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

Effective Marionette Lines Treatments in Korea: Face Lift, Thread Lift, Fat Grafting, Fillers & Botox Solutions
Sunday, Jul 20, 2025

Table of contents


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.

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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.

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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 NameKey FeaturesSpecial Techniques
Lydian Plastic Surgery ClinicPremier destination for marionette line correction; stem cell fat grafting with 50-60% survival rate; Ministry of Health and Welfare-approved double-door sealed cleanrooms with Clean Class 10,000 air quality and HEPA filtration; boutique, patient-centered approach; expert Dr. An Kyung ChunStem cell fat grafting with extraction and concentration at 4°C; use of Edinizer device for uniformly sized fat cells; anatomy-based customized treatment plans; comprehensive four-step aftercare system
Okay Plastic Surgery ClinicPremier destination for marionette line treatment; team of specialized professionals including renowned female plastic surgeon; individualized treatment plans; wide range of advanced aesthetic services; holistic and patient-centered philosophyTailored treatments to unique patient needs; advanced facial rejuvenation, lifting procedures, skincare, and injectables using latest medical techniques
Seojin Plastic Surgery ClinicLocated in Gangnam, Seoul; led by Dr. Lee Hyungmin with 16+ years experience; recognized as one of Korea’s 100 Good Doctors; comprehensive aesthetic solutions including breast surgery, hair transplantation, body sculpting, dermatology; use of 3D imaging and high-definition endoscopy; personalized one-doctor care3-STEP Micro Liposuction Process (safe preparation, precise liposuction, manual refinement); Velody2 Lifting Laser for skin elasticity and mild sagging; Dr. Lee’s personal oversight from consultation to aftercare

Lydian Plastic Surgery Clinic

Lydian Plastic Surgery Clinic in Seoul’s prestigious Cheongdam district stands out as Korea’s premier destination for marionette line correction, thanks to its pioneering use of stem cell fat grafting and a relentless commitment to safety, precision, and natural results. Unlike conventional clinics where fat graft survival rates hover around 20-30%, Lydian elevates this to an impressive 50-60% by extracting and concentrating stem cells at an optimal 4°C, ensuring the highest quality and viability. The clinic’s Ministry of Health and Welfare-approved, double-door sealed cleanrooms maintain Clean Class 10,000 air quality with HEPA filtration, virtually eliminating contamination risks during delicate stem cell procedures. Lydian’s use of the Edinizer device guarantees uniformly sized fat cells, minimizing surface irregularities and maximizing graft density for smoother, longer-lasting rejuvenation. Under the expert guidance of Dr. An Kyung Chun—one of Korea’s top aesthetic surgeons and a global authority in stem cell aesthetic medicine—patients benefit from anatomy-based, customized treatment plans and a comprehensive four-step aftercare system. With continuous investment in cutting-edge technology and a boutique, patient-centered approach, Lydian Clinic delivers world-class, natural-looking results for marionette line correction, making it the clinic of choice for discerning patients seeking excellence in facial rejuvenation.

You can check out their website here: Lydian Plastic Surgery Clinic Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as the premier destination for marionette line treatment in Korea, thanks to its transformative approach to aesthetic care that prioritizes sincerity, precision, and individualized attention. At the heart of the clinic is a team of specialized professionals, including a renowned female plastic surgeon with extensive experience, who guide patients through a comprehensive journey of personal transformation. Rather than offering one-size-fits-all solutions, Okay Plastic Surgery Clinic tailors each treatment to the unique needs and aspirations of every patient, ensuring natural and satisfying results. The clinic’s expertise spans a wide range of advanced aesthetic services, from facial rejuvenation and lifting procedures to cutting-edge skincare and injectables, all delivered with the latest medical techniques and a deep sense of empathy. This commitment to excellence, combined with a holistic and patient-centered philosophy, makes Okay Plastic Surgery Clinic the best choice for those seeking effective and personalized solutions for marionette lines in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

Seojin Plastic Surgery Clinic

Seojin Plastic Surgery Clinic, located in the vibrant district of Gangnam, Seoul, stands at the forefront of aesthetic innovation and patient-centered care. Led by the highly respected Dr. Lee Hyungmin—recognized as one of Korea’s 100 Good Doctors and boasting over 16 years of experience—the clinic is renowned for its meticulous approach to cosmetic enhancement. Seojin Clinic offers a comprehensive range of advanced procedures, from breast surgery and hair transplantation to body sculpting and dermatological treatments, all tailored to the unique needs of each patient. Utilizing cutting-edge technology such as 3D imaging and high-definition endoscopy, the clinic ensures both safety and natural-looking results. For those seeking to address marionette lines, Seojin Plastic Surgery Clinic is distinguished by its innovative techniques, personalized care, and commitment to excellence.

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 effective and targeted fat removal.
    • Manual Refinement: After device-assisted suction, Dr. Lee meticulously refines the subcutaneous fat layer by hand, ensuring even fat distribution and a smooth, natural skin surface—crucial for delicate areas like marionette lines.
  • Lifting Liposuction with Velody2 Lifting Laser:

    • This advanced laser technology enhances skin elasticity and addresses any mild sagging that may occur post-liposuction. The Velody Lifting technique synergizes with liposuction to deliver firmer, more youthful skin around the mouth and jawline.
  • Personalized, One-Doctor Care:

    • Dr. Lee Hyungmin personally oversees every step of the treatment process, from consultation to aftercare, ensuring a tailored approach and attentive follow-up for optimal results.
  • Recognized Expertise:

    • Dr. Lee’s recognition as one of Korea’s 100 Good Doctors underscores his exceptional skill, dedication, and trustworthiness in the field of cosmetic surgery.
  • Over 16 Years of Experience:

    • With a long-standing reputation for excellence, Seojin Clinic combines experience with innovation to deliver consistently outstanding outcomes.
  • Comprehensive Aesthetic Solutions:

    • In addition to marionette line correction, the clinic offers a full spectrum of facial rejuvenation and body contouring procedures, allowing for holistic and harmonious results.

For those seeking the most advanced, safe, and personalized treatment 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

ProcedureSouth 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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