Treatments to Revitalize the Face and Eliminate Marionette Lines By Hadi Rassael on December 01, 2021

Female with smooth, glowing facial skinOne of the common side effects of aging is a loss of skin elasticity and a loss of facial volume. These are likely to result in the formation of deep lines and creases. One part of the face that is vulnerable to these creases is the mouth and chin area. When deep creases form between the corner of the mouth and extend downward to the lower face and chin, they are often referred to as “marionette lines,” as they mimic the exaggerated facial lines found on old-fashioned puppets. A facelift can tighten facial skin and muscles to treat these lines, but for our Washington DC patients, there are several other marionette lines treatments to consider. Dr. Hadi Rassael can discuss the pros and cons of each treatment option and help patients choose a method that will best meet their unique needs.

Topical Creams

The least invasive treatment for marionette lines is the use of topical creams. However, patients should also understand that topical creams offer the least dramatic results, so they are best suited for patients with only faint marionette lines. Most patients try topical creams or lotions as an initial treatment or one that will help them postpone the need for more invasive treatment. These creams often contain some combination of retinol, collagen, and alpha-hydroxy acid. These ingredients help to add some elasticity and volume to the skin.

Dermal Fillers

Dermal fillers offer a non-surgical solution for patients who have more advanced or deep-set marionette lines. There are a range of fillers to choose from, including Restylane®, JUVÉDERM™ Injectable Gel, Radiesse®, and ArteFill®. These fillers add volume to fill out facial features and smooth or eliminate creases and marionette lines. Although the results of dermal fillers will not be permanent, they can be long-lasting, with some creating results that last up to one year before treatment needs to be repeated.


Patients who have the most severe marionette lines and those looking for the longest lasting treatment should consider a facelift. A facelift addresses a number of concerns by manipulating the facial muscles, lifting and tightening the skin, and restoring a full, refreshed appearance to facial features. A facelift will not only eliminate marionette lines, but will also improve the overall appearance of the mid to lower face. A facelift can take years off a patient’s facial appearance and the results will last for many years to come.

For optimal results, Dr. Rassael may utilize any combination of the above marionette line treatments. By combining facial treatments, Dr. Rassael can improve muscle and skin firmness, optimize facial contours, and improve skin tone. The result of all of this is a more youthful and rejuvenated appearance for our patients.

Schedule a Consultation

Dr. Hadi Rassael offers patients effective and personalized cosmetic results by tailoring treatment to each patient’s specific needs and desires. If you are concerned with the appearance of marionette lines, schedule a consultation at your earliest convenience to discuss your treatment options. Dr. Rassael is happy to discuss these options in further detail and answer any other questions you may have. We look forward to hearing from you!

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Dr. Hadi Rassael

Millennium Medical

Our cosmetic surgeon, Dr. Hadi Rassael, offers the communities of Washington, D.C., Chevy Chase, MD, and surrounding areas a relaxing boutique spa experience. He offers a number of surgical and nonsurgical cosmetic treatment options including:

To schedule a consultation at our cosmetic surgery office, contact us online or call (301) 652-9005.

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