{"id":3358,"date":"2023-01-13T14:33:37","date_gmt":"2023-01-13T13:33:37","guid":{"rendered":"https:\/\/www.goaesthetic.at\/marionette-wrinkles-causes-treatment\/"},"modified":"2025-03-25T10:27:33","modified_gmt":"2025-03-25T09:27:33","slug":"marionette-lines","status":"publish","type":"page","link":"https:\/\/www.goaesthetic.at\/en\/marionette-lines\/","title":{"rendered":"Marionette wrinkles: Causes &amp; Treatment"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l3sjtp9h-dba20a369c7c3553c58a0ca943a0a7e3\">\n.avia-section.av-l3sjtp9h-dba20a369c7c3553c58a0ca943a0a7e3{\nbackground-color:#657b92;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-l3sjtp9h-dba20a369c7c3553c58a0ca943a0a7e3 alternate_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  botox-column avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-3csgq-09089b33046141e94ab5c809f2cd6e8b sc-av_one_full av-equal-height-column-flextable'><div  class='flex_column av-3csgq-09089b33046141e94ab5c809f2cd6e8b av_one_full  avia-builder-el-1  avia-builder-el-no-sibling  first flex_column_table_cell av-equal-height-column av-align-top  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l3siyqw4-e0cd53b82c1fd3d5a4098f303b004a6d\">\n#top .av-special-heading.av-l3siyqw4-e0cd53b82c1fd3d5a4098f303b004a6d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l3siyqw4-e0cd53b82c1fd3d5a4098f303b004a6d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l3siyqw4-e0cd53b82c1fd3d5a4098f303b004a6d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l3siyqw4-e0cd53b82c1fd3d5a4098f303b004a6d av-special-heading-h1 blockquote modern-quote  avia-builder-el-2  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Marionette folds<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l3siyzwa-618c79c1cb67804f47bf2959b3a587e2 '  ><div class='avia_textblock p2'  itemprop=\"text\" ><p>Are absolutely nothing to laugh about! Because they make your face look older and make you look sadder. Did you know: Not all puppet wrinkles come only in old age? Some tend to do this early on, especially when laughing. What are the first signs? What can you do about it? Find out the answers here.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b\">\n#top .avia-icon-list-container.av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b .iconlist_icon{\ncolor:#ffffff;\n}\n#top .avia-icon-list-container.av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b .iconlist_icon svg:first-child{\nstroke:#ffffff;\nfill:#ffffff;\n}\n.avia-icon-list-container.av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b .iconlist_content{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-icon-list-container av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b  avia-builder-el-4  el_after_av_textblock  el_before_av_image '><ul class='avia-icon-list avia_animate_when_almost_visible avia-icon-list-left av-iconlist-small av-lclsl67k-7aa3ebdff3902073088d3518e261ec5b avia-iconlist-animate'>\n<li><div class='iconlist_icon av-lclsfisk-6d3194a1bc175df17e643aa2970364cc avia-font-goaesthetic1 avia-iconfont avia-font-goaesthetic1'><span class='av-icon-char' data-av_icon='\ue81e' data-av_iconfont='goaesthetic1' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><\/header><div class='iconlist_content av_inherit_color'  itemprop=\"text\" ><p>It pulls vertically from both corners of the mouth down to the chin.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-lclsh66k-9c678b1ac3c2162c17def59fc8709d9c avia-font-goaesthetic1 avia-iconfont avia-font-goaesthetic1'><span class='av-icon-char' data-av_icon='\ue81e' data-av_iconfont='goaesthetic1' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><\/header><div class='iconlist_content av_inherit_color'  itemprop=\"text\" ><p>Already in the 20s, muscle overactivity can cause this wrinkle.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-lclsh66k-1-6ba90ed2d07aceb043a3a9e8e4455a81 avia-font-goaesthetic1 avia-iconfont avia-font-goaesthetic1'><span class='av-icon-char' data-av_icon='\ue81e' data-av_iconfont='goaesthetic1' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><\/header><div class='iconlist_content av_inherit_color'  itemprop=\"text\" ><p>Sadness, bitterness, or Merkel&#8217;s wrinkle &#8211; many names for the same problem.