Marionette Line Treatments

The answer to this is quite simple- if you’re looking to restore lost volume around your mouth or to give your face a subtle lift or refresh at an affordable price, with minimal downtime and without the hassle or expense of surgery, then marionette line treatment using dermal fillers could be the right solution for you.

Absolutely. Dr Ria is one of the most respected and experienced practitioners for dermal fillers in London with over 20,000 treatments performed successfully over the last 9 years. His focus is on enhancing your appearance in a way that doesn’t draw the wrong type of attention to yourself but rather subtly enhances what you already have or restores what you might have lost in volume over the years.

Weirdly, no! Most clinics use minimal anaesthetic but Dr Ria’s experience with the procedure has led him to invest in more effective anaesthetic techniques including anaesthetic injections to thoroughly numb the area before treatment. A topical anaesthetic will also be applied to help numb the target area. Dr Ria usually uses a combination of injection techniques which are often only mildly uncomfortable and most people tolerate the procedure without any issue and minimal pain.

Dr Ria would usually welcome you and start with a detailed consultation. This would include discussing any previous treatments you’ve had, what your understanding of the treatment is and exploring your goals and expectations. He will also discuss the nature of the injecting procedure and related risks. If you are agreeable, Dr Ria will then usually conduct the treatment by first taking a pre-treatment photo and then applying topical anaesthetic while you complete the necessary medical and consent forms. After the treatment is complete, the treatment area is massaged and cleaned and then a post-treatment photo is usually taken for comparison purposes. Dr Ria will then explain any relevant aftercare and offer you information on how to contact him for questions or any follow-up you might require. Dr Ria is always contactable directly by his clients for any clinical queries by email.

There will usually be some redness and swelling in the injected areas. Usually this is mild/minimal but can vary from person to person and depending on the amount of work conducted during treatment. It’s usually easy to mask using cosmetics and often doesn’t last for more than a few days

We usually advise that you refrain from drinking any alcohol for 48 hours before your treatment as this could increase your chances of bruising. Other than that, there’s not much you need to do in preparation for the treatment. We do not advise stopping any medication before your treatment.

We don’t routinely follow up everyone after their treatment. However, in certain cases some people will need more treatment and they would usually be encouraged to come for a top-up or ‘second stage’ treatment (which comes with a charge). However, if you ever feel the need to be reviewed after your treatment for whatever reason then Dr Ria is always happy to offer this free of charge.

Absolutely, have a look below at some of the treatments we’ve done over the years. You can also see more examples of our work and videos explaining treatments on our Facebook, Instagram and Tiktok pages.

For many individuals, the appearance of deep creases around the mouth can cause frustration, often creating a resting expression that looks tired, sad, or displeased. If you are exploring how to resolve these creases without travelling far, understanding your local, non-surgical options is the first step.

At our central clinic, we utilise a variety of advanced techniques to eradicate these lines effectively. Here is a comprehensive listicle of the top five locally available treatments designed to lift and smooth the lower face:

1. Hyaluronic Acid Dermal Fillers: The gold standard in aesthetic medicine. By strategically injecting highly cohesive, premium fillers directly into the folds and the surrounding structural support areas (like the jawline and cheeks), we instantly restore lost volume. This physically lifts the sagging skin, completely softening the appearance of the lines.
2. Botulinum Toxin (Botox) Injections: Often used in conjunction with fillers. The Depressor Anguli Oris (DAO) muscle is responsible for pulling the corners of the mouth downward. By carefully relaxing this specific muscle with targeted injections, the opposing muscles can naturally lift the corners of the lips upwards.
3. PDO Thread Lifts: A robust solution for patients dealing with significant skin laxity. Dissolvable polydioxanone threads are inserted beneath the skin’s surface to physically pull and anchor the sagging lower face tissues back into a youthful position.
4. Collagen-Stimulating Bio-Remodellers: Injectable treatments such as Profhilo do not add structural volume like traditional fillers, but rather flood the deep layers of the skin with ultra-pure hyaluronic acid. This intensely hydrates the tissue and stimulates natural elastin and collagen production, smoothing fine lines around the perioral area.
5. Energy-Based Devices: Treatments utilizing radiofrequency or high-intensity focused ultrasound (HIFU) work by heating the deep dermal layers. This localized thermal trauma triggers the body’s healing response, leading to gradual skin tightening and a firmer lower face profile over several months.

