Lines that draw down from the corners of the mouth, lifted from the structure above.
The marionette lines are the creases that descend from the corners of the mouth toward the jaw, deepening across the decades as the support above them thins. They take their name from the puppet-like seams they can leave on the face, and they are among the lines that most affect how the face reads emotionally to anyone looking.
What makes this concern particular is that the lines themselves are often not where the work belongs. The cheek and midface above have thinned, the corner of the mouth has fallen as a consequence, and the line has been drawn into the face by the descent. Meeting it well begins above, where the support has been lost.
Marionette lines tend to arrive in the early forties for many patients and to deepen across the decades that follow. The arc is gradual, and almost no one notices the change in any single year. Across a decade, however, the difference is often striking, particularly in photographs that catch the face in repose.
The arc steepens through the years immediately surrounding menopause and accelerates with significant weight loss. Patients who have steadily supported their midface tend to enter the later years with the marionette lines meaningfully restrained, since the support above the line slows the descent that draws it.
Marionette lines tend to arrive in the early forties for many patients and to deepen across the decades that follow. The arc is gradual, and almost no one notices the change in any single year. Across a decade, however, the difference is often striking, particularly in photographs that catch the face in repose.
The arc steepens through the years immediately surrounding menopause and accelerates with significant weight loss. Patients who have steadily supported their midface tend to enter the later years with the marionette lines meaningfully restrained, since the support above the line slows the descent that draws it.
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