Nasolabial folds and marionette lines

As part of the natural ageing process, the loss of volume and structural support in the mid and lower face can lead to the deepening of nasolabial folds and marionette lines. These changes are often due to soft tissue deflation, ligament laxity, and a shift in facial fat compartments, which may impact facial symmetry, expression, and tissue stability.

Dermal fillers containing hyaluronic acid may be used to restore volume in these areas, offering support to the overlying skin and surrounding tissues. In appropriate cases, this treatment can help reestablish facial balance and reduce strain caused by repetitive muscle movement or age related deflation. All treatments are provided following a clinical assessment, and may be part of a broader plan to manage facial volume loss, post-traumatic changes, or age associated functional changes.

What are Nasolabial Folds?

Nasolabial folds (also referred to as smile lines) often become more prominent with age due to collagen depletion and soft tissue volume loss, particularly in the mid-face. This can lead to changes in facial structure, tissue support, and expression dynamics.

During your clinical assessment, we will evaluate the cheek and mid-face region to determine whether volume loss is contributing to the deepening of the nasolabial folds. If significant mid-facial volume reduction is identified, cheek filler may be recommended to restore support and relieve downward tension on the lower face.

In cases where cheek volume is preserved, direct filler treatment to the nasolabial fold area may be appropriate to restore soft tissue integrity and support functional balance in the perioral region.

What are MARIONETTE LINES?

Marionette lines are vertical folds that extend from the corners of the mouth toward the chin and are commonly associated with age related soft tissue changes, including collagen depletion, fat redistribution, and loss of structural support in the lower face.

As part of the clinical assessment, we evaluate lip and perioral volume to determine whether diminished tissue support is contributing to the development of marionette lines. Where appropriate, dermal filler may be used to restore volume and provide structural reinforcement in the area, helping to reduce functional strain on surrounding tissues and improve facial balance.

Treatment is provided based on individual clinical need and may form part of a broader plan to address age related tissue degeneration or post-traumatic soft tissue loss.

Please note: All treatments require a full medical and psychosocial assessment to determine clinical appropriateness. Treatments are only provided where there is a clear therapeutic benefit, and we reserve the right to decline treatment if it is not deemed clinically suitable.