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How To Treat Ageing Sad Mouth

Marionette lines, also known as ‘‘ageing sad mouth’’, are lines which run from the corners of your mouth down to your chin. They can make you look sad, even when you’re happy and smiling, and tend to age us prematurely. At Doctor Nyla, we recognise the profound effect marionette lines can have on your self-esteem. Luckily, we offer a range of treatments to improve the appearance of marionette lines, from anti-wrinkle injections and dermal fillers to our silhouette soft thread lift.

What Causes Ageing Sad Mouth?

The lines caused by a down-turned mouth can emerge from a combination of genetic predisposition, ageing and smoking. These pronounced creases not only contribute to a perpetually tired or grumpy appearance but also accentuate the downward slope of the mouth.

As we grow older, our skin produces less collagen, leading to reduced elasticity and inevitable sagging, affecting not just our faces but various areas of the body. Additionally, the depletion of facial fat with age exacerbates the formation of marionette lines and nasolabial folds (lines running from the nose to the mouth) which further accentuate the signs of aging.

Our treatments not only enhance skin tone and firmness but also deliver outcomes that appear entirely natural. Your satisfaction with your appearance is paramount to us, and we think your mouth should show that.


If you’re struggling with marionette lines, we offer a range of skin tightening treatments that help to improve the appearance of your ageing sad mouth. Two of our most popular treatments are ULTRAcel and Ultraformer.

Ultracel is a treatment which combines ultrasound, radiofrequency and microneedling to target all layers of the skin to stimulate collagen production which lifts and tightens the skin. Ultraformer, meanwhile, uses high intensity focused (HIFU) ultrasound to target sagging skin to improve its appearance, texture and tone. The beauty of these treatments is that they deliver rapid results with no downtime.

Take a look at some of the incredible before and afters of our clients as a result of skin tightening treatments like Ultracel and Ultraformer with Dr Nyla:

Dermal Fillers

Dermal Fillers are gel-like substances that restore lost volume in the face, stimulate collagen production and keep the area hydrated. They’re effective at filling in wrinkles, lines and facial folds while instantly improving skin texture and elasticity, which plumps up the skin and reduces the appearance of sagging.

We offer a range of dermal fillers here at Doctor Nyla, and the one we choose is dependent on the depth of your marionette lines, as well as your medical history and desired results. Some of the options include:


Also well-suited to the lips and cheeks, Juvederm Ultra and Juvederm Ultra Plus can target mild-to-moderate lines and wrinkles, as well as deeper wrinkles and folds. Both of these fillers contain hyaluronic acid (HA) which is highly effective at hydrating the skin and create a plump appearance.


Two other hyaluronic acid-based fillers we offer here at Doctor Nyla are Restylane Refyne and Restylane Defyne. We recommend these fillers for more for active marionette lines. They reduce the appearance of deeper line in no time at all, for a more youthful look.

If you’d also like to plump up your thinning lips, then our lip fillers can help you do just that!


Often combined with dermal fillers, Botox is adept at addressing marionette lines by intercepting the nerve signals that trigger their formation. By immobilising the muscles around the mouth, Botox minimises movement and softens existing lines and wrinkles, while also preventing new ones from forming.

The treatment typically takes around 15 minutes, offering swift and noticeable results that can last for as long as six months. During your consultation, we meticulously review your medical history to determine your suitability for Botox and clarify the benefits it can deliver for you.

At Doctor Nyla’s clinic, we employ a tailored approach to Botox, ensuring precise injections based on your desired outcomes and our expert recommendations.


Dubbed the ‘natural thread facelift’, Silhouette Soft stands out as the sole absorbable, temporary thread lift technique to stimulate collagen production without causing scarring to the underlying skin tissue.

Ideal for addressing signs of ageing around the mouth, this treatment involves the insertion of a suture approximately 3-5mm beneath the skin’s surface. Secured with absorbable cones, the suture allows for multidirectional movement.

By reshaping marionette lines and lifting the targeted area, Silhouette Soft delivers rejuvenating effects for a more youthful appearance. It can also be used to contour the lower jaw, cheeks and cheekbones for a fuller appearance.


With expertise in advanced anti-aging procedures, Doctor Nyla boasts a proven track record of successful treatments, making her a sought-after figure in the aesthetics field. Her accolades include the prestigious ‘Cosmetic Clinic Award in the UK 2019’, underscoring her reputation for excellence.

Endorsements from high-profile clients like Simon Jones, Karren Brady and Tanya Bardsley, alongside glowing testimonials from a devoted clientele, further solidify her standing. Regularly featured in esteemed publications such as The Telegraph, Daily Mail, OK! Magazine and The Sunday Times, Doctor Nyla offers valuable insights into transformative treatments to enhance your appearance. For unparalleled dedication, compassion and skill in aesthetic treatments, don’t hesitate to schedule a consultation today.