How to Fix Marionette Lines in Seoul: Non-Surgical Options
Marionette lines run down from the corners of the mouth and can make you look sad or tired. Our physicians soften them by supporting the mouth corners, relaxing the muscle that pulls down and lifting the jowl beside them.
Ultherapy Prime Full Face Gold Certified Clinic · Updated October 2026
What causes marionette lines?
Marionette lines form when volume around the mouth corners is lost, the jowl above sags, and a small muscle (the DAO) pulls the corners down. Filler, a little Botox, D-Jamber threads and lower-face lifting can soften them without surgery.
As the lower face ages, the fat beside the chin shrinks while the jowl above it slides down. The skin folds where these two areas meet, creating a line from each mouth corner towards the jaw. Thinner skin and lower collagen let the crease set in deeper over time.
The depressor anguli oris (DAO) muscle pulls the mouth corners downward. When it is strong, the corners turn down even at rest, which makes the lines look worse. Treating marionette lines well usually combines support for the corners, relaxing that muscle and lifting the jowl.
Signs these treatments can help
- Lines from the mouth corners that stay at rest
- Mouth corners that turn down and look sad
- Early jowls beside the lines
- You want a fresher lower face without surgery
When to see a specialist first
- Sudden drooping of one side of the mouth: seek urgent medical care
- Very loose lower-face skin, where a surgical facelift may be more effective
- Active infection, cold sores or upcoming dental work around the mouth
Four reasons marionette lines appear
Volume loss
Fat beside the chin shrinks, leaving a hollow under the mouth corner.
Jowl descent
Tissue above the jaw slides down and folds over the line.
Strong DAO muscle
The muscle that pulls the corners down deepens the line.
Thinning skin
Less collagen lets creases set in and stay.
A lower-face lifting case
Photos taken before treatment and after collagen remodelling. These photos show Ultherapy Prime cases at our clinic, one of the treatments we may combine for this concern.
- Less fullness along the jowls
- A cleaner jaw line
- A fresher lower face
Results vary between individuals. See more Ultherapy Prime results · All before & after photos
How we treat marionette lines at our clinic
- Assessment. The doctor checks the corners at rest and moving, the jowls and the chin.
- Plan. Corner support, muscle relaxation and lifting are combined as needed.
- Numbing. Numbing cream before injections or threads.
- Treatment. Filler, Botox or D-Jamber threads placed by your physician.
- Review. We check the result at 2 weeks by photo, when any Botox effect is complete.
What to expect
- Swelling or bruising for a few days
- Avoid wide mouth movements and dental work for a week after threads
- No massage of the area for a few days
- Botox softens the pull-down over 1–2 weeks
Possible side effects
Common effects are swelling, bruising and tenderness. Too much Botox near the mouth can briefly affect your smile, so we use small doses. Rare filler risks include lumps and vessel blockage; threads may cause temporary dimpling.
Marionette line treatment prices in Cheongdam
September 2026 program prices in Korean won, excluding 10% VAT. Korean and international patients pay the same price.
| Package | Price (KRW, excl. VAT) |
|---|---|
| D-Jamber threads, 6 threads Lower cheeks, mouth corners, jawline | ₩1,200,000 |
| D-Jamber threads, 8 threads Lower cheeks, mouth corners, jawline | ₩1,500,000 |
| Ultherapy Prime Priced per 100 shots | ₩390,000 per 100 shots |
| Ultherapy Prime 400 shots + threads Silhouette Soft 2, Epiticon 8 or Volume Jamber 6 threads | ₩2,200,000 |
See the full Marionette lines price breakdown, the complete price list, or how we keep pricing transparent.
Performed by a physician, every time
Injections and threads at our clinic are placed by our physicians, never a technician. Filler and Botox around the mouth are priced after consultation.
- Doctor-planned injection points and doses
- Genuine products, opened in front of you
- Follow-up on Instagram after you fly home
Dr. Youjin Kim
Residency at Seoul St. Mary’s Hospital (Catholic University of Korea). Thermage FLX Master Doctor; Titanium Lifting, Juvelook and Corage Key Doctor.
Dr. Minjeong Kim
Korea University College of Medicine; Family Medicine training at Asan Medical Center. Board-certified Family Medicine Specialist.
Treatments that address marionette lines
| Option | Best for |
|---|---|
| Dermal Fillers | Supporting hollow mouth corners and the chin |
| Botox | Relaxing the muscle that turns the corners down |
| PDO Thread Lift | Lifting jowls and lower cheeks beside the lines |
| Ultherapy Prime | Lower-face lifting with no downtime |
Frequently asked questions
What is the best treatment for marionette lines?
Most patients do best with a combination: a little filler for the hollow, a small Botox dose for the downturned corners and lifting for any jowl.
How much does it cost?
D-Jamber threads start from ₩1,200,000 and Ultherapy from ₩390,000 per 100 shots, excluding VAT. Filler and Botox are priced after consultation.
How long do results last?
Filler typically lasts 6–12 months here, Botox 3–4 months and threads often 12–18 months.
Can marionette lines come back?
Yes, ageing continues. Most patients maintain the result with a small top-up or yearly lifting.
Can I be treated on a short trip?
Yes. Plan a few days before important events in case of bruising, and ideally a 2-week photo check on Instagram.
Get your plan for marionette lines
Tell us your goals and travel dates on Instagram. We reply in English with a doctor-reviewed plan and exact price.
This page is for general information and does not replace a medical consultation. Results vary between individuals, and all procedures can cause side effects such as redness, swelling or bruising. Botox® is a trademark of Allergan. Ultherapy® is a trademark of Merz North America, Inc. Prices are Cheongdam Peau Rêve Clinic's September 2026 program prices in Korean won, excluding 10% VAT.