Speak to an expert at Harley Street Dermal to discover which of these transformative options is best suited to your unique facial anatomy.

The demand for sophisticated facial rejuvenation has transformed the capital into a global centre for aesthetic excellence. Patients seeking targeted interventions for descending facial tissue no longer have to rely solely on invasive surgical facelifts, which carry significant risks and extended recovery periods.

Instead, the modern approach focuses on dynamic, multi-layered injectable procedures. To effectively treat lower face folds, a practitioner must possess a profound understanding of facial anatomy. The visible line around the mouth is rarely an isolated issue; it is almost always a symptom of volume loss higher up in the face. As the malar fat pads in the cheeks shrink and descend over time, the skin pools around the fixed ligaments of the mouth and chin.

Therefore, the most effective procedures in the capital take a holistic approach. Rather than merely filling the crease directly which can sometimes result in an unnatural, heavy, or “puffy” lower face, advanced practitioners will often start by restoring volume to the mid-face and lateral cheeks. This structural support acts as a scaffolding, gently pulling the skin back upwards and naturally smoothing out the perioral folds. Once the foundation is restored, refined adjustments can be made directly to the jawline and chin to ensure a perfectly seamless, contoured finish.

When it comes to addressing deep-set mouth-to-chin wrinkles, the quality of the product used is just as vital as the skill of the practitioner. Harley Street has long been synonymous with the pinnacle of medical and cosmetic care, and it is here that the most advanced filler techniques are pioneered.

Hyaluronic acid is a naturally occurring sugar complex found within the human body, highly celebrated for its ability to hold up to one thousand times its weight in water. In its synthetic, cross-linked form, it becomes a versatile, pliable gel that can mimic the structure of bone, fat, or deep dermal tissue depending on its density.

For the perioral area, we select specific, dynamic dermal fillers that integrate seamlessly into the tissue. Because the mouth is a highly mobile area constantly moving as we talk, eat, and express emotion the filler used must be incredibly resilient yet flexible enough to move naturally with your facial expressions. At Harley Street Dermal, we exclusively utilize FDA-approved, premium product lines that are scientifically proven to deliver smooth, lump-free, and long-lasting results.

The procedure itself takes less than 45 minutes. A topical anaesthetic is applied to ensure your absolute comfort, and the filler formulation itself contains lidocaine to numb the tissue from within during the injection process. The results are visible before you even step out of the treatment room, and because hyaluronic acid is completely biocompatible, it is safely and naturally metabolised by your body over 12 to 18 months.

A key component of planning your aesthetic journey is understanding the financial investment required. Across the UK, the pricing for cosmetic injectables can vary drastically, influenced heavily by the practitioner’s medical qualifications, the geographic location of the clinic, and the specific brand of filler being administered.

Generally, the average cost for a single millilitre of standard dermal filler outside of major metropolitan hubs ranges from £200 to £350. However, bargain prices should often be approached with extreme caution. The aesthetic industry in the UK is highly unregulated, meaning non-medical practitioners can legally administer cheap, unverified products.

When you invest in a premium medical clinic, you are paying for stringent safety protocols, profound anatomical knowledge, complication management capabilities, and high-fidelity products. At Harley Street Dermal, we pride ourselves on absolute transparency. Before any treatment commences, you are provided with a fully bespoke, itemised breakdown of the costs associated with your customized treatment plan, ensuring there are no surprises and that your expectations are perfectly aligned with your budget.

For patients looking for a comprehensive transformation that goes beyond treating a single wrinkle, a full liquid facelift is often recommended. In prestigious districts such as Mayfair and Marylebone, these advanced, multi-syringe procedures reflect the elite level of care provided.

