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How to Fix Marionette Lines & Wrinkles on the Chin

Published by DR. Bradley Ashpole

Woman with marionette lines and wrinkles on the chin

Marionette lines are often some of the earliest signs of aging on the face. These creases, which run from the corners of your mouth down to your chin, can make you look older or more tired than you really are. Fortunately, there are several ways to treat, prevent, and minimize these lines for a smoother, more youthful appearance.

In this blog, we’ll cover what causes marionette lines and chin wrinkles, how to fix marionette lines, and how to remove chin wrinkles.

What Causes Marionette Lines?

Marionette lines form as a result of natural aging, but several factors can make them worse:

  • Loss of collagen and elastin with age
  • Sun damage from years of UV exposure
  • Smoking, which breaks down skin elasticity
  • Repetitive facial expressions
  • Genetics, which can determine how your skin ages

As the skin loses firmness and volume, gravity pulls it downward, forming deep creases around the mouth and chin.

What Causes Wrinkles on the Chin?

Wrinkles in the chin area are another concern that often appears with age. These can show up as vertical lines, fine wrinkles, or a pronounced crease running across the chin. In some cases, a textured or dimpled look may develop, sometimes referred to as “orange peel chin.” This is usually caused by an overactive mentalis muscle in the chin, combined with loss of skin elasticity.

How to Prevent Marionette Lines & Chin Wrinkles

While you can’t stop the aging process, you can slow it down. Here are some ways to help prevent marionette lines and chin wrinkles from forming:

  • Use sunscreen daily to protect your skin
  • Stay hydrated and eat a nutrient-rich diet
  • Avoid smoking and limit alcohol consumption
  • Incorporate retinoids into your skincare routine
  • Moisturize regularly with products containing hyaluronic acid or peptides
  • Practice facial massage or facial exercises to boost circulation

How to Fix Marionette Lines & Chin Wrinkles

If marionette lines are already visible or you have chin wrinkles, several treatment options can help minimize their appearance and restore a smoother facial contour. The best approach depends on your skin’s condition, your goals, and your comfort with in-office procedures. Below are the most common and effective solutions.

Topical Creams with Retinol or Peptides

For those just starting to notice marionette lines, over-the-counter or prescription topical treatments may be enough to soften their appearance. Retinol, a vitamin A derivative, increases cell turnover and stimulates collagen production. Peptides, on the other hand, help signal the skin to produce more collagen and elastin. These ingredients can gradually improve skin texture and firmness, though they typically take several weeks or months of consistent use to show results.

Dermal Fillers

Dermal fillers are one of the fastest and most popular ways to reduce marionette lines. These injectable gels—often made of hyaluronic acid—add volume beneath the skin where it has begun to sag or crease. The added fullness lifts and smooths the skin around the mouth and chin, making lines far less noticeable. Results are often immediate and can last anywhere from six months to two years, depending on the product used.

Botox

While Botox is more commonly associated with forehead lines and crow’s feet, it can also be used in the lower face. For marionette lines caused in part by muscle pull, Botox injections help relax specific facial muscles, softening the downward tension that deepens these creases. Botox may be used alone or in combination with fillers for a more comprehensive effect.

Microneedling or Laser Resurfacing

These minimally invasive procedures work by stimulating the skin’s natural healing process. Microneedling uses fine needles to create tiny punctures in the skin, while laser resurfacing uses light energy to remove damaged skin layers and promote regeneration. Both methods boost collagen production over time and can improve the overall texture and elasticity of the skin around the mouth and chin. Several sessions may be needed for optimal results.

Facelift or Mini-Lift Surgery

For deeper marionette lines or more advanced signs of aging, surgical intervention may offer the most dramatic and long-lasting improvement. A traditional facelift or lower face mini-lift repositions sagging tissue, tightens the underlying muscles, and removes excess skin. These procedures can significantly reduce marionette lines and improve overall facial contours. Recovery time is longer than with non-surgical methods, but results can last for many years.

How to Get Rid of a Chin Crease

A defined crease across the chin—whether from aging, facial structure, or repeated movement—can be especially frustrating. This line is often best addressed with a combination of filler and muscle relaxers to both lift the skin and reduce underlying tension. Consistency with skincare also matters. Daily moisturizing and the use of ingredients like peptides or growth factors can make a visible difference when used over time.

Reach Out to Ashpole Plastic Surgery

Chin wrinkles and marionette lines are normal parts of the aging process, but that doesn’t mean you have to live with them. Whether you’re looking to prevent these lines from forming or want to reduce the ones you already have, there are effective solutions available—from medical-grade skincare to in-office aesthetic treatments.

Reach out to Ashpole Plastic Surgery today for your free consultation!