette lines filler

Results

Reduced depth of marionette lines.

Reduced depth of marionette lines.

Lifted, more youthful corners of the mouth.

Lifted, more youthful corners of the mouth.

Improved facial balance and expression.

Improved facial balance and expression.

Results visible immediately, lasting 9–15 months.

Results visible immediately, lasting 9–15 months.

Key Features

Strategic filler placement for lifting effect.
Hyaluronic acid-based, reversible treatment.
15–20 minute procedure.
Can be combined with chin or nasolabial fold filler.

Clinical Guide

Facial Fillers: Complete Guide

Hyaluronic acid, zones, technique, recovery and contraindications.

Read the guide

FAQ

They are caused by age-related volume loss and downward pull from facial muscles.

Yes – our technique focuses on restoring harmony without overfilling.

Minimal downtime. Mild swelling or redness may occur and typically fades within a day or two.

Yes – it works well with jawline, chin, or nasolabial fold filler for a full lower-face rejuvenation.

★★★★★

“The doctor put me completely at ease. In a few days my face looked more rested and rejuvenated, without losing expression.”

Bruna C., Google

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What is marionette lines filler

Marionette lines filler is an aesthetic medicine treatment that corrects the downward folds running from the corners of the mouth toward the chin, using hyaluronic acid. These lines lend the face a persistent look of sadness or severity, even in repose. In Lisbon, it is one of the most effective approaches to restoring a neutral, rested expression to the lower third of the face.

Who is it for

Adults with visible lines descending from the mouth corners toward the chin, drooping oral commissures, or a persistently downturned facial expression. Most commonly indicated from the age of 40, though patients with an anatomical predisposition may benefit earlier. A pre-treatment assessment identifies the most effective combination of treatments for each face.

What to expect from the session

Sessions run 30 to 45 minutes. After topical anaesthesia, hyaluronic acid is applied with an ultra-fine needle or atraumatic cannula in a mid-plane along the line. The treatment often incorporates support of the pre-jowl area, the zone just anterior to the mandibular line, to lift the corners of the mouth from below.

Results timeline

The effect is immediate, with visible softening of the lines and a subtle lift to the corners of the mouth. Final results settle after 14 days, once mild swelling subsides. Duration averages 9 to 15 months, depending on the degree of muscular activity and individual metabolism.

Aftercare

Avoid make-up on the treated area for 12 hours, and steer clear of intense exercise, saunas, and direct sun exposure for 48 hours. Limit very salty foods to reduce fluid retention. Sleep on your back for the first few nights. Topical arnica can help with any small bruises, and daily SPF 50 is essential for two weeks.

Why Cosmo Clinic

Treating marionette lines well requires an integrated view of the lower face. Our medical team in Lisbon combines filler, mandibular support, and, where indicated, muscle relaxation with Botox, for a result that is genuinely natural. Consultations are available in Portuguese and English.

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