A non-surgical lower face lift addresses the jawline, chin, perioral folds, and mid-face simultaneously to completely restructure and rejuvenate the lower third of the face. Because this requires a larger volume of product typically anywhere from 3 to 6 millilitres of premium dermal filler the pricing is adjusted accordingly.

In luxury central districts, you can expect packages for a comprehensive lower face rejuvenation to range between £900 and £2,500. This investment not only covers the cost of multiple syringes of top-tier hyaluronic acid but also secures the time, artistic vision, and advanced cannula techniques of a leading medical expert. At Harley Street Dermal, we ensure our pricing remains competitive for the Harley Street medical district while never compromising on the luxury, safety, and exclusivity of your patient experience.

While dermal fillers remain the most popular choice for instant volume restoration, PDO thread lifts are an exceptional alternative for those primarily struggling with sagging skin rather than volume depletion. Because this procedure involves the insertion of medical-grade sutures beneath the skin, understanding the healing timeline is crucial.

Unlike a surgical facelift, which requires weeks of isolation and complex wound care, the downtime for this minimally invasive alternative is remarkably short.

• Days 1 to 3: Immediately following the procedure, you will experience a visible lift. However, mild swelling, tenderness, and localized bruising are completely normal. You may also feel a slight tightness or notice very mild skin puckering near the insertion points. We advise patients to rest and avoid strenuous physical activity.
• Days 4 to 7: The vast majority of swelling will subside during this window. Any residual bruising can usually be easily concealed with light mineral makeup. You can comfortably return to office work and most daily routines, though exaggerated facial expressions (like wide smiling or chewing tough foods) should still be avoided to allow the threads to anchor securely.

Weeks 2 to 4: By this stage, the threads have integrated fully into the tissue. The physical lifting effect is stable, and the secondary benefit collagen stimulation begins. Over the next several months, your body will naturally produce new, healthy collagen around the dissolving threads, further firming the skin and smoothing out the lower face folds long after the initial recovery period has passed.

The face is a highly complex network of arteries, veins, nerves, and dynamic muscles. Trusting your facial aesthetic to a highly qualified medical professional is the single most important decision you will make in your anti-ageing journey.

When searching for the finest care, patient testimonials and proven clinical outcomes speak volumes. Harley Street Dermal is consistently recognised among the elite aesthetic practitioners in the capital. Our clinic operates strictly on evidence-based medicine, ensuring that every injection is precise, purposeful, and profoundly safe.

We are incredibly proud of our exceptional reputation, supported by numerous 5-star Trustpilot reviews from patients who have experienced our transformative care first-hand. Our patients frequently commend our thorough, unhurried consultation process. We never rush our clients; instead, we take the time to deeply understand your aesthetic goals, your concerns, and your medical history.

Why choose Harley Street Dermal? Because we blend meticulous medical precision with an innate artistic eye. We do not believe in a one-size-fits-all approach. Every face that enters our clinic receives a completely customized anatomical assessment, ensuring results that are undeniably beautiful, yet entirely natural and undetectable as “work done”.

The philosophy surrounding ageing has evolved drastically over the last decade. It is no longer about attempting to freeze the face or chase an impossibly tight, artificial aesthetic. Today, the goal of premium aesthetic intervention is graceful optimization looking healthy, rested, and vibrant at whatever age you happen to be.

The comprehensive suite of treatments available in the capital reflects this refined ethos. Beyond addressing deep anatomical folds, top-tier clinics focus on overall tissue health. This includes utilizing advanced microneedling to refine skin texture, employing medical-grade chemical peels to eradicate hyperpigmentation, and harnessing the power of bio-stimulators to continuously trick the body into producing youthful collagen.

At Harley Street Dermal, our anti-ageing protocols are designed to be proactive as well as reactive. By treating the skin holistically addressing texture, tone, and structural volume simultaneously we deliver cohesive, full-face rejuvenation. We invite you to experience an aesthetic journey that respects your natural beauty while elegantly erasing the signs of fatigue and time.

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