Marionette lines treatment in Dubai — filler, Botox and skin quality

Key facts

• Lines reflect volume loss, laxity and muscle pull
• Filler supports the mouth corners and jawline
• Botox can relax down-turning muscles
• Skin-quality treatments improve texture
• Marked laxity may need a surgical opinion

What causes marionette lines and jowls

Marionette lines develop from a combination of factors. Volume in the lower face and along the jawline reduces with age, the skin loses collagen and elasticity, and ligaments that support the soft tissue loosen, so tissue gradually descends and gathers near the jawline as jowls. A muscle called the depressor anguli oris pulls the mouth corners downward, and with time this pull can deepen the lines. Sun damage, smoking, weight changes and genetics also contribute. Because several causes usually act together, Dr. Abdullah Anis examines your face at rest, while talking and when smiling to work out which elements are most important for you.

Filler for support and contour

Hyaluronic acid filler can soften marionette lines by restoring support directly beneath the line and at the corners of the mouth. Often, small amounts placed along the jawline or in the pre-jowl area at the side of the chin help smooth the transition between the chin and jaw, which reduces the appearance of jowls and the shadow of the line. Some patients also benefit from subtle midface support, which can reduce downward heaviness. The aim is a smoother, more rested lower face, not a full or heavy chin area. Conservative amounts and a review appointment help keep the result natural and balanced.

Botox for down-turned mouth corners

When the mouth corners are pulled downwards by an overactive muscle, small, carefully placed doses of Botox can relax that pull and allow the corners to sit in a more neutral position. This can soften the sad appearance and complement filler. Botox in this area needs precise placement, because nearby muscles control speech and lip movement, and an incorrect dose or position can affect your smile temporarily. Some patients also benefit from treatment of the chin muscle if it causes dimpling. Effects usually develop over several days and last for some months. Dr. Abdullah Anis will tell you whether this step is likely to help.

Improving skin quality and laxity

Filler and Botox address volume and movement, but skin quality also matters. Thin, crepey or sun-damaged skin around the mouth can make lines look deeper. Options may include skin boosters for hydration, collagen-stimulating treatments in selected patients, fractional CO2 laser or chemical peels to improve texture, and a good daily skincare routine with sun protection. These treatments work gradually and are often combined over a few months. It is also important to be realistic: marked skin laxity and heavy jowls may not be fully corrected without surgery, and Dr. Abdullah Anis will explain honestly what non-surgical treatment can achieve.

Safety, recovery and realistic results

Filler and Botox around the mouth are common treatments, but they still carry risks. Bruising, swelling and tenderness are usual for a few days. Rare complications include lumps, infection, and blockage of a blood vessel; severe pain, skin colour change or spreading discolouration after filler need urgent attention. Asymmetry of the smile after Botox can occur and usually improves as the effect wears off. Results from both treatments are temporary, so maintenance is part of the plan. A written plan explains which steps are recommended, in what order and why, so you can decide on a pace that suits you.

Hyaluronic acid fillers restore lost volume and refine contours. Safe results depend on facial anatomy knowledge, product choice and conservative technique — the same expertise used to manage filler complications.

Prepared by the Manhal Medical Center editorial team · Updated: 2026-10-18 · Treating specialist: Dr. Abdullah Anis

This page is general information and does not replace a consultation. Suitability, risks and results vary between patients.