Smile lines are a natural part of ageing, but for many people they can start to look deeper than they would like. Two of the most common concerns we see are nasolabial folds, the lines that run from the nose to the corners of the mouth, and marionette lines, which run downward from the corners of the mouth towards the chin. Dermal fillers are one of the most effective non-surgical ways to soften these lines and restore a refreshed, balanced look. Here is how the treatment works.
What Are Nasolabial Folds and Marionette Lines?
Nasolabial folds are the creases that extend from the base of the nose down to the edges of the mouth. Marionette lines sit just below, running from the corners of the mouth toward the jaw. Both are sometimes called smile lines or laughter lines. They are completely normal, but as the face loses volume and elasticity over time they can become more pronounced and can give a tired or downturned appearance.
What Causes Smile Lines and Marionette Lines?
These lines develop for several reasons. As we age, the skin produces less collagen and the deeper fat pads of the face begin to descend and shrink. This loss of support allows the skin to fold more deeply. Repeated facial expressions, sun exposure, smoking and genetics all play a part too. Because the cause is often a loss of underlying volume rather than the skin itself, replacing that lost support is usually more effective than treating the surface alone.
How Do Dermal Fillers Treat Nasolabial Folds?
To soften nasolabial folds, a hyaluronic acid filler is placed to gently restore lost volume and provide support to the mid-face and the area around the mouth. In many cases the most natural result comes from treating the cheeks as well, as lifting and supporting the mid-face can reduce the pull that deepens the folds. Your practitioner will assess your whole face rather than simply filling the line itself.
How Do Dermal Fillers Treat Marionette Lines?
Marionette lines are treated by carefully placing filler to lift and support the corners of the mouth and smooth the downward lines toward the chin. This can soften a downturned or sad appearance and restore a more balanced lower face. Treating the chin and jawline at the same time often improves the overall result, as good structure here supports the surrounding skin.
What Type of Filler Is Used?
These areas are usually treated with hyaluronic acid fillers, chosen for their balance of support and a natural finish. The exact product depends on the depth of the lines and the result you want. You can learn more about the options on our nasolabial fillers treatment page, and a full assessment at the clinic will confirm what suits you.
What Results Can You Expect?
Most people notice a softer, smoother appearance straight away, with the final result visible once any swelling settles over the following one to two weeks. The aim is always a refreshed, natural look rather than an overfilled one. Done well, the lines are softened and the face looks rested rather than obviously treated.
How Long Do the Results Last?
Results in this area typically last around 9 to 12 months, depending on the filler used, the depth of the lines and your own metabolism. A top-up before the filler has fully dissolved helps maintain a consistent appearance.
Are There Any Risks or Side Effects?
Dermal fillers are very safe when carried out by an experienced medical practitioner, but as with any treatment there are some risks. Common, temporary effects include mild swelling, redness or bruising at the injection site. More serious complications are rare and are far less likely when treatment is performed by a qualified doctor who understands facial anatomy, which is why choosing a medical-led clinic matters.
Why Choose Dr Hadeel Nimaa at HAVA Aesthetics?
At HAVA Aesthetics in Esher, treatment always starts with a full consultation and facial assessment by a cosmetic doctor. As a CQC-registered, doctor-led clinic we focus on natural, balanced results that suit your features. You can also explore our wider range of facial fillers at our Esher clinic to see how each area fits into an overall plan.
Book Your Consultation
If nasolabial folds or marionette lines are bothering you, a consultation is the best first step. Book an appointment at our Esher clinic and Dr Hadeel Nimaa will assess your concerns and recommend a tailored, natural-looking approach.
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