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<\/ul><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l3sjazs8-ecc801e378858748dd741c1739ef8a73\">\n.avia-image-container.av-l3sjazs8-ecc801e378858748dd741c1739ef8a73 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-l3sjazs8-ecc801e378858748dd741c1739ef8a73 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-l3sjazs8-ecc801e378858748dd741c1739ef8a73 av-styling-no-styling avia-align-center  avia-builder-el-5  el_after_av_iconlist  avia-builder-el-last  oval-border'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-2987 avia-img-lazy-loading-not-2987 avia_image ' src=\"https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln.jpg\" alt='Marionettenfalten entfernen.' title='Marionettenfalten behandeln'  height=\"1000\" width=\"667\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln.jpg 667w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln-600x900.jpg 600w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln-200x300.jpg 200w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln-470x705.jpg 470w\" sizes=\"(max-width: 667px) 100vw, 667px\" \/><\/div><\/div><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-4gcojh-169227f59942a7a37c6fe0279173b2c9 main_color avia-section-huge avia-no-border-styling  avia-builder-el-6  el_after_av_section  el_before_av_layout_row  afterobenrechts avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-48kkjw-20f0b7bbb34e92663db12a40c1ed7dda av_one_half  avia-builder-el-7  el_before_av_one_full  avia-builder-el-first  autorbox first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-38lcgs-b3977671bf51a1b63a750084f8284bc9\">\n#top #wrap_all .avia-team-member.av-38lcgs-b3977671bf51a1b63a750084f8284bc9 .team-member-name{\nfont-size:15px;\n}\n<\/style>\n<section  class='avia-team-member av-38lcgs-b3977671bf51a1b63a750084f8284bc9  avia-builder-el-8  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/Person\" ><div class=\"team-img-container\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-2979 avia-img-lazy-loading-not-2979 avia_image avia_image_team av-team-img-original' src=\"https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-150x150.jpg\" alt='Medically reviewed by: '  itemprop=\"image\"   height=\"80\" width=\"80\" srcset=\"https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-150x150.jpg 150w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-300x300.jpg 300w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-100x100.jpg 100w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-36x36.jpg 36w, https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2022\/11\/ordi-00381-180x180.jpg 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/div><h3 class='team-member-name '  itemprop=\"name\" >Medically reviewed by: <\/h3><div class='team-member-job-title '  itemprop=\"jobTitle\" ><a href=\"https:\/\/www.goaesthetic.at\/en\/dr-peter-herndlhofer\/\">Dr. Peter Herndlhofer<\/a><\/div><span class='hidden team-member-affiliation'  itemprop=\"affiliation\" >GoAesthetic<\/span><\/section><\/div><div  class='flex_column av-480i7p-b0c9ea9d5edaffbb616a9e74be450e2b av_one_full  avia-builder-el-9  el_after_av_one_half  avia-builder-el-last  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7whr2-869460177f0af23de123ca8e2389c4e6\">\n#top .av-special-heading.av-7whr2-869460177f0af23de123ca8e2389c4e6{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-7whr2-869460177f0af23de123ca8e2389c4e6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-7whr2-869460177f0af23de123ca8e2389c4e6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-7whr2-869460177f0af23de123ca8e2389c4e6 av-special-heading-h2 blockquote modern-quote  avia-builder-el-10  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Puppet fold: Simply explained!<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l3skh7th-089c1151e27b5acf9e8d766db9db36c5 '  ><div class='avia_textblock einruck halfwidth1 av_inherit_color'  itemprop=\"text\" ><p>A picture with many names. One is from former German Chancellor Angelika Merkel. Look at a picture of yourself and you know why. The puppet crease separates the chin and mouth area from the rest of the face, just like a marionette. In medical jargon, it is also called the mentolabial fold because it runs vertically down from the corner of the lip to the chin. That is, drooping corners of the mouth form with a usually deep furrow down to the chin. As a result, affected individuals are usually perceived as sad. This is often exacerbated by sagging cheeks, which automatically develop with age due to an increase in the lower facial fat pads.