Hyaluronic acid injection/injection for marionette lines
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Deepen the impression of youth
Approach to marionette lines

Hyaluronic acid injections for marionette lines are a treatment that reduces the appearance of the lines under the corners of the mouth that become noticeable with age and rejuvenates the appearance of the face. Improves the overall appearance of the face by adding moisture and volume to the skin, reducing wrinkles and sagging while maintaining a natural appearance. Suitable for people who have noticeable marionette lines or who want to rejuvenate in a natural way.
Recommended for those who have questions such as
- Those who are worried about marionette lines
- People who are concerned about facial changes due to aging
- Those who wish to receive treatment that does not involve surgery
- Those who want to feel the effects easily
- Those who want to shorten the recovery period
- Those seeking a natural look
Supervisor information

- 2008
- Graduated from Hiroshima University School of Medicine, Department of Medicine.
Worked at Chiba University School of Medicine Hospital and related hospitals.
- 2013
- Cosmetic dermatology Elm Clinic Fukuoka clinic opened
- Japanese Society of Aesthetic Dermatology
- Juvederm Vista certified doctor
- Botox Vista certified doctor
- Cosmetic Ingredient Test Level 1
What is hyaluronic acid injection for marionette lines?

What is marionette line?
Marionette lines are the lines that appear from the corners of the mouth to the chin, and the name comes from the marionette, a puppet used in puppet shows. When these lines get deep, they can make your face look sad or older. It is also commonly referred to as a "bulldog face," and is an important point that greatly affects the impression of appearance.
The main causes of marionette lines are a decrease in skin elasticity and a decrease in subcutaneous fat due to aging. As we age, the amount of collagen and elastin in our skin decreases, causing our skin to gradually sag, which appears as lines and wrinkles on the lower part of our face. It is also thought that daily facial movements, genetic factors, lifestyle habits, and environmental factors have an influence.
As an easy-to-receive anti-aging care around the mouth
Hyaluronic acid injections into marionette lines are a natural and effective way to make marionette lines that have become more noticeable with age less noticeable and to make your entire face look more youthful. It uses hyaluronic acid, which is also present in the body, to give volume to the skin and smooth out wrinkles and sagging skin. The treatment can be completed in a short time and you can feel the effects immediately, so it is a popular treatment even for busy people.
Hyaluronic acid injection for marionette lines
Case photo


