Marionette lines with hyaluronic acid filler

The lines run downwards from the corners of the mouth towards the chin — much like the movable mouth of a marionette. They quickly make the face look embittered or sad.

Yes, we often treat both together. A little hyaluronic acid supports the drooping corner of the mouth, and in addition a small amount of Botox can relax the lowering muscle. This combination is often considerably more effective than either measure on its own.

In many cases yes. With pronounced marionette lines we deliberately work in two sessions two to four weeks apart — that way the result can be controlled precisely.

Hyaluronic acid can be dissolved completely within minutes with the enzyme hyaluronidase. So you are not making a permanent decision.

Hardly. Our hyaluronic fillers already contain a local anaesthetic, and we work with particularly fine, tissue-friendly cannulas. On request we also apply a numbing cream beforehand.

About 30 minutes including consultation, analysis and follow-up discussion. The injection itself takes only a few minutes.

Immediately. Hyaluronic acid replaces missing volume at once — you see the result in the mirror while still at our practice. There may be slight swelling in the first few days; the final result appears after about two weeks.

Between nine and eighteen months, depending on the area and the product. The hyaluronic acid is broken down by the body slowly and completely — nothing remains.

Yes, because we deliberately dose conservatively. We would rather use slightly less at the first appointment and top up after two weeks than inject too much once. A result that looks like you is our standard.

Slight swelling, redness or small bruises at the injection sites are possible and subside within a few days. Serious complications are extremely rare when the treatment is carried out by a specialist doctor. We explain all the risks to you beforehand.

On the day of treatment avoid sport, sauna and solarium, and do not massage the treated areas. Cooling is fine — it eases swelling. From the next day everything is back to normal.

Yes. Hyaluronic acid can be dissolved again within minutes using the enzyme hyaluronidase. That is one of the great safety advantages over permanent filling materials.

In most cases yes. Because slight swelling is possible, many patients prefer to schedule the appointment one or two days before an important occasion.

We charge per millilitre of hyaluronic acid — consultation, treatment and material are always included, and there are no hidden extras. How much material you need is something we discuss honestly at the introductory consultation. You will find current prices on our prices page.

Exclusively clinically tested, cross-linked hyaluronic fillers from renowned manufacturers, applied millions of times worldwide. A new, sealed syringe is opened for every patient.

Exclusively specialist doctors in Plastic, Aesthetic and Reconstructive Surgery or in Oral and Maxillofacial Surgery — no beauticians and no assistants.