How to Treat and Prevent Marionette Lines

Marionette Lines | RADIESSE®

While marionette lines (nasolabial folds) are commonly referred to as “laugh lines,” the fact is that it’s nothing to laugh about. Marionette lines typically extend from beside the nostril down toward the corners of the mouth. 

At some point, they almost invariably join up with lines extending downward from the corner of the mouth and may eventually reach all the way to the chin line. While there's nothing harmful or painful about them, most people see them as an unwelcome reminder of the passage of time and they're certainly that. 

But there are a number of reasons why they appear and not all have to do with aging. Below, we’ll peer into the top likely causes of marionette lines and provide some methods for effectively dealing with it.

What Causes Marionette Lines? 

The most common causes of marionette lines are: 

  • Repetitive facial expressions - While smiling, laughing, and generally being expressive are wonderful things, repetitive muscle movements can promote the development of permanent lines at the place where the facial tissue folds
  • Aging - "Smile lines occur due to the natural loss of volume that occurs in the face with age," says Dr. Kavita Mariwalla. This loss of volume causes the skin to sag and become more susceptible to lines and wrinkles
  • Smoking - Smoking robs the skin of much-needed oxygen. This has the effect of slowly suffocating the skin and causing it to shrivel and lose structural integrity. Once that happens, it doesn't take much prompting for lines to start developing. 
  • Dehydration - You’ll hear about this a lot during discussions about skincare and for good reason. Not drinking enough water is a major cause of lines, wrinkles, folds, creases, crepey skin, and more. You should be drinking between 6 to 8 cups of water per day every day. 
  • Genetics - Unfortunately, if one or both of your parents had deep-seated marionette lines that appeared early in life, chances are pretty good that you'll suffer from them as well. 

When do Marionette Lines Likely Appear? 

There’s no single answer to this question. In some cases, marionette lines will first appear very early, as early as a person's late teenage years. In most cases, however, they won't become really noticeable until a person is in their 20’s or early 30’s. Keep in mind too that some people don't develop them until very late in life and some people never develop them.

how to deal with marionette lines

How to Get Rid of Marionette Lines Quickly? 

To get rid of marionette lines quickly, you’ll need to undergo clinical procedures such as dermal fillers. Below, we’ll get into that and several other clinical approaches for dealing with marionette lines.

Top 5 Clinical Treatments for Reducing Marionette Lines 

Of course, the best way to deal with marionette lines is to prevent them from occurring in the first place. This isn't always possible, however. So if you're looking for a relatively fast way to deal with already well-established marionette lines, the following are your best options. 

  • Dermal fillers - Fillers take two basic forms. The first is a product like Juvederm, which uses hyaluronic acid to promote collagen production. The other method entails injecting an inert substance into the tissue to immediately fill in the lines and restore a smooth surface. According to Dr. Edwin E. Dickersen, “Fillers are affordable and last up to a year.”
  • Facelift - Until dermal fillers came into their own, the facelift was the preferred method of dealing with marionette lines. It’s still a very popular option because it provides long term results. The problem with facelifts is that they require a very deft, experienced hand or they’ll wind up giving your face a surreal appearance. A facelift is also going to produce scars somewhere near the periphery of your face. Exactly where and how visible they’ll be will again depend on the skill of the cosmetic surgeon. 
  • Laser Treatments - There are different types of lasers for performing different types of cosmetic work. For marionette lines, a skin tightening laser is used that penetrates to the under layers of skin to promote the production of collagen and elastin. There’s some immediate tightening of the skin as well. But to enjoy the full benefits of this treatment, you'll need to wait a while for the collagen and elastin production to kick in. 
  • Micro-Needling - This type of treatment involves rolling a device with scores of tiny needles protruding from it over the surface of the skin. The tiny needles create barely noticeable damage to the skin, which is enough to cause the body's own repair and replacement mechanisms to kick in. The result is brighter, smoother, more supple skin. This procedure is sometimes combined with growth factor gels to optimize results
  • Botox - Of course, everyone wants to know if Botox will work on marionette lines and the answer is "sometimes." But you'll need to be careful. You see, Botox is not really intended to treat deep creases and marionette lines are usually the deepest lines on a face. If you catch the development of your marionette lines early enough, Botox may wind up being effective. But even so, it will need to be administered by an experienced dermatologist or clinician. Sometimes Botox is combined with dermal fillers to maximize the effectiveness of both. 

There’s no doubt that clinical treatment options represent the fastest, most effective way of dealing with marionette lines. However, these procedures aren’t for everyone. So let’s take a look now at the best non-clinical, non-surgical methods of reducing marionette lines.

How to Get Rid of Marionette Lines Without Surgery? 

To get rid of marionette lines without surgery, use Clarasome by Dermaclara or one of the other fine products we're about to profile.

7 Best Products to Help Get Rid of Marionette Lines

Clarasome Radiance Restoring Moisturizer, $49.99 

Clarasome Radiance Restoring Moisturizer

Clarasome Radiance Restoring Moisturizer by Dermaclara Beauty was put to the test by 3rd party lab BioScreen who concluded it does an outstanding job reducing the appearance of lines and wrinkles. It exfoliates, restores, and moisturizes skin visibly by reducing the appearance of smile lines while enhancing skin tone from cheek to cheek. 

