Oral commissures and marionette lines
Marionette lines extend from the corners of the mouth down to the lower jaw. This demarcates the chin so it looks like a puppet. These lines give an impression of sadness and resignation.
They can be filled with fillers (e.g. hyaluronic acid or Radiesse). If they are very pronounced, simultaneous volume treatment in the cheek region is often necessary. A combination of Ultherapy and fillers might also be considered.
If the wrinkles around the mouth are reinforced by an involuntary pulling down of the corners of the mouth that has become habitual, the muscles should be relaxed by combining treatments with botulinum toxin.