- Treatment contents
- Marionette line hyaluronic acid 2 bottles
- Treatment amount
- ¥ 119,600
- Side effects
- internal bleeding, pain, swelling
- Doctor in charge
- white water wings
Features and benefits of hyaluronic acid injection for marionette lines
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Point
immediate effect
Immediately after the treatment, you will see improvement in your marionette lines.
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Point
natural finish
It uses hyaluronic acid, which is present in the body, to give you a natural look.
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Point
less downtime
Because it does not involve incisions or surgery, the recovery period is short and you can return to your daily life immediately.
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Point
long-lasting effect
The duration of the effect varies from person to person, but generally it lasts from a few months to a year and a half.
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Point
Highly safe
Hyaluronic acid is a naturally occurring substance in the body, and the risk of allergic reactions is very low, making it a highly safe procedure.
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Point
Easy treatment
The treatment time is short and no special preparation or post-treatment is required.
Treatment overview
Duration of treatment | 15 to 90 minutes |
---|---|
pain | Depending on the area, you may experience a slight tingling pain or a dull pain during injection. |
down time |
Internal bleeding may occur.Internal bleeding will gradually improve over about two weeks. |
make | It is possible from the day. |
Precautions | On the day of treatment, avoid long baths, excessive alcohol consumption, and strenuous exercise. |
Side effects | In rare cases, allergies may occur.If severe redness or swelling occurs, please consult a doctor as soon as possible. |
duration | About 9 to 18 months |
*Pain, downtime, and effects vary from person to person.
*The treatment time does not include counseling time.
*Pregnant women cannot undergo any treatments.
Downtime, side effects, precautions
Hyaluronic acid injections into marionette lines are generally safe and effective non-invasive treatments, but there are some downtimes, side effects, and precautions.
downtime
You can return to your daily activities immediately after the treatment, but slight swelling and redness may occur at the injection site.
Side effects
Side effects such as swelling, redness, pain, and itching may occur, as well as temporary effects on facial expressions due to swelling at the injection site, but this usually improves on its own within a few days.
Precautions and aftercare
Activity restrictions after treatment
It is recommended to avoid strenuous exercise, high temperature environments (saunas, long baths), and exposure to direct sunlight for 24 hours after surgery. These can worsen swelling and redness.
facial expression restrictions
After injection, it is recommended to avoid excessive facial movements for several days until the hyaluronic acid is evenly settled.
The importance of aftercare
After surgery, it is important to be gentle with the skin, especially around the marionette lines, and to moisturize properly according to the instructions. Avoid vigorous scrubbing and follow aftercare instructions to support skin recovery.
Hyaluronic acid injections into marionette lines can contribute to a more youthful look to the entire face if done properly, but it is important to understand these points before treatment. Also, be sure to follow your doctor's instructions, as the risks and precautions may vary depending on your individual constitution and health condition.
Flow of treatment
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Flow of treatmentCounseling
Before the procedure, you will have a consultation with your doctor.During the consultation, you will receive a detailed explanation of the treatment area, effects, risks, costs, and aftercare.
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Flow of treatmentDisinfection/anesthesia
Disinfect before the treatment.Anesthesia may also be used to reduce pain.
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Flow of treatmentinjection of hyaluronic acid
Your doctor will inject hyaluronic acid.The amount and location of injection will be determined based on what was determined during the consultation.
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Flow of treatmentAftercare
After the treatment, aftercare such as icing and light massage is required.It is also important to be careful not to overstimulate the treatment area.
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Flow of treatmentEnd of treatment
After the treatment, you may see immediate results, but it may take some time for the full effects to be seen.Post-treatment observation and follow-up as necessary are also important.
Clinics where treatment is available
Residents of Kanto (Tokyo)
For those who live in the Chugoku region
For those who live in Kyushu
Marionette line hyaluronic acid injection price
For more information, please check the price list on the hyaluronic acid injection page.
FAQ
- For which age group is Marionette Line hyaluronic acid injection suitable?
- Hyaluronic acid injections for marionette lines are suitable for people of all ages who are concerned about the appearance and depth of marionette lines. Generally, people in their late 30s whose marionette lines become noticeable or middle-aged and older people who want to address deeper marionette lines undergo treatment, but this will vary depending on the individual's skin condition and beauty goals.
- Is it possible to maintain a natural look after hyaluronic acid injection?
- Yes, it is possible to maintain a natural look by injecting the right amount of hyaluronic acid in the exact location. An experienced doctor will determine the optimal injection amount to make marionette lines less noticeable without affecting the patient's facial movements and expressions.
- Do I need to worry about allergic reactions?
- Since hyaluronic acid is a naturally occurring component in the human body, the risk of allergies is considered to be extremely low. However, in rare cases, allergic reactions may occur, so it is important to thoroughly share your past medical history and allergy information with your doctor before receiving treatment.
- What are my options if the results are not satisfactory?
- If you are not satisfied with the treatment results, adjustments can be made with additional injections. Hyaluronic acid is a reversible treatment and specific enzymes can be used to break down the hyaluronic acid that has already been injected. If you are dissatisfied with your results, please feel free to discuss them with your doctor.
Clinics where treatment is available
Residents of Kanto (Tokyo)
For those who live in the Chugoku region
For those who live in Kyushu

Hiroshi Kikuchi
- 2008
- Graduated from Hiroshima University School of Medicine, Department of Medicine Worked at Chiba University School of Medicine Affiliated Hospital and related hospitals.
- 2013
- Cosmetic dermatology Elm Clinic Fukuoka clinic opened
- Japanese Society of Aesthetic Dermatology
- Juvederm Vista certified doctor
- Botox Vista certified doctor
- Cosmetic Ingredient Test Level 1
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