<\/p>\n<p>Interesting detail: at times, the <a href=\"http:\/\/www.goaesthetic.at\/nasolabialfalte\">nasolabial fold<\/a> merges into the marionette fold, making the face look as if it were particularly exposed to gravity by pulling facial regions downward. This means that a very pronounced additional nasolabial fold can make your face look even older. But it can also make a problem in early years.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-1'  class='av-layout-grid-container av-20w8i-6683d2926560af71e8dc8241988dd403 entry-content-wrapper alternate_color av-flex-cells  avia-builder-el-12  el_after_av_section  el_before_av_section  raufm grid-row-not-first  container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-15jau-59853d7a32beb3e207a5a9aaed43fb88\">\n.flex_cell.av-15jau-59853d7a32beb3e207a5a9aaed43fb88{\nvertical-align:middle;\nbackground-color:#5e1216;\n}\n.responsive #top #wrap_all .flex_cell.av-15jau-59853d7a32beb3e207a5a9aaed43fb88{\npadding:6vw 18.6vw 36px 10.42vw !important;\n}\n<\/style>\n<div class='flex_cell av-15jau-59853d7a32beb3e207a5a9aaed43fb88 av-gridrow-cell av_one_full no_margin  avia-builder-el-13  avia-builder-el-no-sibling  text-2-3 content-align-middle'  ><div class='flex_cell_inner'><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3tvdmk-e16f4a5b0a9f7753c084bfffb19d1620\">\n.flex_column.av-3tvdmk-e16f4a5b0a9f7753c084bfffb19d1620{\npadding:36px 0 0 0;\n}\n<\/style>\n<div  class='flex_column av-3tvdmk-e16f4a5b0a9f7753c084bfffb19d1620 av_one_fifth  avia-builder-el-14  el_before_av_four_fifth  avia-builder-el-first  autorbox first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lcluwv84-cda72b6a3a4356e19451dc783369dba5\">\n.av_font_icon.av-lcluwv84-cda72b6a3a4356e19451dc783369dba5 .av-icon-char{\nfont-size:100px;\nline-height:100px;\n}\n<\/style>\n<span  class='av_font_icon av-lcluwv84-cda72b6a3a4356e19451dc783369dba5 avia_animate_when_visible av-icon-style- avia-icon-pos-center avia-iconfont avia-font-entypo-fontello av-no-color avia-icon-animate'><span class='av-icon-char' data-av_icon='\ue83f' data-av_iconfont='entypo-fontello' aria-hidden=\"true\" ><\/span><\/span><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2wttjw-c4f2a674d099d9ce38de99ef89278acf\">\n.flex_column.av-2wttjw-c4f2a674d099d9ce38de99ef89278acf{\npadding:15px 0 0 0;\n}\n<\/style>\n<div  class='flex_column av-2wttjw-c4f2a674d099d9ce38de99ef89278acf av_four_fifth  avia-builder-el-16  el_after_av_one_fifth  avia-builder-el-last  autorbox flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lcl0ai39-4b8536c3f253fbda982408d859e84da6\">\n#top .av-special-heading.av-lcl0ai39-4b8536c3f253fbda982408d859e84da6{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-lcl0ai39-4b8536c3f253fbda982408d859e84da6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lcl0ai39-4b8536c3f253fbda982408d859e84da6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lcl0ai39-4b8536c3f253fbda982408d859e84da6 av-special-heading-h2 blockquote modern-quote  avia-builder-el-17  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When marionette wrinkles become a problem<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-lcl0a875-43ca52a6ad8a5e8d51fc7b61fd90f9e7 '  ><div class='avia_textblock einruck halfwidth1 av_inherit_color'  itemprop=\"text\" ><p>Strictly speaking, puppet wrinkles are not a problem of aging, but the foundation is laid already in the late 20s and early 30s. And how? As the muscle that pulls down the corner of the mouth gains increasing strength. In addition, its counterparts that move upward become weaker. That&#8217;s the way it is with most people. To make matters worse, this often causes fat deposits to build up on the muscle that pulls down. The result: Especially when laughing heartily, a deep wrinkle and a small cheek at the side of the corner of the mouth become visible in addition to fine <a href=\"https:\/\/www.goaesthetic.at\/en\/lip-wrinkles\/\">lip wrinkles<\/a>. The good thing is that, especially at a young age, there are simple ways to counteract this.