Marionette Lines

About the service

Smooth Marionette Lines for a Youthful, Uplifted Look

Marionette lines—those vertical folds that run from the corners of the mouth down toward the chin—can give the face a downturned, tired, or even sad appearance. At Beauty by Dr. Kay in Pasadena, we specialize in rejuvenating this area using advanced dermal fillers from trusted brands like Allergan, Galderma, Evolus, and Merz.

These carefully placed injectables restore volume and firmness to the lower face, lifting the corners of the mouth and smoothing deep folds. Dr. Kay tailors each treatment to your unique facial structure, ensuring natural-looking results that brighten your expression without changing your character.

Whether due to aging, genetics, or volume loss, marionette lines can be corrected quickly, comfortably, and without surgery—giving you a more refreshed and approachable appearance.

Schedule a Consultation

More info:

Dr. Kay injects hyaluronic acid-based or biostimulatory fillers directly into the marionette lines and surrounding areas to replenish volume, lift the mouth corners, and smooth the chin crease. Products like Radiesse® not only fill but also stimulate collagen for longer-term skin improvement. The result is a softer, lifted lower face with improved contour and expression.

Deep folds running from mouth to chin
Downturned corners of the mouth
Volume loss in the lower cheeks and jawline
Early jowl formation
A tired or sad-looking resting expression

Frequently Asked Questions

Marionette lines form due to aging, loss of skin elasticity, collagen depletion, and gravity pulling on the lower face. Repetitive facial expressions may also deepen the lines over time.

Radiesse® and Juvéderm® Ultra Plus XC are ideal for marionette lines because they restore volume and stimulate collagen production, softening deep creases effectively.

Most patients enjoy results for 12 to 18 months depending on the filler used and their individual metabolism. Maintenance treatments can prolong the effects.

The procedure involves minimal discomfort. Most fillers used by Dr. Kay contain lidocaine, and a topical numbing cream is applied to ensure a comfortable experience.

Not at all. Dr. Kay’s expertise lies in creating subtle, natural-looking enhancements that improve facial harmony without making you look "done" or overfilled.

Juvederm Ultra Plus XC is a dermal hyaluronic acid filler used to add volume to the face, especially in the lips. Produced by Allergan, Juvederm Ultra Plus XC is approved to restore moderate-to-severe facial volume loss. This filler contains lidocaine, a local anisthetic that reduces pain.

Juvederm Ultra Plus XC is an excellent choice to add volume to the lips and provide a natural, beautiful pout. Most patients start with 1 syringe in their initial treatment, and may return for further syringes if they would like additional volume.

Heading 1

Heading 2

Heading 3

Heading 4

Heading 5

Heading 6

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur.

Block quote

Ordered list

Item 1
Item 2
Item 3

Unordered list

Item A
Item B
Item C

Text link

Bold text

Emphasis

^Superscript

_Subscript

testimonials

What our Patients Say About Us

“I’ve been going to Dr. Kay for five years, and the results have been truly life-changing. From fillers (under-eye, jawline, cheeks, lips, temples, chin) to PRP for my scalp and breast augmentation scars, every treatment has been natural, subtle, and customized to my face. As an actress, it's essential my expressions stay intact—at 33, people are shocked I’ve had work done. Dr. Kay is truly the best—her techniques, precision, and global expertise set the standard. Yes, she may be more expensive, but it's worth every penny when it’s your face. I’ve never had to dissolve anything, and my confidence has never been higher. 💖💖”
‍-Margo, Graff

B&A 1

B&A 2

“Dr. Kay is the absolute best, and her staff is always so warm and welcoming. I always have a great experience at every appointment. I love that Dr. Kay offers specials each month, and her Stay with Kay program is a no brainer especially if you are dedicated to routine Botox and overall maintenance. Her skincare products are also awesome. I use the Vit. C Serum, Deep Blue Hydration., and Neck Firming Therapy cream. Dr. Kay's work is flawless, and I always get so many compliments after my visits with her. She is such a sweetheart and so is her manager Carmen and the rest of the staff. Highly recommend!!”
‍- Kelly R.

B&A 1

B&A 2

“Absolutely had a great experience at Dr. Kay’s office.Everyone in her team was extremely nice and helpful. I was immediately happy with my results. I have another appointment in the next couple weeks and I am excited to see the finished results! Definitely recommend if you want to leave the office feeling happy with your results!” - Anna F.

B&A 1

B&A 2

“Dr. Kay and her team are the best option for facials, anything injectable and general skincare and maintenance. I come here because I know I’m getting the absolute best care from knowledgeable, carefully and informative injectors! With Dr. Kay I get a specific plan that is right for my goals and budget. I get all my questions answered and leave her office feeling empowered! Join the VIP program! You won’t regret it. I received my first microdermabrasion facial as well as Botox for my traps, wrinkles and platysma bands.”- Sophie R.

B&A 1

B&A 2

“Dr. Kay is truly exceptional! I’ve been a follower on Instagram, admiring her work, and I finally had the opportunity to experience it firsthand. Her products and services are top-notch. Personally, I underwent a nose job as a teen, and unfortunately, the initial results left me feeling insecure. Thanks to Dr. Kay’s renowned liquid Rhinoplasty, she transformed my nose into my dream look in just 20 minutes! I’m incredibly thrilled with the results, and her supportive staff only adds to the positive experience. My confidence has seen a significant boost. Without a doubt, I highly recommend Dr. Kay!”
- Gil A.

B&A 1

B&A 2

“I participated in a Radiesse study for lower face balancing for Dr. Kay’s Modern Aesthetic Theory.
I always appreciate Dr. Kay’s direct communication, professionalism and expertise. I also had her address some changes in under eye filler that I had and wasn’t happy with. You never want to go just anywhere with regard to aesthetics and under eyes. I did wait a while longer than I expected to be seen, however, overall I’m happy with the results. Subtle, and natural.”
- Rebecca F.
‍

B&A 1

B&A 2

“I have been treated by Dr. Kay for the last 8 months doing a Sculptra study.
I had previously been using fillers to help with what I thought was volume loss throughout my face. With this one Sculptra study, Dr. Kay has essentially given me a face lift without using any fillers or adding volume to my face. I trust Dr. Kay and her staff to keep me looking my best without changing my overall look. I’m incredibly happy with my services!.”
- Rose L.

B&A 1

B&A 2

“I love Dr. Kay! She came recommended by a friend who manages a med spa, as the #1 doctor for facial injections. I drive all the way from the Palisades for Botox and fillers... she does a beautiful job creating a natural look to help me look like my best self. 💖 Thank you for helping me look as young as I feel.”
- Laura N.

B&A 1

B&A 2

“I highly recommend Dr. Kay. I am 65 and I was quite honestly pretty nervous for my appointment. Everyone in the office made me feel safe, excited, and comfortable..”
‍- Alison H.

B&A 1

B&A 2