This is our top choice for the best way to get rid of smile lines without plastic surgery


  • Utilizes hyaluronic acid to promote collagen production
  • Enhances tone and surface texture
  • Provides a robust mix of nutrients to protect your skin


  • Only available through the Dermaclara website

Kiehl's Double Strength Visible Wrinkle Filler, $39 

Double Strength Visible Wrinkle Filler | Wrinkle filler, Deep wrinkles,  Kiehl's

You can use Kiehl’s Double Strength Visible Wrinkle Filler as a foundation for your makeup or as an overnight skin softening and wrinkle-fighting treatment. Like most of the items on this list, it leverages hyaluronic acid to promote collagen and elastin production. 


  • Smooths visible lines and wrinkles
  • Provides hyaluronic acid to clear pollutants and dead skin cells
  • Promotes collagen and elastin production


  • Not very effective on deep smile lines

Prescriptives Super Line Preventor XTreme, $89 


Prescriptives Super Line Preventor Xtreme Reviews 2020

Super Line Preventor XTreme pulls off a pretty neat trick by visibly plumping your skin on contact. In a sense, the effect is a bit scary. But it doesn't hurt or cause irritation, and there's no denying facial lines look smoother after using it. 


  • Produces an immediate feeling of plumpness
  • Restores luster to tired-looking skin
  • Feels great going on


  • Beneficial effects tend to fade pretty quick

Boots No. 7 Instant Illusion Wrinkle filler, $17 

No7 Instant Illusion Wrinkle Filler | Walgreens

Boots No. 7 products have a worldwide reputation for quality and affordability. Their Instant Illusion Wrinkle Filler, while not a solution to nasolabial folds and marionette lines, can nonetheless soften their appearance in short order which helps you look your best for important occasions. 


  • Creates the illusion of shallower, smoother lines
  • A great choice if you want to minimize the appearance of lines for an important occasion


  • Strictly a short-term solution

ELEMIS Ultra Smart Pro-Collagen Eye Treatment Duo, $230.00 

ELEMIS Ultra Smart Pro-Collagen Eye Treatment Duo - EDCskincare

Sometimes an outrageous price is just a brand-related cash grab and sometimes you get what you pay for. Elemis Ultra Smart tends more toward the latter in the sense that you can feel the quality when you put it on. And over the course of just a few applications, you'll start to see fine lines disappearing and deeper lines softening up a bit. 


  • One of the most effective at promoting collagen production
  • Works on all types of facial lines and wrinkles


  • You might have to give up eating for a week to afford it

dealing with marionette lines

Paula’s Choice Resist Hyaluronic Acid Booster Concentrated Serum, $36.00 

Paula's Choice Hyaluronic Acid Booster - Dermstore

Paula’s Choice Resist HA Booster Serum is formulated to work faster than some other hyaluronic acid-based skincare products. And that’s good because not everyone has the patience to wait for collagen production to fill in their marionette lines. What it does produce almost immediately is a feeling of moist, supple skin


  • Leaves behind smooth, supple feeling skin
  • The instant plumping action works quickly on fine smile lines
  • A good choice for around the eyes too


  • Good but not the miracle worker it claims to be

SPACE.NK. Apothecary Sunday Riley C.E.O Rapid Flash Brightening Serum, $85 

SUNDAY RILEY C.E.O. Rapid Flash Brightening Serum | GLOSSYBOX US

Sunday Riley C.E.O. Rapid Flash Brightening Serum may have the longest name of any skincare product, but we'll let them slide because it's generally effective for mitigating lines and wrinkles—including smile lines and crow’s feet around the eyes. It’s a slow-mo solution, but one that’s likely to pay some satisfying dividends if you stick with it. 


  • Brightens up your skin and restores luster
  • Enhances overall tone and minimizes fine lines and wrinkles
  • Does a decent job on mild to moderate marionette lines


  • Don’t expect to see results for some time

Where Can I Buy Products to Get Rid of Marionette Lines? 

All of the products listed above can be purchased from Amazon and most are also available at online beauty retailers like Sephora. You should always be careful when purchasing beauty products through Amazon, however, and only buy from the manufacturer's official Amazon store and not from individual 3rd party resellers.

Our top choice, Silicone Fusion™ Patches for Face by Dermaclara Beauty, can be purchased through the official Dermaclara website which you'll find here.

Final tips: How to Prevent Marionette Lines 

An ounce of prevention is worth a pound of cure. Nowhere is that saying more applicable than when it comes to marionette lines. While genetics may have some part to play with some people, the fact is many of us can drastically reduce the odds of developing deep permanent lines by taking the following tips to heart: 

  • Drink more water - This is a skincare must. No good can come from any marionette lines treatment if you aren’t in the habit of drinking enough water to hydrate your skin.
  • Quit smoking - Any genetic tendency you may have toward marionette lines will only be magnified by the skin-killing habit of smoking.
  • Exfoliate regularly - In many cases, marionette lines result as much from poor skincare habits as anything else. 
  • Use moisturizers - Keeping your skin moist and supple will help it retain its elasticity and stave off the development of marionette lines
  • Be aware - No one’s going to recommend you stop smiling and laughing but try to be aware of how long you hold that smile. Reducing the amount of time the skin is folded will slow the development of smile lines.

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