<\/p>\n<\/div><\/section><\/p><\/div><\/p>\n<\/div><\/div><\/div><div id='av_section_3'  class='avia-section av-3ge7gl-cc8c233692d43f9daa81a07f8ed155c2 main_color avia-section-huge avia-no-border-styling  avia-builder-el-19  el_after_av_layout_row  el_before_av_section  afteruntenrechts avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-3a0zx1-4c17b9c4b7335693745499d84832a37d av_one_full  avia-builder-el-20  el_before_av_one_full  avia-builder-el-first  nachrechtsmittig first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-33q591-020fbe87e7fa32baf22f0c73942b6b7d\">\n#top .av-special-heading.av-33q591-020fbe87e7fa32baf22f0c73942b6b7d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-33q591-020fbe87e7fa32baf22f0c73942b6b7d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-33q591-020fbe87e7fa32baf22f0c73942b6b7d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-33q591-020fbe87e7fa32baf22f0c73942b6b7d av-special-heading-h2 blockquote modern-quote  avia-builder-el-21  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What causes marionette wrinkles<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-2shdhp-16cca2c7deff4f505fbf68b55feb5a71 '  ><div class='avia_textblock einruck halfwidth2 av_inherit_color'  itemprop=\"text\" ><p>If we were to look for two culprits, they would be overactivity of a facial muscle on the one hand and the aging process on the other. Muscle overactivity is responsible, especially in young people, for the corners of the mouth being pulled down sharply or deep marionette folds appearing at the sides of them when laughing heartily. It is called the musculus depressor anguli oris. But in order for us to look happy, there are still counterparts on the face that pull up the corners of the mouth. These are several fine muscle groups with again long Latin names. If there is now unconscious overactivity of the depressor muscle, the antagonists cannot keep the wound angles in balance and a fold is formed.<\/p>\n<p>On the other hand, facial fat pads migrate from the top to the bottom as we age. That is why the face often looks heavy in older people. As the upper half of the face looks rather bony especially in the temple and eye region and rather oily in the lower third. The consequences are an increase in static <a href=\"http:\/\/www.goaesthetic.at\/gesichtsfalten\">facial wr<\/a> inkles such as nasolabial folds, marionette lines and sagging cheeks.<\/p>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-3ve8xo-dcb7e01d6cbb7e189759b2e5d02e63ba av_one_full  avia-builder-el-23  el_after_av_one_full  avia-builder-el-last  nachrechtsmittig first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lcl0f6j1-e6fa6f2fc8554c866cbf4fb855c5d404\">\n#top .av-special-heading.av-lcl0f6j1-e6fa6f2fc8554c866cbf4fb855c5d404{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-lcl0f6j1-e6fa6f2fc8554c866cbf4fb855c5d404 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lcl0f6j1-e6fa6f2fc8554c866cbf4fb855c5d404 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lcl0f6j1-e6fa6f2fc8554c866cbf4fb855c5d404 av-special-heading-h2 blockquote modern-quote  avia-builder-el-24  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What are the first signs<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-lcl0etub-f104ddbf5bf740ef58f13fd13be7a9ad '  ><div class='avia_textblock einruck halfwidth2 av_inherit_color'  itemprop=\"text\" ><p>In your mid-20s, you&#8217;ll notice the first signs best when you laugh &#8211; due to overactivity of the chin muscle pulling down from your mouth. This will create deep vertical creases next to the corners of your mouth, pulling towards your chin. Often, small fat pads border the sides of it, but they disappear completely when the face is neutral. Since the marionette crease is a rather deep furrow, you will notice the lines descending from the corner of the mouth on both sides very quickly. Unlike <a href=\"http:\/\/www.goaesthetic.at\/zornesfalte\">frown lines<\/a> or <a href=\"http:\/\/www.goaesthetic.at\/stirnfalten\">forehead<\/a> <a href=\"http:\/\/www.goaesthetic.at\/zornesfalte\">wrinkles<\/a>, it remains permanent early on &#8211; no matter what facial expression you have.<\/p>\n<\/div><\/section><\/p><\/div>\n<\/p>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4qtm9py-4edd69b967b69a0d9c810048754a69ce\">\n.avia-section.av-l4qtm9py-4edd69b967b69a0d9c810048754a69ce{\nbackground-color:#b86a6a;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_4'  class='avia-section av-l4qtm9py-4edd69b967b69a0d9c810048754a69ce alternate_color avia-section-default avia-no-border-styling  avia-builder-el-26  el_after_av_section  el_before_av_section  beachten-behandlung avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-1z47md-20b09e6a8485e31864f02f21bed52f84 av_one_full  avia-builder-el-27  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4qtkrei-5eb868acbdb3ca7897754ea4a8a25d5e\">\n#top .av-special-heading.av-l4qtkrei-5eb868acbdb3ca7897754ea4a8a25d5e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4qtkrei-5eb868acbdb3ca7897754ea4a8a25d5e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4qtkrei-5eb868acbdb3ca7897754ea4a8a25d5e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l4qtkrei-5eb868acbdb3ca7897754ea4a8a25d5e