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Marionette lines are one of the most striking signs of skin aging in the facial area. These characteristic lines, which run from the corners of the mouth to the chin, can affect the entire appearance and contribute to a tired or dissatisfied facial expression. At our dermatology practice Skinthetics in Düsseldorf, we understand how stressful these natural signs of aging can be for our self-confidence.
As an expert in aesthetic treatments, Dr. Lucija Grittern offers modern and gentle procedures for the treatment of Marionette lines. With the help of targeted hyaluronic acid injection treatments, we can effectively reduce these unsightly lines and restore your face's freshness and radiance. Our individual treatment concepts always take your personal wishes and anatomical conditions into account.
Marionette lines injection treatment with Hyaluronic acid is a minimally invasive alternative to surgical procedures. We perform this treatment in our first-class environment using the latest techniques and with the utmost precision. The impressive before and after results speak for the effectiveness of this proven method, which has already helped many of our patients achieve a more youthful and confident appearance.
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Marionette lines are deep skin folds that extend from the corners of the mouth to the lower jawline. The name is derived from the characteristic lines that surround the mouth of marionette puppets. These wrinkles are caused by natural gravity and the loss of skin elasticity over time.
Various factors cause these distinctive lines to form in the lower half of the face. The skin loses elasticity and Collagen, causing it to lose its natural firmness. At the same time, the underlying tissue can shift downward, which promotes the formation of Marionette lines.
These wrinkles are often particularly pronounced in people who frequently make certain facial expressions or whose muscles in the lower face are heavily strained. Marionette lines can affect the entire appearance and lead to a permanently sullen or dissatisfied facial expression, even when the person affected is actually relaxed.
The development of Marionette lines is a complex process that is influenced by various factors. The natural aging process plays a central role. With increasing age, the production of Collagen and Elastin in the skin slows down, causing it to lose firmness and elasticity.
Gravity also contributes to the formation of marionette lines. Over the years, it causes the facial tissues to shift downward. The cheek and mouth areas are particularly affected, resulting in the characteristic lines forming from the corners of the mouth to the chin.
Genetic predisposition has a significant influence on when and how severely marionette lines develop. People with a family history of early wrinkling are more likely to experience premature development of these skin changes.
External factors such as UV radiation, smoking, and environmental pollution further accelerate the skin's aging process. These damage the skin structure and promote the breakdown of collagen fibers. Repeated facial movements and expressions can also contribute to the deepening of Marionette lines.
At our Skinthetics practice, you will benefit from Dr. Lucija Grittern's many years of expertise in the field of aesthetic dermatology. Our specialist has extensive experience in the treatment of facial wrinkles and applies the latest scientific findings.
Our holistic treatment concept takes into account not only Marionette lines, but the entire facial appearance. Dr. Lucija Grittern analyzes your individual needs and develops a customized treatment plan that is optimally tailored to your facial anatomy.
The use of high-quality Hyaluronic acid preparations guarantees natural and long-lasting results. We only use proven products that meet the highest safety standards and are optimally tolerated. Our state-of-the-art equipment and injection techniques enable precise and gentle treatments.
The luxurious ambience of our practice creates a relaxed atmosphere in which you can feel at ease. Our experienced team accompanies you throughout the entire treatment process and is on hand to provide expert advice. The hyaluronic acid treatment for Marionette lines is always carried out in accordance with the highest quality standards.
Before each Marionette lines injection treatment, we conduct a detailed consultation in our practice. Dr. Lucija Grittern analyzes your facial structure and discusses your wishes and expectations with you. A thorough examination of the area to be treated enables us to develop the optimal treatment approach.
Explaining the treatment process, possible risks, and expected results is an important part of the preparation. We provide you with detailed information about the hyaluronic acid preparations used and their properties. Before the treatment, the skin is thoroughly cleansed and disinfected to ensure optimal hygienic conditions.
The actual Marionette lines injection treatment is performed with the finest needles or cannulas to precisely introduce the hyaluronic acid into the appropriate skin layers. Dr. Lucija Grittern uses special injection techniques that ensure even distribution of the filler and achieve natural results.
During the treatment, the Marionette lines are gradually filled and smoothed out. The dosage and placement of the Hyaluronic acid gel is individually tailored to your needs. Our team ensures that the treatment is generally painless and that you feel comfortable at all times.
After Marionette lines injection treatment, you are usually able to resume your normal activities immediately. Slight redness or swelling may occur in the treatment area, but this usually subsides within a few hours. We will provide you with detailed aftercare recommendations.
You should refrain from intense physical activity for the first 24 hours after treatment. Sauna visits and extreme temperatures should also be avoided. Our team is available to answer any questions you may have after the treatment and will monitor the healing process if necessary.



Our new clinic is located just a few minutes’ walk from our previous premises. We look forward to welcoming you in a stylish, modern setting – designed for calm, comfort, and a relaxed treatment experience.
See for yourself on your next visit.
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Our love for aesthetics is at the heart of everything we do. We strive tirelessly for beauty and elegance, ensuring that every space we design radiates sophistication.
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In principle, Marionette lines injection treatment is suitable for anyone who suffers from pronounced wrinkles from the corners of the mouth to the chin. Ideal candidates are people of middle age and older who are showing the first signs of skin aging. Dr. Lucija Grittern will assess your individual suitability for this treatment in a personal consultation.
Of course, men can also benefit from marionette lines treatment. The hyaluronic acid injection treatment is adapted to the typical male facial anatomy in order to achieve natural and masculine results. We regularly treat male patients in our practice with excellent results.
The actual treatment usually takes 15 to 30 minutes. Including consultation, preparation, and follow-up, you should plan on about an hour for your appointment. The short treatment time makes it easy to integrate the Marionette lines injection treatment into your everyday life.
In most cases, a single session is sufficient to achieve significant improvements. For very pronounced Marionette lines, follow-up treatment after a few weeks may be advisable. Dr. Lucija Grittern will discuss the optimal treatment plan for you individually.
The duration of effect of the hyaluronic acid treatment for Marionette lines typically lasts 12 to 18 months. This depends on various factors such as the product used, your skin type, and your lifestyle. Regular refresher treatments can maintain the result in the long term.
The treatment is usually painless. Many of our patients describe only a slight feeling of pressure during the injection. If necessary, a topical anesthetic cream can be used to further increase comfort.
After the treatment, you should not massage or touch the treated areas. Avoid intense physical activity, sauna visits, and extreme temperatures for 24 hours. Sun protection is particularly important to protect the skin and ensure optimal healing.
As with all minimally invasive treatments, mild side effects may occur. These include temporary redness, swelling, or small bruises at the injection sites. These usually subside within a few days. Serious complications are very rare when performed professionally.
The cost of Marionette lines treatment starts at €400. The exact price depends on the amount of hyaluronic acid required and the scope of treatment. During your consultation, we will provide you with a personalized cost estimate that clearly lists all services.