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How Can Marionette Lines Be Improved with Thread Lifting?

리본성형외과 · 리본성형외과 · March 20, 2025

Marionette lines are deep wrinkles that run from the corners of the mouth down to the jawline. As we age, skin elasticity decreases and facial fat moves downward, making them gradu...

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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: March 20, 2025

Translated at: April 25, 2026 at 6:35 AM

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

Marionette lines are deep wrinkles that run from the corners of the mouth down to the jawline.

As we age, skin elasticity decreases and facial fat moves downward, making them gradually more pronounced.

Wrinkles like these not only make the face look older, but they can also make any expression seem sullen or depressed.

To improve them, many people consider thread lifting.

However, if you get the procedure simply out of urgency to remove wrinkles, serious problems may arise afterward, so caution is needed.

How Can Marionette Lines Be Improved with Thread Lifting? image 1 Why Do Marionette Lines Form?

The causes of marionette lines are complex.

First, as collagen and elastin in the skin decrease, skin elasticity drops and the tissue around the mouth begins to sag.

When facial fat layers move downward under the influence of gravity, the wrinkles become even deeper.

In particular, as the fat gathered in the cheeks sags toward the jaw, marionette lines can become more pronounced.

Also, the area around the mouth is constantly moving when talking or chewing food.

These repeated movements can make wrinkles set in more deeply.

Even if the skin is thin or lacks elasticity, wrinkles can settle in easily, and wrinkles that have settled in this way become deeper over time.

How Can Marionette Lines Be Improved with Thread Lifting? image 2

Can Marionette Lines Be Improved with Thread Lifting?

Thread lifting is a procedure that involves inserting absorbable medical threads under the skin to lift sagging tissue.

In general, the threads have protrusions called "cogs" that effectively pull up skin tissue and then support it afterward.

Thanks to this, results can be seen immediately after the procedure.

The threads inserted under the skin support the tissue while gradually dissolving and stimulating the surrounding skin.

This can help restore skin elasticity by promoting collagen production.

In other words, thread lifting not only provides an immediate lifting effect by pulling up skin tissue, but also plays a role in improving skin elasticity over time.

When collagen gives the skin tissue more density and firmness, wrinkles are less likely to form, which can help improve marionette lines.

However, in order to improve marionette lines through thread lifting, the threads must be inserted at an appropriate depth, and the direction and strength of the pull must also be decided carefully.

If the threads are inserted too shallowly or pulled too strongly, problems such as rippling, where the skin wrinkles, or dimpling, where the skin appears sunken, can occur.

Also, if the threads are pulled strongly in only one direction, side effects such as tissue gathering to one side and making the cheekbones appear larger can occur.

To achieve the desired results, you should receive treatment from a place that has studied these issues for a long time and suggests methods that can minimize them as much as possible.

How Can Marionette Lines Be Improved with Thread Lifting? image 3 Things to Keep in Mind for Thread Lifting

After thread lifting, you may feel some swelling or tightness as the skin adapts.

In general, these symptoms gradually ease after about 1 to 2 weeks.

However, special care is needed to avoid excessive facial movement or strong friction while the threads are settling into the skin tissue.

In particular, if you had thread lifting to improve marionette lines, moving the area around the mouth too much may place unnecessary tension on the threads before they have properly settled.

Thread lifting is known as a relatively simple procedure.

But as with all medical procedures, problems can arise if it is not performed properly, so we strongly recommend receiving it only after sufficient examination and consultation.

How Can Marionette Lines Be Improved with Thread Lifting? image 4

In particular, marionette lines are a procedure that requires consideration of the face's overall balance and harmony.

Therefore, it is best to receive treatment from experienced plastic surgery medical staff.

Please carefully review the best method suited to your face and a plan that can minimize side effects before proceeding.

Marionette lines not only make you look older, but can also leave a negative impression, such as making you appear to have a sullen expression.

Thread lifting can provide a relatively immediate improvement while also offering a natural and harmonious lifting effect.

However, if you undergo the procedure carelessly without a clear understanding of the process and aftercare, problems can occur, so please be especially careful.

Once again, for thread lifting and any other procedure, please fully consider your skin condition and desired results, and proceed only after sufficient consultation with a specialist.

Thank you for reading this long post.

How Can Marionette Lines Be Improved with Thread Lifting? image 5

| This post was written for informational purposes in compliance with Article 56, Paragraphs 1–15 of the Medical Service Act. All treatments carry the risk of side effects and complications depending on the individual. Before treatment, please be sure to make a full consultation with a medical professional with extensive experience before making your decision. |

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