Are your mouth corners turning down and do the lines from your mouth toward your jawline give your face a tired or somewhat gloomy expression? Fillers can subtly soften those marionette lines, so your face looks more open and peaceful again. A natural and respectful result is paramount. On this page you will read how the costs of fillers for marionette lines are determined, what the price depends on and why we do not give a fixed total amount here. This way you know what to expect beforehand.

Marionette lines are the lines that run from your mouth corners downward toward your jawline. They arise from volume loss, skin laxity, and gravity taking its toll over time. As a result, your mouth corners may droop slightly, making your face unintentionally appear discontented or tired.
Using a hyaluronic acid filler, we restore the lost volume around the mouth corner and jawline. The goal is not to tighten everything, but to give the right support back so the lines soften and your mouth corners look a bit lighter again. Hyaluronic acid is a substance naturally found in the body, which the body breaks down over time.
Sometimes the cause lies partly higher in the face, for example in the cheeks. In that case it may be smarter to treat there rather than solely filling the marionette line. During the consultation we discuss honestly what gives the most beautiful and natural result in your case.
There is no total amount that fits everyone. The costs depend mainly on the amount of filler needed. With a deep fold or a lot of volume loss, more product is required than with a light, incipient line.
It also plays a role whether we treat only the marionette line or also adjacent zones like the chin or cheeks, because together they determine the result. The type of filler that best suits your skin and goal also counts in the price.
During your consultation we look at your face and discuss what is realistic. Afterwards you get an honest and concrete estimate of the costs, so you know where you stand beforehand and can decide calmly.
Fillers for marionette lines are suitable for those who see their mouth corners dropping a little and want to give their face a fresh, calm result again, without it being noticeable that something has been done. Often it concerns incipient to moderate sagging where adding volume is logical.
Sometimes a filler is not the right choice. With strong skin laxity, just filling does not give the most beautiful result, and a different approach or combination may make more sense. We also do not treat in case of an active infection or inflammation in the area, certain conditions, or during pregnancy or breastfeeding.
We tell you honestly when a filler in your situation is not the best solution. We would rather give honest advice than a treatment that does not deliver what you hope for. That is part of working subtly and respectfully.
It always begins with a consultation. Dr T. looks at your face as a whole, listens to what bothers you and explains what is and is not possible. Together we determine a plan that fits your face, with attention to a natural result.
The treatment itself usually does not take long. We work precisely with fine needles or a cannula, and most fillers contain a numbing agent so it remains comfortable. Many people find the treatment easy to tolerate.
Afterwards you can usually continue your day. You receive clear aftercare advice and we schedule a check-up where necessary to assess the result together.
The effect is often immediately visible: the lines soften and your mouth corners look somewhat lighter. The first days there may still be some swelling, so it is best to judge the final result only after a few weeks, when everything has settled calmly and naturally.
Hyaluronic acid fillers are temporary. How long the result lasts varies per person and depends on the product, the area and your own skin and lifestyle. Over time the body gradually breaks down the filler, after which a refresher treatment can maintain the result.
We always aim for a result that suits you. We prefer a subtle improvement that looks natural to a filled effect that draws attention.
After the treatment you may temporarily have some redness, swelling, tenderness or a bruise around the injected sites. That usually fades within a few days and is normal. You receive advice to keep this as limited as possible.
Rarer risks also exist, and we are honest about them. The area around the mouth is sensitive, so carefulness and knowledge of the anatomy are essential. That is why every treatment is performed by Dr T. himself, with attention to safety above speed.
Would you like to know if fillers are a good idea for your marionette lines and what they cost in your situation? Feel free to schedule a consultation, then we will look at it calmly and honestly together.

Schedule a personal consultation with Dr T.
Make an appointmentMarionette lines are the folds that run from your mouth corners toward your jawline. They arise from a combination of skin aging, volume loss in the cheeks and slight sagging of the skin. A small correction can already change your facial expression noticeably: less tired or stern, more open and fresh.
For many clients, a hyaluronic acid filler is the first choice. The filler fills the line, reduces the shadow and creates a softer transition to the chin. We select formulas that provide sufficient firmness in this mobile area, yet remain so soft that you can still laugh and talk naturally.
Do you desire a more fundamental improvement? Then Sculptra is an elegant option. Sculptra is not a classic filling material, but a biostimulator that triggers the body to produce collagen. This can not only soften the line, but also make the skin along the jawline firmer. The result builds up over several months and remains visible for two years on average.
Sometimes we consider Radiesse, a calcium hydroxyapatite filler that likewise stimulates collagen but adds more immediate volume. It can be a good choice for deeper marionette lines where the chin contour also lacks some definition. The choice depends on your skin quality, the depth of the fold and your preference for an immediate versus gradual effect.
