Marionette lines run from the corners of the mouth towards the jaw, while nasolabial folds run from the nose to the corners of the mouth.
Marionette lines run from the mouth corners to the jaw; nasolabial folds run from the nose to the mouth corners. Dr Sateei’s focus is on softening these folds by restoring the support beneath them, rather than filling the lines directly.
Both develop primarily from a loss of volume and structural support in the cheeks and midface as collagen and fat decline from the mid-thirties. Genetics, repeated expression and sun damage also contribute.
Nasolabial folds run diagonally from nose to mouth corners; marionette lines run vertically towards the jaw, contributing to a downturned appearance at rest. Both become more noticeable in profile or when talking.
Dermal filler is the primary treatment, carefully placed to restore lost cheek and midface volume, softening the folds by rebuilding the underlying structure rather than filling the lines directly. Where marionette lines are more pronounced, filler may also support the jawline and chin. Skin boosters improve hydration and quality, supporting overall results.
Softening these lines well requires understanding how the cheeks, jaw and mouth relate to one another, central to Dr Sateei’s approach after more than twenty years of experience, at both her London (near Harley Street) and Sevenoaks clinics.
Age-related loss of volume and collagen in the cheeks and midface; genetics, expression and sun damage also contribute.
Sun protection and skin health can slow development.
Dermal filler focused on restoring cheek and midface volume, sometimes with jawline support.
This can look unnatural, so Dr Sateei’s approach focuses on the surrounding structure first.
Typically six months to a year.
Mild discomfort; topical numbing available.
Some mild swelling/bruising, settling within days.
Once initial swelling settles, usually within a week to ten days.
Most adults noticing these lines, confirmed via facial assessment.
Not necessarily, though they often share the same underlying causes.
Marionette Lines & Nasolabial Folds are often treated alongside these.
If tired-looking eyes have been affecting your confidence, Dr Ellie Sateei welcomes a consultation at her London or Sevenoaks clinic.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.