av-special-heading-h2 blockquote modern-quote  avia-builder-el-28  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When should the marionette fold be treated<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-lcl04hod-328abe8b8c5da78869871b3c398a7f49 '  ><div class='avia_textblock einruck halfwidth2 av_inherit_color'  itemprop=\"text\" ><p>Ideally, as soon as they appear. This is because they produce a sad, bitter facial expression, which is why affected people usually suffer particularly from them. In your 20s and 30s, this is often barely noticeable and when exactly when you wouldn&#8217;t expect it. Namely, when laughing, where deep wrinkles and cheeks form next to the corners of the mouth. However, especially in the beginning, it is very easy to balance the volume gain in the lateral chin and lower cheek region. Why? Because the reason is the overactivity of a facial muscle. The older you get, the deeper the wrinkle digs into your skin and the greater the treatment effort becomes. You can find out how to get rid of them in the FAQ section below.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='faq'  class='avia-section av-l4qtn67q-c80de8e0156a0d1ae9d82ce7d13458a5 main_color avia-section-huge avia-no-border-styling  avia-builder-el-30  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-iijjx-99887c43f6bcb1822ddd4f096ea4dd1a av_one_full  avia-builder-el-31  el_before_av_four_fifth  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4qtnirt-f446d64479898b94f746b0192d36ab22\">\n#top .av-special-heading.av-l4qtnirt-f446d64479898b94f746b0192d36ab22{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4qtnirt-f446d64479898b94f746b0192d36ab22 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4qtnirt-f446d64479898b94f746b0192d36ab22 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l4qtnirt-f446d64479898b94f746b0192d36ab22 av-special-heading-h2 blockquote modern-quote  avia-builder-el-32  avia-builder-el-no-sibling '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Any questions? Our FAQ section has the answers!<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='flex_column av-hqfz9-1a136078bcd0b6471a949cf315bcd38c av_four_fifth  avia-builder-el-33  el_after_av_one_full  el_before_av_button  einruck first flex_column_div  column-top-margin'     ><p><div  class='togglecontainer av-l4qtro0e-a510d37c48bbcb68e0cc211601cec089  avia-builder-el-34  el_before_av_heading  avia-builder-el-first ' >\n<section class='av_toggle_section av-l4qtpc22-ad3a97b66ac94ae3ba344d6f448e189e' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-1' data-fake-id='#toggle-id-1' class='toggler  activeTitle av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-1' data-slide-speed=\"200\" data-title=\"What can you do about marionette wrinkles?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: What can you do about marionette wrinkles?\" data-aria_expanded=\"Click to collapse: What can you do about marionette wrinkles?\">What can you do about marionette wrinkles?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-1' aria-labelledby='toggle-toggle-id-1' role='region' class='toggle_wrap  active_tc av-title-above' style='display:block;' ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>When you&#8217;re young, facial muscle overactivity is pretty much always responsible for wrinkles. Here, a single <a href=\"https:\/\/www.goaesthetic.at\/en\/wrinkle-treatment-with-botox-in-vienna\/\">injection of botulinum toxin<\/a> is often enough to smooth out wrinkles. The good thing is that the other facial muscles gain strength in the meantime, so you will benefit longer after the treatment, even though the Botox has already disappeared from your body. The effect usually lasts between 4-12 months. Ever heard of the <a href=\"http:\/\/www.goaesthetic.at\/erdbeerkinn\">strawberry chin<\/a>? It works the same way there.<br \/>\nBut if there is no overactivity, Botox will not help you. Then we can smooth the wrinkles with <a href=\"https:\/\/www.goaesthetic.at\/en\/hyaluronic-acid\/\">hyaluronic acid injections<\/a>. Depending on the extent and your age, sometimes supportive treatments such as a <a href=\"https:\/\/www.goaesthetic.at\/en\/thread-lifting\/\">thread lift<\/a> or radiofrequency needling using <a href=\"https:\/\/www.goaesthetic.at\/en\/morpheus8\/\">Morpheus8<\/a> are necessary to provide you with a satisfactory result.