Medical Tourism Blog
Effective Marionette Lines Treatments in Korea: Face Lift, Thread Lift, Fat Grafting, Fillers & Botox Solutions

Table of contents
- Medical Procedures for Marionette Lines: A Detailed Overview
- Best Clinics in Korea for Marionette Lines
- Cost Analysis for Medical Tourists in South Korea
- Conclusion
- References
Marionette lines are the vertical wrinkles that run from the corners of the mouth down to the chin, giving the face a downturned or sad appearance even when at rest. Also known as "melomental folds" or "puppet lines," these should not be confused with "nasolabial folds," which extend from the nose to the mouth corners. Marionette lines form naturally as we age due to a combination of factors: loss of collagen and elastin, facial fat reduction, gravity, and even subtle bone loss in the jaw and teeth. Repetitive facial movements, sun exposure, smoking, and genetics also play significant roles in their development.
Because marionette lines can make someone look sad or serious, addressing them is about more than just aesthetics—it can also improve self-esteem and social interactions. Since these lines result from multiple factors like volume loss, muscle activity, and skin laxity, a single treatment is rarely enough. A combination of approaches is often needed for the most natural and satisfying results.
Medical Procedures for Marionette Lines: A Detailed Overview
Here’s a closer look at the main medical procedures used to treat marionette lines, with a focus on how they’re performed in South Korea and what patients can expect.
Face Lift
A facelift (rhytidectomy) is a surgical procedure that tightens sagging skin and underlying tissues in the mid- to lower face and neck. While it can improve marionette lines by tightening the area, it doesn’t always address them directly, so additional treatments may be needed.
Techniques:
- Deep Plane Facelift: This advanced method works beneath the SMAS layer, releasing key ligaments and repositioning deeper tissues for a natural, long-lasting result.
- SMAS Facelift: Focuses on lifting and tightening the SMAS layer to enhance the jawline and reduce jowls.
Process in South Korea:
- Consultation: Detailed assessment and multilingual support for international patients.
- Anesthesia: Usually general or IV sedation.
- Incisions: Placed discreetly to minimize scarring.
- Dissection and Lifting: Elevation of skin and SMAS, with careful ligament release.
- Tissue Repositioning: Tension-free closure for a natural look.
- Recovery: Swelling and bruising subside in weeks; full recovery may take months.
Patient Outcomes:
Facelifts are highly effective for overall rejuvenation, with patients often looking years younger. However, marionette lines may not improve significantly with facelift alone, so combining with fillers or fat injections is common for best results.
Corner Mouth Lift (Oral Commissure Surgery)
A corner mouth lift targets downturned mouth corners, directly improving the expression and reducing the appearance of marionette lines. The procedure involves removing a small triangle of tissue at the mouth corners and stitching the area for a subtle, permanent lift.
Process in South Korea:
- Consultation and Design: Highly customized planning for natural results.
- Anesthesia: Local or sedative anesthesia.
- Surgery: Precise tissue removal and muscle adjustment.
- Recovery: Outpatient procedure with swelling subsiding in 1-2 weeks; stitches removed after 7 days.
Patient Outcomes:
Patients report a friendlier, more youthful expression with minimal scarring. The procedure is quick, safe, and can be combined with other treatments for enhanced results.
Stem Cell Fat Grafting
Stem Cell Fat Grafting uses the patient’s own fat, enriched with stem cells, to restore facial volume and improve skin quality. This method is especially effective for deep wrinkles and marionette lines.
Process in South Korea:
- Consultation: Tailored plan and donor site selection.
- Anesthesia: General or local with sedation.
- Fat Harvesting and Processing: Fat is purified and stem cells are added.
- Injection: Fat is carefully injected into target areas.
- Recovery: Outpatient with swelling and bruising resolving in 1-2 weeks.
Patient Outcomes:
Patients enjoy natural-looking, long-lasting results with improved skin texture. Some fat loss may occur, but repeated sessions can yield permanent improvements.
Face Thread Lift
A face thread lift uses absorbable threads to lift and tighten sagging skin, providing an immediate lift and stimulating collagen production over time.
Process in South Korea:
- Consultation: Assessment for thread type and placement.
- Preparation: Numbing and marking.
- Thread Insertion: Threads are placed under the skin and adjusted for lift.
- Recovery: Minimal downtime; swelling and bruising resolve in days.
