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Does Marionette Line Thread Lifting Really Work?

리본성형외과 · 리본성형외과 · September 11, 2025

Recently, many people seem to think of thread lifting as just a “light” procedure. However, everyone’s face is different, and skin thickness, elasticity, and the degree of sagging...

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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: September 11, 2025

Translated at: April 25, 2026 at 6:21 AM

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

Recently, many people seem to think of thread lifting as just a “light” procedure.

However, everyone’s face is different, and skin thickness, elasticity, and the degree of sagging vary greatly from person to person.

Even so, if thread lifting is performed uniformly without a plan tailored to each individual, it is difficult to achieve the expected results and, in severe cases, side effects may occur.

Today, I will explain in detail the marionette lines that many people worry about, and what kind of improvement can be expected through thread lifting.

Does Marionette Line Thread Lifting Really Work? image 1

Why do marionette lines appear, and how do they affect one’s impression? Marionette lines refer to line-shaped wrinkles that run downward from the corners of the mouth toward the chin.

These wrinkles are not formed only on the skin’s surface; they develop due to repeated facial expressions and aging.

As skin elasticity decreases, the cheek area sags downward, and wrinkles become more noticeable when the fat around the corners of the mouth shifts and creates shadows.

When marionette lines appear, the face can easily look tired, making you appear older than your actual age.

Because they leave the impression that the corners of the mouth are drooping even when you are not smiling, many people are told they “look constantly dissatisfied” or “look depressed.”

For this reason, many people feel a greater psychological burden from these wrinkles than from others.

Does Marionette Line Thread Lifting Really Work? image 2

How does thread lifting improve marionette lines? Thread lifting is a procedure in which dissolvable threads (medical threads) are inserted beneath the skin to lift sagging skin and soft tissue.

Rather than simply pulling on the surface of the skin, it directly supports the structures beneath the skin, making it effective for improving hollowness and sagging around the corners of the mouth.

Marionette lines are not just simple shallow wrinkles; they are a complex issue involving cheek sagging, downward movement of the mouth corners, and a weakened jawline.

In this case, thread lifting helps by pulling the loosened tissue upward, smoothing wrinkles, and refining the facial contour.

In other words, it does not merely conceal wrinkles, but helps restore the overall impression to one that is younger and brighter.

Does Marionette Line Thread Lifting Really Work? image 3

There are many wrinkle-improvement procedures, so why recommend thread lifting? There are various methods for improving wrinkles, including fillers, Botox, laser treatments, and radiofrequency procedures.

Each has its advantages, but there are limitations when it comes to marionette lines.

Fillers are good for filling in sunken areas, but they cannot solve the underlying sagging that causes the wrinkles.

In fact, injecting too much can make the area around the mouth look unnatural.

Botox is effective at relaxing muscle tension, but it has limitations for marionette lines that are deep and caused by sagging skin.

Laser and radiofrequency treatments help improve skin elasticity, but they do not have enough force to directly lift sagging tissue.

By contrast, thread lifting directly addresses the underlying cause of the wrinkles—sagging—making it favorable for more fundamental improvement.

In other words, it is effective on its own and can also create a synergistic effect when combined with other procedures.

Does Marionette Line Thread Lifting Really Work? image 4

What is our clinic’s thread lifting method? At our clinic, thread lifting is not seen simply as a procedure that “inserts threads.”

We carefully analyze the patient’s facial structure and skin condition, and strive to create the most natural and long-lasting results.

We adjust the type and direction of threads differently by considering each person’s skin thickness, fat distribution, and muscle movement.

Using a thread lifting approach such as the tripod-type method, we improve sagging cheeks and the jawline at the same time by utilizing key support points of the face.

Rather than simply inserting threads, we design the procedure with the overall balance and harmony of the face in mind.

Does Marionette Line Thread Lifting Really Work? image 5

What to check before treatment: choosing a plastic surgery clinic and consulting Marionette line thread lifting should not be decided based only on “cost” or “reviews.”

This is because the wrong choice can lead to insufficient results or side effects.

If you are planning the procedure, be sure to check the following.

First, make sure the doctor is a board-certified plastic surgeon with sufficient experience and expertise.

That is because the outcome of thread lifting can vary greatly depending on experience.

It is also important to receive a personalized consultation that considers the entire face.

Rather than simply lifting the area you want, the consultation should take overall harmony into account.

The type of thread and the method are also important.

You should clearly hear an explanation of what role the thread plays and how it will be inserted.

After the procedure, systematic aftercare is also necessary.

Aftercare is important for thread lifting as well. Please check whether the clinic provides consistent follow-up monitoring.

Marionette lines are more than just a sign of aging; they are an important factor that influences the overall impression of the face.

That is why they should not be approached as merely a low-cost or light procedure.

Thread lifting is an effective way to directly improve sagging, but it is not applied the same way for everyone.

Only when the plan is tailored to each person’s facial structure and skin condition, and the procedure is performed by an experienced specialist, can natural and satisfying results be achieved.

At our clinic, we place the greatest importance on these points, and we perform procedures not simply to remove wrinkles, but to help patients regain confidence.

If you are concerned about marionette lines, we hope you will consult a trusted specialist thoroughly and find the method that is right for you.

Thank you.

| This post was written for informational purposes in compliance with Article 56, Paragraphs 1 through 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 sufficient consultation with experienced medical staff before making your decision. |

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