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-l4qtpmsm-be841296a299d58fb3b5c72badf9209f' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-2' data-fake-id='#toggle-id-2' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-2' data-slide-speed=\"200\" data-title=\"How to disappear marionette wrinkles?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: How to disappear marionette wrinkles?\" data-aria_expanded=\"Click to collapse: How to disappear marionette wrinkles?\">How to disappear marionette wrinkles?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-2' aria-labelledby='toggle-toggle-id-2' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>At a young age, they disappear as you relax the muscle responsible for wrinkles. This can be done by means of Botox injection. In old age, marionette wrinkles usually do not disappear at all. Since they become very deep, the only option is to smooth them out initially with hyaluronic acid injections and later with thread lifts. We will be happy to clarify with you which solution is best for you in an initial on-site medical consultation.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-l4qtq8a7-d379f4199187b4dd7ccab1482c6d9335' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-3' data-fake-id='#toggle-id-3' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-3' data-slide-speed=\"200\" data-title=\"Where do puppet wrinkles come from?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Where do puppet wrinkles come from?\" data-aria_expanded=\"Click to collapse: Where do puppet wrinkles come from?\">Where do puppet wrinkles come from?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-3' aria-labelledby='toggle-toggle-id-3' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Two possible reasons: One is that they may be due to overactivity of the corner of the mouth muscle, usually in younger individuals, and the other is that they are a product of aging. As we age, the elasticity of the skin decreases, facial fat pads increase in the lower third of the face, and static facial wrinkles develop. In contrast, dynamic facial wrinkles such as <a href=\"https:\/\/www.goaesthetic.at\/en\/crows-feet\/\">eye<\/a> or <a href=\"https:\/\/www.goaesthetic.at\/en\/bunny-lines\/\">nose wrinkles<\/a> always appear much earlier.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-l4qtq8a7-1-7117bf60517fe7058a7206ef770586b6' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-4' data-fake-id='#toggle-id-4' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-4' data-slide-speed=\"200\" data-title=\"What can you do about drooping corners of the mouth?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: What can you do about drooping corners of the mouth?\" data-aria_expanded=\"Click to collapse: What can you do about drooping corners of the mouth?\">What can you do about drooping corners of the mouth?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-4' aria-labelledby='toggle-toggle-id-4' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Drooping corners of the mouth are usually caused by a lack of balance between the activity of muscles that pull the corner of the mouth down and up. In this case, the muscle pulling down the corner of the mouth is overly active. But there is a simple way to relax him. The injection of botulinum toxin (= Botox). This is the most effective way to restore balance and create a friendly facial expression.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-76qzx-5c2d29644cc1086e9b981f5ed9282e60\">\n#top .av-special-heading.av-76qzx-5c2d29644cc1086e9b981f5ed9282e60{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-76qzx-5c2d29644cc1086e9b981f5ed9282e60 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-76qzx-5c2d29644cc1086e9b981f5ed9282e60 .av-special-heading-tag{\npadding:30px 0 0 0;\n}\n.av-special-heading.av-76qzx-5c2d29644cc1086e9b981f5ed9282e60 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-76qzx-5c2d29644cc1086e9b981f5ed9282e60 av-special-heading-h3 blockquote modern-quote  avia-builder-el-35  el_after_av_toggle_container  avia-builder-el-last '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >More questions? Simply make a personal consultation appointment online.