Patient Outcomes:
Immediate, subtle lift with results lasting 6 months to 2 years. Thread lifts are ideal for those seeking non-surgical options, though effects are temporary and may require repeat treatments.
PRP Fat Grafting
PRP Fat Grafting combines fat transfer with Platelet-Rich Plasma (PRP) to enhance fat survival and tissue regeneration.
Process in South Korea:
- Consultation: Assessment and planning.
- Fat Harvesting and PRP Preparation: Fat and blood are collected and processed.
- Injection: PRP-enriched fat is injected into target areas.
- Recovery: Mild swelling and discomfort, with follow-up visits for monitoring.
Patient Outcomes:
Patients report faster recovery, improved skin quality, and longer-lasting volume compared to traditional fillers. Multiple sessions may be needed for permanent results.
Face Contouring Injection (Fat-Dissolving)
Face Contouring Injections use specialized solutions to dissolve localized fat, refining the lower face and indirectly improving marionette lines.
Process in South Korea:
- Consultation and Marking: Target areas are identified.
- Numbing and Injection: Quick, outpatient procedure.
- Recovery: No downtime; patients can resume activities immediately.
Patient Outcomes:
Quick, non-invasive, and effective for reducing jowling. Steroid-free formulations minimize complications.
Marionette Line Filler
Marionette line fillers, typically hyaluronic acid or other collagen-stimulating products, restore lost volume and smooth the lines.
Process in South Korea:
- Consultation: Facial assessment and filler selection.
- Preparation: Cleansing and numbing.
- Injection: Precise placement for natural results.
- Recovery: Mild swelling or bruising, usually gone in days.
Patient Outcomes:
Immediate improvement with results lasting 6-18 months. Complications are rare but can include lumps, asymmetry, or overfilling—choosing an experienced injector is crucial.
Mouth Corner Lift Botox
[Mouth Corner Lift Botox](/blog/mouth-corner-lift-botox-korea) targets the depressor anguli oris muscle to lift the mouth corners, improving expression.
Process in South Korea:
- Consultation: Assessment and planning.
- Injection: Quick, precise Botox injections.
- Recovery: No downtime; effects appear in days.
Patient Outcomes:
Subtle lift lasting 3-4 months. Often combined with fillers for comprehensive results.
Best Clinics in Korea for Marionette Lines
Listed below are the best clinics in Korea for marionette lines:
Clinic Name | Key Features | Special Techniques |
---|---|---|
Lydian Plastic Surgery Clinic | Located in Cheongdam, Gangnam, Seoul; Led by Dr. An Kyung Chun with 20+ years experience; Boutique clinic model with personalized care; Trusted by VIPs and celebrities; Comprehensive facial lifting and fat grafting services; Commitment to patient satisfaction and safety | 5D liposculpture; Stem cell fat grafting; Minimally invasive procedures for less downtime and minimal scarring |
Okay Plastic Surgery Clinic | Focus on sincerity, precision, and individualized care; Led by a renowned female plastic surgeon; Wide range of services including body contouring, breast augmentation, facial rejuvenation, and skincare; Supportive environment for patient confidence and satisfaction | Tailored solutions for marionette lines and facial lifting; Cutting-edge treatments with emphasis on natural, harmonious results |
Seojin Plastic Surgery Clinic | Located in Gangnam, Seoul; Led by Dr. Lee Hyungmin, one of Korea’s 100 Good Doctors with 16+ years experience; Personalized one-doctor care; Uses advanced technology including 3D imaging and high-definition endoscopy; Comprehensive cosmetic and dermatological treatments | 3-STEP Micro Liposuction Process (safe preparation, precise liposuction, manual refinement); Velody2 lifting laser for skin elasticity and sagging; Combination of lifting and liposuction for marionette line correction |
Lydian Plastic Surgery Clinic
Lydian Cosmetic Surgery & Dermatology Clinic, located in the prestigious Cheongdam area of Gangnam, Seoul, is a leading destination for advanced cosmetic procedures, particularly renowned for its expertise in liposuction and body sculpting. Under the direction of Dr. An Kyung Chun, a globally recognized specialist with over 20 years of experience, the clinic has become synonymous with excellence, innovation, and personalized care. Dr. An’s reputation as a pioneer in the field, coupled with his role as a clinical professor and his extensive international experience, ensures that every patient receives world-class treatment tailored to their unique needs. The clinic’s boutique approach, focusing on individualized attention and the latest minimally invasive techniques, makes it a top choice for those seeking natural, beautiful results—especially for delicate facial concerns like marionette lines.
