{"id":61775,"date":"2026-02-18T16:33:54","date_gmt":"2026-02-18T15:33:54","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=61775"},"modified":"2026-06-11T20:13:04","modified_gmt":"2026-06-11T18:13:04","slug":"marionette-lines-treatment-before-after-results","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/traitement-plis-damertume-avant-apres-resultats\/","title":{"rendered":"Le traitement des plis d\u2019amertume avant\/apr\u00e8s, les r\u00e9sultats"},"content":{"rendered":"<h1>LE TRAITEMENT DES PLIS D&rsquo;AMERTUME AVANT\/APR\u00c8S, LES R\u00c9SULTATS<br \/>\n<\/h1>\n<p>Marionette line treatment is one of the most requested procedures in aesthetic medicine. These folds, extending from the lip corners towards the chin, profoundly change expression and contribute to a stern or tired appearance. Before\/after results are one of patients' main concerns. Beyond photographs, it is essential to explain objectively what can realistically be expected from well-performed treatment.<br \/>Marionette line treatment results are generally visible quickly and rely on gradually restoring lower-face harmony. Clinical studies and medical experience agree : when the indication is appropriate and the technique adapted, improvement is clear, natural and lasting. Hyaluronic acid injections correct hollows, restore volume and soften expression, with high patient satisfaction.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Les plis d&rsquo;amertume<\/h2>\n<p>Before treatment, marionette lines appear as a visible crease between lip corner and chin. The face looks more closed, harsh or sad. In some patients, expression seems tired despite sufficient rest. This reflects gradual volume descent, deep fat loss and skin thinning.<br \/>The fold can be subtle and visible only during expression, or pronounced and present at rest. In advanced forms, it accompanies loss of jawline definition and lip corner descent. This overall change explains why treatment cannot be limited to simple superficial filling. A structural approach is needed for a truly harmonious result.<\/p>\n<h2>Immediate results after treatment<\/h2>\n<p>A major advantage of hyaluronic acid treatment is how quickly results become visible. Fold improvement is perceptible immediately after injection. The hollow softens, the mouth-to-chin transition becomes smoother and expression looks less stern. <br \/>However, this immediate result is not yet final. Slight injection-related swelling can temporarily increase volume. A few days are generally needed to assess the actual correction. The optimal result appears between five and ten days after the session, once local inflammation has subsided and the product has integrated into tissues. <br \/>In some cases, a touch-up can be performed after two to four weeks to adjust correction and achieve a perfectly balanced result.<\/p>\n<h2>R\u00e9sultat avant\/apr\u00e8s le traitement des plis d&rsquo;amertume<\/h2>\n<p>The final result involves more than the disappearance of a <a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/wrinkles\/\">wrinkle<\/a>. Well-performed treatment changes overall facial perception. Expression becomes more relaxed, softer and more rested. Patients often describe a \u00ab less harsh \u00bb face without looking transformed.<br \/>Clinical studies confirm this overall improvement. Marionette lines become shallower and less visible after hyaluronic acid injection. Global aesthetic scale assessment shows notable improvement in most patients from the first month. <br \/>In some clinical series, more than 80 % of patients show improvement of at least one fold severity grade after treatment, with results judged natural by observers and patients themselves. The aim is a subtle result integrated with the whole face.<\/p>\n<h2>Results for skin quality and expression<\/h2>\n<p>Beyond correcting the hollow, hyaluronic acid injections improve skin quality. The product's deep hydration strengthens skin suppleness and improves appearance. The area looks smoother, less marked and more radiant.<br \/>This contributes to overall result perception. The lower third of the face looks firmer and better supported. The lip corners seem slightly raised, softening general expression. Studies show volumising injections restore facial harmony and improve perceived attractiveness without altering natural expressions.<\/p>\n<h2>Duration of results after marionette line treatment<\/h2>\n<p data-pm-slice=\"1 1 []\">Result duration is decisive when evaluating this technique. Because hyaluronic acid is resorbable, its effects are not permanent but are long-lasting. Literature data and clinical experience agree on average persistence between nine and fifteen months.<br \/>However, duration varies with several parameters, particularly product type, injection depth and individual metabolism. In some cases, it extends to twelve to eighteen months. Deep injections are also observed to last longer than superficial corrections.<\/p>\n<h2>Natural results<\/h2>\n<p>Marionette line treatment success is assessed primarily through the natural appearance of the result. Harmonious correction should not be immediately noticeable : the face should look rested, balanced and rejuvenated, without artificial feature changes or altered facial identity.<br \/>Available clinical data indicate that hyaluronic acids with appropriate rheological properties, particularly suppleness and tissue integration, follow lower-face dynamics. This encourages significant aesthetic improvement without rigidity or altered expressiveness. Patients most often describe subtle rejuvenation and improved perceived attractiveness while retaining their authentic appearance.<br \/>Overall facial management, including deep volume restoration, optimising support structures and improving skin quality, also optimises results. Conversely, isolated marionette line filling without correcting underlying structural imbalances risks an insufficient or even artificial result.<\/p>\n<h2>Results according to age and fold depth<\/h2>\n<p>The extent of the result depends on initial fold depth and tissue quality. In young patients with early folds, correction is often complete and very natural. In older patients with substantial volume loss and skin laxity, improvement is clear but may require a gradual approach.<br \/>Several sessions may be needed to restore lower-face balance. This progression achieves a natural, lasting result. Studies show aesthetic improvement persists when correction is gradual and appropriately adapted.<\/p>\n<h2>How results change over time<\/h2>\n<p>After injection, clinical progress generally involves gradual, harmonious improvement. The injected product integrates progressively into tissues while the skin regains physiological suppleness and mobility. <br \/>Through its hygroscopic and viscoelastic properties, hyaluronic acid also improves skin quality. Increased tissue hydration and local mechanical stimulation promote better dermal health, contributing to a smoother, more even treated area.<br \/>As the product is gradually absorbed, breakdown is slow and even. Return to the initial state is gradual rather than abrupt. Follow-up and regular maintenance sessions preserve the result. <\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-61775","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Le traitement des plis d&#039;amertume avant\/apr\u00e8s, les r\u00e9sultats \u2013 Gen\u00e8ve \u2013 Dr Romano<\/title>\n<meta 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