Jowls & Marionette Lines Treatments
Treatments for Jowls and Marionette Lines
If the corners of your mouth turn downward or you experience lower facial sagging, these common aesthetic concerns are called marionette lines or jowling. As your skin ages and changes, you may feel less confident about your appearance.
For advanced treatment for jowls and marionette lines, turn to the providers at Berman Skin Institute in Northern California. We specialize in cosmetic dermatology and the use of dermal fillers to address these common aesthetic concerns. Schedule an appointment so that we can create a customized plan based on your goals and expectations.
Understanding Jowls and Marionette Lines
Youthful skin is thicker and more elastic due to plenty of collagen and fat. As we age, the loss of facial volume and the downward pull of gravity can take a toll along the lower jawline, resulting in jowls and marionette lines.
Marionette lines are vertical creases that run from the corners of the mouth to the jawline — named after the lines seen on marionette puppets. Jowling refers to excess skin and soft tissue that sags below the cheeks and chin.
These cosmetic issues are caused by many factors, such as:
- Changes in skin elasticity
- Fat loss
- Volume loss
- Genetics
- Sun exposure
If you want to treat the appearance of jowls and marionette lines without surgery, Cleveland Clinic suggests jawline fillers — available at Berman Skin Institute.
Injectable Filler for Jowls and Marionette Lines
We offer a comprehensive approach to lower face rejuvenation. Facial fillers are injectable treatments that can help reduce the appearance of marionette lines and sagging skin associated with jowls.
After a careful evaluation of your aesthetic concerns and unique facial structure, we can determine whether lines and folds can be treated individually or if a more comprehensive approach is needed. We also use your personalized consultation to determine which filler or combination of treatments is right for you, such as JUVÉDERM®, Restylane®, RADIESSE® and Sculptra®.
Our experienced treatment providers do more than fill in creases. We use your tailored treatment plan to address what matters to you, such as:
- Restoring volume: Filler can restore appropriate chin volume and shape, providing structural support to the lower face.
- Contouring jawline: Chin filler for jowls along the anterior jawline sharpens the jaw’s contour and helps it appear firmer and more defined, smoothing jowls.
- Plumping creases: Directly injecting filler into and around marionette lines helps soften deep folds to create a more youthful, uplifted appearance.
Learn More About Facial Fillers for Jowls and Marionette Lines
If you are ready to meet with dermatology providers who genuinely care about delivering the results you long for, schedule your consultation at Berman Skin Institute today.
Get care today.
Frequently Asked Questions About Jowls and Marionette Lines
Jowls are sagging skin and soft tissue along the jawline and lower cheeks that descend below the jawline with age. They develop due to loss of skin elasticity, weakening facial muscles, descent of facial fat pads, and gravitational effects on facial structures. Jowls are a common sign of facial aging and can make the face appear tired, older, and less defined. They affect the overall contour and definition of the lower face and jawline.
Jowls develop due to multiple factors including natural aging and loss of skin elasticity, reduced collagen and elastin production, descent of facial fat pads due to gravity and skin laxity, weakening of the platysma muscle and other facial muscles, genetic predisposition, sun damage that accelerates skin aging, smoking, and poor skincare. Weight gain or loss can also affect jowl formation. The timeline and severity vary based on genetics, lifestyle, and sun exposure.
While aging is inevitable, you can slow the development of jowls and marionette lines through preventive measures. These include consistent sun protection with daily SPF 30+ sunscreen, maintaining a healthy weight, avoiding smoking, staying hydrated, using quality skincare with retinoids and peptides, facial exercises to maintain muscle tone, sleeping on your back to avoid sleep creases, and managing stress. Early intervention with non-invasive treatments can also help prevent progression.
Non-invasive treatments for jowls include dermal fillers to restore lost volume and support sagging skin, neurotoxins to relax muscles contributing to jowl descent, radiofrequency treatments that tighten skin through heat, ultrasound therapy (Ultherapy) for skin tightening, and microcurrent therapy to stimulate facial muscles. These treatments provide variable results depending on jowl severity. Combination treatments often yield better outcomes than single modalities.