Why Lydian Plastic Surgery Clinic is the Best Choice for Marionette Lines:
- Led by Dr. An Kyung Chun, a world-renowned cosmetic surgeon with over two decades of specialized experience.
- Located in Seoul’s exclusive Cheongdam district, offering a discreet and luxurious environment.
- Boutique clinic model ensures personalized, one-on-one care from consultation to recovery.
- Utilizes cutting-edge techniques such as 5D liposculpture and stem cell fat grafting for natural, long-lasting facial rejuvenation.
- Expertise in minimally invasive procedures means less downtime, minimal scarring, and faster recovery.
- Trusted by VIPs and celebrities for consistently superior cosmetic outcomes.
- Comprehensive range of services, including facial lifting and advanced fat grafting, tailored to address marionette lines and other signs of aging.
- Commitment to patient satisfaction, safety, and artistic results, making it the premier destination for those seeking to restore youthful facial contours.
You can check out their website here: Lydian Plastic Surgery Clinic Website
Okay Plastic Surgery Clinic
Okay Plastic Surgery Clinic stands at the forefront of aesthetic medicine in Korea, offering a transformative approach that prioritizes sincerity, precision, and individualized care. Our philosophy goes beyond routine procedures, focusing on delivering tailored solutions that address each patient’s unique needs and aspirations. Led by a team of specialized professionals, including a renowned female plastic surgeon with extensive experience, we ensure that every patient embarks on a comprehensive journey of personal transformation, guided by expertise, empathy, and the latest medical advancements.
Our clinic provides a wide spectrum of specialized aesthetic services, ranging from body contouring and breast augmentation to advanced facial rejuvenation and skincare. Whether you are seeking solutions for marionette lines, facial lifting, or other cosmetic concerns, our meticulous approach and commitment to excellence ensure natural, harmonious results. At Okay Plastic Surgery Clinic, patients can expect not only cutting-edge treatments but also a supportive environment dedicated to helping them achieve their aesthetic goals with confidence and satisfaction.
You can check out their website here: Okay Plastic Surgery Clinic Website
Seojin Plastic Surgery Clinic
Seojin Plastic Surgery Clinic, located in the heart of Gangnam, Seoul, stands at the forefront of aesthetic innovation and personalized care. Led by the renowned Dr. Lee Hyungmin—recognized as one of Korea’s 100 Good Doctors and boasting over 16 years of experience—the clinic is dedicated to delivering exceptional results in cosmetic surgery and dermatology. Seojin Clinic is especially distinguished for its expertise in treating marionette lines, combining advanced technology, meticulous techniques, and a patient-centered approach. With a comprehensive range of services from breast surgery and hair transplantation to body sculpting and non-invasive facial rejuvenation, Seojin Clinic ensures every patient receives tailored solutions in a safe, state-of-the-art environment.
Why Seojin Plastic Surgery Clinic is the Best Choice for Marionette Lines:
-
3-STEP Micro Liposuction Process:
- Safe Preparation: Fat is carefully separated from blood vessels, nerves, and tissues, then liquefied for gentle removal, minimizing trauma and ensuring safety.
- Precise Liposuction: Customized cannulas are selected based on each patient’s anatomy and fat volume, allowing for highly effective and targeted fat removal.
- Manual Refinement for a Smooth Finish: After device-assisted suction, Dr. Lee personally refines the subcutaneous fat layer with a small syringe, ensuring even fat distribution and a smooth, natural skin surface—crucial for delicate areas like marionette lines.
-
Lifting Liposuction with Velody2 Lifting Laser:
- Seojin Clinic utilizes the Velody2 lifting laser to enhance skin elasticity and address any mild sagging that may occur post-liposuction.
- The combination of lifting and liposuction provides firmer, more youthful skin around the mouth and chin, optimizing outcomes for marionette line correction.
-
Personalized, One-Doctor Care:
- Dr. Lee Hyungmin personally oversees every step of the treatment process, from consultation to aftercare, ensuring a highly individualized and attentive experience.
-
Recognized Excellence:
- Dr. Lee’s recognition as one of Korea’s 100 Good Doctors underscores his commitment to safety, artistry, and patient satisfaction.
-
Advanced Technology and Techniques:
- The clinic employs state-of-the-art equipment, including 3D imaging and high-definition endoscopy, to plan and execute procedures with precision.
