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Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles?

리본성형외과 · 리본성형외과 · October 28, 2024

Hello. We are ‘Re:Bon Plastic Surgery,’ located at Exit 1 of Sinsa Station. Marionette lines refer to the wrinkles that run from the corners of the mouth down to the chin. This sha...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 리본성형외과

Original post date: October 28, 2024

Translated at: April 25, 2026 at 7:55 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello. We are ‘Re:Bon Plastic Surgery,’ located at Exit 1 of Sinsa Station.

Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles? image 1

Marionette lines refer to the wrinkles that run from the corners of the mouth down to the chin.

This shape was named marionette lines because it resembles the mouth shape of a Western marionette doll.

Outside the marionette line, fat is usually accumulated in a bulging form.

As this accumulated fat sags downward and protrudes, a boundary forms with the inner area, making the marionette lines deeper.

This gets worse as the skin becomes looser and facial elasticity decreases,

and it becomes especially noticeable when everyday facial expressions or emotions are shown.

Not only does it make you look older, but because it is a line that runs downward from the corners of the mouth, it can make you look sullen or give off a grumpy impression no matter what expression you make.

How can marionette lines be removed?

There are several procedures that are effective for marionette lines.

Among them, thread lifting is a procedure that inserts dissolvable threads into the dermal layer under the skin to directly lift sagging skin tissue.

It is performed by inserting threads through tiny holes without making an incision in the skin,

so it is a relatively less burdensome procedure because it does not involve surgical processes such as a facelift.

In the case of laser devices that many people seek out, rather than directly lifting the desired tissue, they are procedures that improve elasticity over a wider area.

Thread lifting has the advantage of directly pulling up the skin tissue, showing immediate effects while also maintaining the results for a long time.

Because of this, it can help people who did not see the desired improvement with lifting devices,

or those who want to improve deep wrinkles such as marionette lines.

Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles? image 2

Are there any side effects?

Thread lifting is one of the older procedures introduced in the early 2000s. It has already been more than 20 years.

Over time, the safety of thread lifting has been somewhat established.

Currently, a variety of threads that are both safer and more effective are being released as products.

However, as with all procedures, unexpected side effects can occur if the procedure is not performed properly according to each individual’s skin condition, so special caution is needed.

The most representative side effects of thread lifting are dimpling, visible threads, skin wrinkling, or a widened cheekbone area.

In general, PDO and PLLA threads used for lifting gradually melt and are absorbed as time passes,

so even if side effects occur, they do not last for a long time.

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However, in the case of dimpling, a side effect where the face appears sunken, if it is too severe, the indentation may remain even as time passes,

and a second treatment such as filler may be needed to fill it in.

Therefore, when receiving thread lifting, please be sure to go through a detailed consultation and careful diagnosis with a medical team that has long experience and research in thread lifting.

Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles? image 4

To keep the effect for a long time without side effects, what should you do?

Thread lifting is performed by hooking skin tissue onto the barbs on the threads and pulling it up.

Because of this, the direction, placement, and amount of the barbs are important.

Normally, the cog section of standard threads is 7–8 cm.

This is a surprisingly short point.

When the area that needs lifting is in the lower part of the face, such as marionette lines around the mouth, nasolabial folds, or jowls,

the skin may be pushed up only to the cheekbone area, making that area look especially prominent.

If fat gathers around the cheekbones and makes that area stand out, the face may actually look flatter or larger after thread lifting.

Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles? image 5

The direction of the procedure is also important.

To maintain the lifting effect for a longer time, it should not end with simply pulling upward in one direction.

If you only pull in one direction, not only can the skin bunch up, but over time that area is also more likely to gradually loosen.

That is why Re:Bon Plastic Surgery distributes the force carried by the threads and pulls them in a V shape.

Like a swing, two (or three, depending on the need) strands support the lift separately, so they do not break easily and remain strong for a long time.

To do this, Re:Bon Plastic Surgery independently developed and uses ‘Re:Bon Threads’ made from PDO, a component recognized as safe.

Re:Bon Threads are generally long, and two or three are made as one set.

Thanks to this, the lifted skin tissue can be fixed more firmly, and they are relatively free from the side effect of widened cheekbones.

Also, because Re:Bon Threads are made long, the insertion point is near the hairline, so it is not easily noticeable even right after the procedure.

Marionette Lifting: A Cheat Code for Getting Rid of Deep Wrinkles? image 6

Thread lifting is a physical method of lifting.

The type of thread used is important, but the doctor’s manual skill and experience are more important than anything else.

Therefore, please be sure to receive sufficient consultation and a careful diagnosis from medical staff with enough clinical experience and knowledge of human anatomy before undergoing the procedure. ​​

At Re:Bon Plastic Surgery near Sinsa Station, a board-certified plastic surgeon with more than 20 years of experience personally handles everything from consultation to procedure and aftercare, helping reduce anxiety and burden about the procedure.

If you need help, please feel free to contact us at any time.

Thank you.

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