<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><div  id=\"termin_button\"  class='avia-button-wrap av-7nnsl-8ad0bc4f27b3455bef96fd07e60cd206-wrap avia-button-center  avia-builder-el-36  el_after_av_four_fifth  el_before_av_one_full '><a href='https:\/\/www.goaesthetic.at\/en\/online-appointment\/'  class='avia-button av-7nnsl-8ad0bc4f27b3455bef96fd07e60cd206 av-link-btn avia-icon_select-yes-left-icon avia-size-large avia-position-center avia-color-theme-color'   aria-label=\"Arrange appointment\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue87d' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >Arrange appointment<\/span><\/a><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1z11jg-3cb54ee2261a8cda5c71edf0b676f099\">\n.flex_column.av-1z11jg-3cb54ee2261a8cda5c71edf0b676f099{\npadding:70px 0 50px 0;\n}\n<\/style>\n<div  class='flex_column av-1z11jg-3cb54ee2261a8cda5c71edf0b676f099 av_one_full  avia-builder-el-37  el_after_av_button  el_before_av_textblock  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lclu8otc-37041f6c75be3f2df85aa989d1423127\">\n#top .av-special-heading.av-lclu8otc-37041f6c75be3f2df85aa989d1423127{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-lclu8otc-37041f6c75be3f2df85aa989d1423127 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lclu8otc-37041f6c75be3f2df85aa989d1423127 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lclu8otc-37041f6c75be3f2df85aa989d1423127 av-special-heading-h2 blockquote modern-quote  avia-builder-el-38  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >References<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-lclua8ol-db4ed796ad3ca1e3359c9f3cf0d1e9fe '  ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li>Mentolabial fold, DocCheck Flexikon, online: <a href=\"https:\/\/flexikon.doccheck.com\/de\/Mentolabialfalte\">https:\/\/flexikon.doccheck.com\/de\/Mentolabialfalte,<\/a> retrieved 09.01.2023.<\/li>\n<li>Musculus depressor anguli oris, Kenhub, online: <a href=\"https:\/\/www.kenhub.com\/de\/library\/anatomie\/musculus-depressor-anguli-oris\">https:\/\/www.kenhub.com\/de\/library\/anatomie\/musculus-depressor-anguli-oris,<\/a> retrieved 09\/01\/2023.<\/li>\n<li>Musculus depressor anguli oris, DocCheck Flexikon, online: <a href=\"https:\/\/flexikon.doccheck.com\/de\/Musculus_depressor_anguli_oris\">https:\/\/flexikon.doccheck.com\/de\/Musculus_depressor_anguli_oris,<\/a> retrieved 09.01.2023.<\/li>\n<li>Consensus recommendations on the use of botulinum toxin type A in aesthetic medicine. Pubmed, online: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15507786\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15507786\/,<\/a> accessed 05 Jan 2023.<\/li>\n<li>Sattler G (2009). <em>Pictorial atlas of aesthetic botulinum toxin therapy: dosage, localization, application<\/em>. KVM &#8211; The Medical Publisher.<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div><section  class='av_textblock_section av-lf8obpa4-6a0e5875542ac1c5648246d74eb14272 '  ><div class='avia_textblock'  itemprop=\"text\" ><p>Last updated: 24.02.2025<\/p>\n<\/div><\/section>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_5'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3358'><div class='entry-content-wrapper clearfix'>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":2987,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-3358","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Marionette wrinkles: Causes &amp; Treatment - GoAesthetic<\/title>\n<meta name=\"description\" content=\"We&#039;ll tell you how to avoid marionette wrinkles and treat existing ones in this medically proven article.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.goaesthetic.at\/en\/marionette-lines\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Marionette wrinkles: Causes &amp; Treatment\" \/>\n<meta property=\"og:description\" content=\"We&#039;ll tell you how to avoid marionette wrinkles and treat existing ones in this medically proven article.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.goaesthetic.at\/en\/marionette-lines\/\" \/>\n<meta property=\"og:site_name\" content=\"GoAesthetic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/GoAestheticWien\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-25T09:27:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.goaesthetic.at\/wp-content\/uploads\/2023\/01\/marionettenfalten-behandeln.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"667\" \/>\n\t<meta property=\"og:image:height\" content=\"1000\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@GoAestheticWien\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.goaesthetic.at\\\/en\\\/marionette-lines\\\/\",\"url\":\"https:\\\/\\\/www.goaesthetic.at\\\/en\\\/marionette-lines\\\/\",\"name\":\"Marionette wrinkles: Causes &amp; 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