-
Comprehensive Aesthetic Solutions:
- In addition to marionette line correction, Seojin Clinic offers a full spectrum of cosmetic and dermatological treatments, allowing for holistic facial rejuvenation.
For those seeking the most advanced, safe, and natural-looking solutions for marionette lines in Korea, Seojin Plastic Surgery Clinic sets the standard for excellence.
You can check out their website here: Seojin Plastic Surgery Clinic Website
Cost Analysis for Medical Tourists in South Korea
South Korea is a top destination for cosmetic procedures, offering high quality at 30-60% lower prices than the US or Europe. This is due to intense competition and lower operational costs, without sacrificing quality.
Comparative Cost Table: Procedures in South Korea vs. Other Countries
Procedure | South Korea (USD) | USA (USD) | UK (USD) | Europe (USD) | Turkey (USD) | Thailand (USD) | Mexico (USD) |
---|---|---|---|---|---|---|---|
Face Lift | $8,000 - $13,000 (Deep Plane) / $9,000 - $13,000 (Standard) / $2,000 - $6,000 (Mini) / $5,000 - $10,000 (SMAS) | $17,500 - $48,000 | $13,300 - $18,000 | $10,000 - $13,000 (Mid-Face) | $1,500 - $10,500 | $1,500 - $12,000 | $1,700 - $13,000 |
Corner Mouth Lift | $1,500 - $2,500 | - | £210 ($260) (Botox) / £6000 ($7400) (Lip Lift) | €290-320 ($315-350) (Botox) | $1,000 - $2,500 (Lip Lift) | $298 - $4,461 | - |
Stem Cell Fat Grafting | $3,000 - $7,000 / $2,007 - $7,021 / Avg $2,896 | $20,000 - $50,000 / $4,350+ | $20,000 - $50,000 | €30,000 - €150,000 ($32,000 - $160,000) | $2,000 - $15,000 | $3,000 - $13,000 | $3,500 - $15,000 |
Face Thread Lift | $700 - $2,000 / $1,000 - $4,000 | $700 - $4,500 / Avg $2,050 | £600 - £2,000 ($740 - $2470) | €400 - €4,000 ($435 - $4350) | - | - | - |
PRP Fat Grafting | $2,000 - $4,000 / $3,500 - $8,000 | $5,000 - $10,000 / $3,000 - $16,000 | $4,000 - $8,000 | $3,500 - $7,000 (Germany) / $2,500 - $5,000 (Poland) | - | - | - |
Face Contouring Injection | $207 - $551 / ₩30,000-210,000 ($20-150) | $600 - $1,000+ per syringe / $200 - $2,000 per syringe | $370 - $1,050 per syringe | €298-450 ($325-490) | $500 - $1,630 | - | - |
Marionette Line Filler | $130 - $450 (per 1cc) / $200 - $500 | $600 - $1,200 / $350 - $500 (HA per syringe) | $370 - $1,050 (per syringe) | €298-450 ($325-490) | $400+ | - | - |
Mouth Corner Lift Botox | $100 - $200 / $140 - $400 | $200 - $435 / $300+ | £210 ($260) | €290-320 ($315-350) | $150 - $290 | - | - |
Note: Prices are estimates and may vary by clinic, surgeon, and technique.
Factors Influencing Procedure Costs in South Korea
- Surgeon’s Experience: More experienced surgeons charge higher fees.
- Clinic Location: Clinics in Seoul’s Gangnam district are pricier, but other areas may offer similar quality at lower costs.
- Procedure Complexity: More complex or extensive procedures cost more.
- Materials Used: Premium brands or advanced threads/fillers increase costs.
- Package Inclusions: Some clinics offer all-inclusive packages, while others itemize services.
- Customization: Personalized treatment plans may affect pricing.
Overall Value Proposition for Medical Tourists
South Korea stands out for its competitive pricing, high standards, and comprehensive care. Patients benefit from:
- Lower costs (30-60% less than Western countries)
- World-class quality and advanced technology
- Comprehensive support for international patients, including multilingual services and streamlined care
- Natural-looking results and minimal downtime
Conclusion
Treating marionette lines effectively requires a personalized, multi-faceted approach, often combining injectables, thread lifts, fat grafting, and surgical options. South Korea offers high-quality, competitively priced treatments with excellent patient support, making it a top choice for medical tourists. For best results, consult with experienced practitioners and consider combination therapies tailored to your unique needs.
References
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