Marionette lines run vertically down from the corners of the mouth toward the chin, while the mouth corners themselves can begin to turn down over time. Together, these changes can give the face a tired, sad or unintentionally stern expression, even when you feel perfectly happy.

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They're driven by a combination of volume loss, skin laxity and the downward pull of the muscles around the mouth. Treating the area well means addressing both the loss of structure and that downward pull.

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Dr Arti uses hyaluronic acid filler to restore support around the mouth corners and soften the lines, gently lifting the corners toward a neutral position. Placement is precise and conservative the aim is to relax a heavy expression, not overfill. In some cases she may combine filler with anti-wrinkle treatment to relax the muscle pulling the corners down.

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Because the mouth corners are central to how the smile is framed, this treatment often forms part of Dr Arti's signature Smile Frame MethodⓇ .