Marionette Lines in Rossendale

The line itself is the visible end of a structural change. Volume is lost and redistributed across the mid and lower face, the tissue beside the mouth sits lower than it did, and the fold deepens where it meets the jaw.

That is why the assessment looks at the whole lower face — and the midface above it — rather than only at the line you came in about.

Sometimes the right treatment is filler placed directly beneath the line and at the corner of the mouth to lift it. Sometimes the line is mostly a consequence of lost support higher up or along the jaw, and restoring that softens it with less product than filling the crease would take.

Filling a deep fold on its own, without regard for what is causing it, is how the lower face ends up looking heavy. If your assessment shows that another area would do more for these lines, I will say so.

Every treatment begins with a full-face assessment and an honest conversation. If I do not think a treatment is clinically indicated or right for you, I will say so and explain why — including when the answer is to do nothing.

You will be given written aftercare before you leave, and a direct number to reach me on if anything concerns you afterwards. Reviews are offered at two weeks so we can assess the result together and adjust if needed.

The row people skip is the review, and it is the one that separates a good result from a nearly-right one. Two weeks is the first point at which what you are looking at is product rather than swelling, and an adjustment made then is small, cheap and easy.

The face is assessed as a whole, not as the area you named

Almost nobody arrives asking about the right area. Somebody unhappy with their nasolabial folds usually needs midface support; somebody who wants a sharper jaw often needs the chin first. Treating the area named rather than the area responsible is the commonest reason a technically good result does not read as an improvement.

That is why the assessment covers the whole face even when you have come about one thing, and why the recommendation is sometimes for a different area than the one you booked to discuss.

How much, and why it is not decided in advance

Volumes are not published here on purpose. A minimum on a price list invites people to shop by quantity, which is the opposite of how the amount should be decided — what is appropriate depends on your anatomy, your starting point and what the face needs, and you are given the exact figure before anything is booked.

Starting conservatively is not caution for its own sake. Adding is straightforward at a review; removing means dissolving, a fortnight looking flatter than you started, and paying twice.

When the answer is no

There are faces where more volume is the wrong answer and saying so costs a booking. Significant skin laxity is the clearest case — adding weight to tissue that has already descended makes it heavier rather than tighter, and the honest conversation is about skin tightening or a surgical opinion.