Dr T. combines techniques to avoid an injected look. A small amount of hyaluronic acid directly into the line, supplemented with Sculptra in the cheek and along the jawline, addresses both cause and effect. You decide how visible the correction may be; by default we aim for a discreet result.
Your comfort and safety are the foundations of every session. A journey never starts with a syringe, but with an extensive conversation. We investigate precisely what gives your mouth corners the downward expression: is it only volume, or does the tension of the chin muscle also play a role?
To limit bruising, we recommend avoiding blood-thinning agents (such as aspirin, ibuprofen or high doses of fish oil) before your appointment, but only in consultation with your treating doctor. Never stop medication prescribed by a doctor on your own. Avoiding alcohol the evening before also helps. If you are prone to cold sores, let us know beforehand so we can discuss whether preventive measures are needed.
For deeper injections or extremely sensitive points we use a local anesthetic via a very fine needle, which can sting briefly, but after that most people feel little. Moreover, many hyaluronic acid fillers contain lidocaine, which immediately increases comfort.
With a cannula (blunt, flexible tip) or an ultra-fine needle we place the filler in the subcutis, the layer just beneath the skin. The cannula reduces the chance of bruises and allows the filler to be distributed evenly. We regularly ask you to laugh, talk or pucker, so we can respect facial expressions and monitor symmetry. The whole session usually takes thirty to forty-five minutes.
Often the difference is already clearly visible right after. The area may appear a bit red or slightly swollen; that usually subsides within a few days. We provide written aftercare tips: no sports for the first 24 hours, no makeup and avoid direct sunlight. A cold compress can help limit swelling.
Fillers for marionette lines usually involve little recovery time. Often you walk out after a session of thirty to forty-five minutes, ready for your day. Yet it pays to know what is normal and how to optimally preserve the result.
Mild swelling can persist for a few days, especially if we worked in multiple layers. An extra pillow at night and occasionally a cold compress can help. Bruises are less common because we usually work with a cannula; should one appear, it usually disappears within a few days. Be sparing with massaging the lines, unless the doctor explicitly advises it.
The immediate effect already gives a first impression, but it takes a few weeks for the filler to fully integrate with the tissue. Only then do we assess together whether a fine correction is needed. With biostimulators such as Sculptra the picture is different: the effect builds up gradually over several months. Usually several sessions are needed.
After a hyaluronic acid treatment we schedule a check-up where needed. If everything is as you wish, we usually see each other again after twelve to fifteen months for a top-up. Sculptra requires an initial cycle that we set out in your personal plan; after that, a maintenance session follows once a year.
A healthy lifestyle and consistent sun protection are your best allies. Additional skinboosters or a PRP course can improve skin quality. Hydration from the inside (drinking enough water) and from the outside (a good cream with ceramides) is also good for your skin.
What a treatment exactly costs is one of the most frequently asked questions, and we completely understand that. The final price depends on the chosen product, the required volume and whether we include multiple zones. Below we transparently explain how the costs are structured.
The price depends mainly on the amount of hyaluronic acid needed. For a fine correction of both marionette lines, a small amount is often enough. If the lines are very pronounced or you also want to restore volume in the cheek or chin, more product is needed. You receive the exact price after a personal consultation, without obligation.
With Sculptra, several sessions are usually needed, four to six weeks apart. The effect remains visible for two years on average.
Sometimes it makes sense to also treat the chin, jawline or cheekbones alongside the marionette lines, because these areas together determine the result. We discuss these options openly and with an eye on your budget. You can also choose to work step by step, for example first the lines, and a Sculptra boost a few weeks later.
The price of fillers reflects the quality of the product, the experience of the doctor and the medical setting in which the procedure takes place. Heavily diluted or unregistered products, insufficient aftercare or a practitioner without a medical background can lead to complications that later cost much more. So choose consciously: better to pay a higher amount once for careful work and a natural result than to risk an unpredictable outcome.
Treating marionette lines
Not every marionette line requires the same approach. Based on your skin type, degree of sagging, and wishes, we create a plan that suits you.
A small amount of hyaluronic acid directly into the fold is sufficient. The result is usually visible right away and gives your facial expression a more open look again, without further impact on the jawline.
We combine hyaluronic acid with a biostimulator such as Sculptra. The filler evens out the line, while the biostimulator can firm the jawline and cheek from the inside.
Then we often work exclusively with biostimulators. No sudden volume, but a slow, discreet improvement that breathes new life into your own skin and looks natural.
Biostimulation does not replace a surgical facelift, but it can improve skin quality. We discuss honestly during the consultation what that means in your situation.
Our clinic in the center of Ghent is easily accessible and offers a discreet, peaceful environment. Whether you come from elsewhere in East Flanders, from Sint-Martens-Latem to Aalst, or from Antwerp, Bruges or Kortrijk, you are welcome for a personal care plan with a doctor who listens and gives honest advice. Parking is nearby and we schedule the necessary time for you: at Dr T., everything revolves around quality and trust.
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