Marionette Line Treatments Sydney – The Manse Clinic

At The Manse Clinic Sydney, we offer non-surgical aesthetic treatments designed to soften the appearance of marionette lines and gently refresh the lower face.
These lines, which extend downward from the corners of the mouth toward the jawline, can sometimes create a downturned or tired look. Treating this area can help restore a softer, more relaxed, and positive expression — all while maintaining your natural facial character.

What Are Marionette Lines?

Marionette lines are the natural creases that develop between the corners of the mouth and the chin.
Over time, changes in skin structure, bone density, and soft tissue support can cause these lines to appear deeper, particularly in the lower face.

Why Do Marionette Lines Form?

As we age, the structural support of the face gradually changes. In some people, the chin can subtly rotate or move backward with time, which may reduce support for the surrounding tissues.
This process can lead to the appearance of jowls or deeper creases around the mouth and jawline. Genetics, facial anatomy, and lifestyle factors all play a role.

Enhancing the Marionette Area

Our approach to treating this area focuses on restoring balance and refining contours while maintaining the integrity of your natural expression.
Some clients may also benefit from addressing muscle activity near the mouth corners, which can contribute to a downturned look.

By supporting the structure of the lower face and softening active muscles, the result is a refreshed, lifted appearance that still looks entirely you.

Threads as an Alternative Option

For some clients, collagen-stimulating threads can be an excellent alternative or complement to other non-surgical treatments.
Threads are designed to gently support the skin’s structure and encourage collagen formation in targeted areas, helping to refine contours and smooth the appearance of the lower face over time.
During your consultation, your practitioner will assess whether thread treatment is suitable for your anatomy and aesthetic goals.

How Many Treatments Are Needed?

The number of sessions required varies between individuals. Some clients are happy after a single treatment, while others may prefer a gradual, layered approach over time.
Your practitioner will consider factors such as your facial structure, skin quality, and personal goals when designing your treatment plan.

A common approach is to start conservatively and review results after one month. If the client feels they preferred the temporary fullness seen during initial swelling, the treatment may be built up gradually until the desired level of balance is reached.

For the most natural outcome, the entire face — including both the upper and lower areas — is considered during planning.

Comfort During the Procedure

We aim to make every treatment as comfortable as possible:

• A topical numbing cream is usually applied about 45 minutes before your session.

• Local anaesthetic may be used when appropriate.

• Cooling with ice is often applied to reduce sensitivity and minimise bruising.

• Nitrous oxide (“happy gas”) is available for those who prefer additional relaxation.

What Happens During the Appointment

Your skin will be cleansed with an antiseptic solution, and ice may be applied briefly before treatment begins.
The procedure is performed with precision and care, using advanced non-surgical techniques to target the marionette area.
After treatment, gentle pressure may be applied, and your practitioner will provide detailed aftercare instructions.

What to Expect After Treatment

Mild redness or swelling is normal immediately after treatment and typically subsides within a few days.
Temporary asymmetry may occur due to swelling or natural facial differences — this usually resolves as the area settles.

Many clients notice an improvement in their facial expression soon after treatment, though the final result becomes clearer over the following weeks as any swelling reduces.

If you notice asymmetry before your four-week review, it’s best to wait before reassessment, as early swelling can temporarily affect the appearance.

Risks and Considerations

All aesthetic procedures carry some risk, though complications are uncommon. Possible side effects may include:

• Mild bruising or swelling

• Temporary asymmetry

• Redness or tenderness at the treatment site

• Rarely, infection or vascular complications

Your practitioner will discuss these risks during your consultation and provide advice to minimise them.

Aftercare Guidelines

To support healing and comfort:

• Avoid makeup for at least 4 hours

• Avoid strenuous exercise on the day of treatment

• Avoid active skincare products (such as acids or exfoliants) for 24 hours

• Avoid saunas, spas, and hot yoga for one week

Our team is always available if you have questions or concerns following your treatment.

When Will I See Results?

Some improvement is usually visible soon after your treatment.
The final result becomes clearer as swelling subsides — typically within a few days to a few weeks.

Results vary between individuals, depending on skin type, lifestyle, and the treatment approach used.

How Long Do Results Last?

Longevity varies depending on factors such as individual metabolism, skin quality, and the type of treatment performed.
Many clients choose to return for a review at one month, followed by maintenance sessions every six to twelve months to help sustain their results.

Treatment Cost

Due to Australian regulations, specific pricing can only be provided during your consultation.
Your practitioner will assess your treatment needs and provide a personalised plan during your appointment.

Ready to Refresh Your Look?

Our experienced cosmetic team at The Manse Clinic welcomes clients from Paddington, the Sydney CBD, Bondi, the Eastern Suburbs, and across Greater Sydney.
You can book online or call us at (02) 9331 5005 to schedule your personalised consultation.