Droopy mouth marionette lines filler gone wrong – What to do?

Droopy mouth marionette lines filler gone wrong

Droopy mouth marionette lines filler gone wrong – what to do? 

If you’re asking yourself this question, you’re not alone. While fillers are generally safe and effective for softening marionette lines and reducing wrinkles around mouth, complications can occasionally occur. Whether it’s asymmetry, lumps, or a worsened droop around the mouth, knowing how to respond is crucial. 

This blog outlines the common mistakes behind droopy mouth after marionette line fillers and, more importantly, the corrective options available to help you get the results you originally hoped for.

Know what marionette lines are

Marionette lines are vertical creases running from the corners of the mouth toward the chin. Over time, these lines around mouth become more pronounced due to aging, gravity, and the gradual loss of collagen and skin elasticity.

While they are a natural part of aging, marionette lines can give the face a sad, downturned appearance—even when you’re not feeling that way.

How to get rid of marionette lines with dermal fillers?

marionette lines

Dermal fillers offer a highly effective, non-surgical solution for softening marionette lines. These injectable treatments restore lost volume, lift the skin around the mouth, and smooth out deep creases. 

The result? A more refreshed, balanced, and youthful appearance.

When done by an experienced professional, fillers can subtly lift the corners of the mouth, erase harsh folds, and restore natural contours to the lower face. However, precision is key—incorrect placement or overfilling can lead to unnatural results, such as drooping or facial asymmetry.

Signs that your marionette lines filler may have gone wrong

If you’ve recently had this treatment, watch out for the following signs that may indicate the filler hasn’t settled as intended:

  • Persistent swelling or bruising beyond the normal recovery period
  • Corners of the mouth appear more downturned than before
  • Uneven or lumpy texture in the treated area
  • Heaviness or tightness around the mouth or chin
  • Difficulty making facial expressions
  • Unusual bleeding, scarring, or signs of infection (such as redness, warmth, or pus)
  • Tenderness or pain in the treated area
  • Dissatisfaction with your appearance post-treatment

If you’re experiencing any of the above, stay calm and consult a qualified aesthetic practitioner promptly. Early assessment and the right corrective approach can help restore a more balanced, natural appearance.

Common causes of droopy mouth after marionette line fillers

Understanding what went wrong is the first step to fixing it. Here are some of the most common reasons patients experience issues after treatment:

Incorrect filler placement

Precision is everything. If filler is injected too low or in the wrong tissue plane, it can pull down the corners of the mouth rather than lifting them. 

This misplacement is one of the leading causes of a droopy or sad appearance after treatment.

Overfilling the area

Too much filler around the mouth and chin can weigh the face down, making the lower face appear heavy or puffy.

The goal is subtle enhancement, not volume overload.

Ignoring facial balance

Simply targeting the marionette lines in isolation may not deliver the best outcome. In many cases, volume loss in the cheeks or a recessed chin contributes to the problem. 

Without addressing these areas, results may appear incomplete or unnatural.

Wrong type of filler

Using a filler that is too thick or not designed for areas with dynamic movement, like around the mouth—can lead to stiffness, lumpiness, or exaggerated results. 

The right type of marionette line filler is key for a natural look and feel.

Lack of the injector’s experience

The expertise of your injector makes all the difference. 

Inexperienced or underqualified practitioners may not fully understand facial anatomy or how to customize treatment based on individual needs, increasing the risk of asymmetry or poor outcomes.

Droopy mouth marionette lines filler gone wrong – What to do?

If you’re unhappy with your filler results, don’t panic. While it’s disappointing, the good news is that most filler-related issues can be corrected. Here’s what you should do:

Consult an experienced injector immediately

Seek out a qualified and experienced aesthetic practitioner—ideally, someone with expertise in facial anatomy and filler correction. They will carefully assess the issue and recommend the best course of action.

Consider hyaluronidase (Filler dissolver)

A trained doctor may use hyaluronidase, an enzyme that safely dissolves hyaluronic acid-based fillers. This treatment can restore your natural appearance and prepare the area for future, more accurate treatment if desired.

Do not try to fix it yourself

Avoid massaging, pressing, or applying pressure to the area unless explicitly advised by your doctor. Never attempt to “even it out” with more filler—this may worsen the issue.

Re-treatment with proper technique

Once the area has been assessed (and any necessary correction performed), a skilled injector can re-treat the area with the right technique and product to lift the corners of the mouth and achieve the desired outcome.

Remember: The best outcomes come from trusting experienced professionals and avoiding DIY fixes. With the right care, unwanted filler effects can be resolved safely and effectively.

How to stay safe from bad fillers?

  • Choose a qualified, experienced injector with a proven track record in facial aesthetics.
  • Ask questions about the type of filler being used and why it’s appropriate for your concern.
  • Be informed about the risks and side effects before undergoing any procedure.
  • Take a conservative approach—start with less and build if needed.
  • Follow all aftercare instructions provided by your practitioner.
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Choose the right fillers for your marionette lines with Hasan surgery

If you’re dealing with lines or wrinkles around mouth, or unfortunate results from poorly placed fillers, don’t lose hope—finding the right expert can make all the difference.

At Hasan Surgery, you are in the hands of one of Dubai’s most trusted names in aesthetic and reconstructive care. Whether you’re looking to correct filler complications or are considering treatment for the first time, our clinic offers tailored solutions using high-quality dermal fillers and advanced techniques that prioritize your facial balance, safety, and natural-looking results.

Book your consultation today.