The Real Cause of Marionette Lines

The Real Cause of Marionette Lines

Marionette lines are a common concern for many patients, especially women in their 40s and beyond. Dr. Greg Bran explains that while it’s tempting to think a corner lift will fix the downward lines beside the mouth, this often overlooks the real cause. In many cases, these lines develop because of cheek descent. As the cheeks gradually move downward with age, the volume that once sat higher on the face shifts lower, creating heaviness, jowls, and deep folds near the mouth. Patients may only notice the crease itself, but the true issue lies higher up in the midface.

Dr. Bran emphasizes that when cheek descent is the main culprit, a deep plane facelift is often a more effective solution than a corner lift. By lifting and repositioning the cheeks, the lower face naturally lightens and the marionette lines soften, eliminating the need for smaller corrective procedures. A proper facelift restores balance and structure to the face, addressing both the cause and the visible symptoms of aging. Understanding where the problem originates ensures a more natural and long-lasting result.