Droopy Mouth Marionette Lines Filler Gone Wrong
I know how frustrating this feels. You’ve got fillers to smooth out those marionette lines running from your mouth to your chin.
But now your mouth looks droopier than before. Trust me, you’re not alone in this.
Fillers are supposed to lift and plump the area around your mouth corners. When something goes wrong, they can pull your mouth down instead of lifting it up.
I’ve seen this happen more times than I can count. The good news? Most of these problems can be fixed when you catch them early.
Let me walk you through what caused this and how to get it corrected.
What Are Marionette Lines and Why Do They Affect the Mouth

Marionette lines run from your mouth to your chin. As you age, they deepen and make your mouth look droopy.
Where Marionette Lines Form on the Face
Marionette lines are the vertical creases that run from the corners of your mouth down to your chin. They get their name from marionette puppets, which have similar lines where the mouth hinges.
These lines sit right at the edge of your mouth. That’s why they have such a big impact on how your lower face looks. When they get deeper, your mouth can start to look like it’s turning downward.
How Ageing Causes Droopy Mouth Corners
Your skin loses collagen as you get older. This protein keeps your skin firm and tight. Without enough of it, your skin becomes loose and saggy.
Gravity doesn’t help either. Over time, the fat pads in your lower face shift downward. This creates hollow areas and makes the skin around your mouth droop.
The combination of loose skin and lost volume makes your mouth corners turn down. This gives you a sad or tired look, even when you’re feeling fine. Your whole facial expression can change because of this sagging.
How Marionette Line Fillers Are Supposed to Work

When done right, fillers can lift your mouth area and smooth out those deep lines.
How Fillers Lift and Support the Mouth Area
Fillers add volume back to areas that have lost it over time. Your injector places the filler beneath the skin to fill in hollow spaces.
This plumps up the deep creases. The added volume pushes the skin outward and makes the lines less noticeable.
The filler also props up your mouth corners. It holds everything up and keeps your mouth from turning downward.
Why Precision Matters in This Area
Your mouth moves constantly when you talk, eat, and smile. This makes it tricky to inject. The filler needs to move naturally with your face.
Getting the depth right is critical. Too shallow creates visible lumps. Too deep won’t fix the surface lines.
Placement matters just as much. Even a few millimeters off can change how your mouth looks. Poorly placed filler can weigh down your mouth corners instead of lifting them.
Signs Your Droopy Mouth Marionette Line Filler Has Gone Wrong

Something feels off after your filler treatment. How do you know if it’s just normal swelling or an actual problem? Here are the red flags to watch for.
Visible Appearance Changes
Your mouth corners look more downturned than before the treatment. Instead of lifting, they’re pulling down even further.
Your face looks heavier or puffier in the lower area. The filler added weight instead of providing lift.
You look worse than you did before getting fillers. This is the biggest sign something went wrong. Good filler should make you look refreshed, not older or sadder.
Texture and Symmetry Issues
You can feel lumps or bumps under your skin when you touch the area. The filler didn’t spread evenly or was placed too close to the surface.
One side of your face looks different from the other. Your mouth might be crooked or one marionette line looks deeper than the other.
The results look uneven. Maybe one side got too much filler while the other didn’t get enough.
Pain and Medical Warning Signs
Swelling or bruising that lasts more than two weeks is not normal. Some initial swelling is expected, but it should go down quickly.
The area feels hot, looks very red, or hurts when you touch it. These are signs of possible infection or vascular complications.
You notice white or gray patches on your skin near the injection site. This could mean reduced blood flow, which needs immediate medical attention.
If you see any of these serious symptoms, contact your injector or go to urgent care right away.
Common Causes of Droopy Mouth After Marionette Line Fillers
- Incorrect filler placement: Your injector placed the filler too low or in the wrong layer of tissue. This pulls your mouth down instead of lifting it up.
- Too much filler in the area: Overfilling adds extra weight to your lower face. The excess product drags your mouth corners downward instead of supporting them.
- Ignoring the rest of your face: Your injector only treated the marionette lines but ignored your hollow cheeks or weak chin. Without overall facial balance, your mouth still looks droopy.
- Wrong filler type: Some fillers are too thick or stiff for the delicate mouth area. They don’t move naturally with your face and create a heavy, pulled-down look.
- Inexperienced injector: Your provider didn’t have enough training in facial anatomy. This leads to poor placement, uneven results, and a higher chance of complications.
How to Fix Droopy Mouth Marionette Lines Filler Gone Wrong

First, see an experienced injector who specializes in corrections. They’ll assess what went wrong and create a treatment plan.
If you have hyaluronic acid filler, hyaluronidase can dissolve it safely. This enzyme breaks down the filler within 24 to 48 hours.
After dissolving the bad filler, your injector can redo the treatment properly. They’ll balance your lower face and restore your mouth to its natural position.
Don’t try to fix it yourself. Massaging the area or adding more filler will make things worse. Leave corrections to the professionals.
When to Seek Urgent Medical Attention

Some complications need immediate care. Don’t wait if you notice these symptoms.
Severe pain that doesn’t improve with medication could mean blocked blood flow. This is a medical emergency.
Skin turning white, gray, or purple means your tissue isn’t getting enough blood. You need treatment within hours to prevent permanent damage.
Rapid swelling with fever, pus, or hot skin signals infection. This requires urgent medical treatment.
Contact your injector right away. If you can’t reach them, go to the emergency room.
Final Thoughts
I know dealing with bad filler results feels awful. But here’s what I want you to remember: complications like this don’t happen often, and they’re almost always fixable.
Most droopy mouth issues can be reversed with hyaluronidase. You’re not stuck with these results forever.
The key is finding an experienced injector who knows facial anatomy inside and out. They’ll take the time to assess your face properly and create natural-looking results.
Don’t let one bad experience stop you from getting the results you want. Just make sure you’re in the right hands next time.
Frequently Asked Questions
Can marionette line fillers make my mouth look droopier?
Yes, poorly placed or excess filler can weigh down your mouth corners instead of lifting them. This happens when the injector uses too much product or injects in the wrong location.
How long does it take to dissolve bad marionette line filler?
Hyaluronidase can dissolve hyaluronic acid fillers within 24 to 48 hours. You might need multiple sessions depending on how much filler needs to be removed.
Will my face go back to normal after dissolving the filler?
Yes, your face will return to its pre-filler state once the product is fully dissolved. You can then decide whether to try again with a more experienced injector.
How do I know if my injector is qualified to fix my droopy mouth?
Look for someone who specializes in facial anatomy and has experience correcting filler complications. Check their before and after photos and read reviews from other patients.
Can I prevent droopy mouth from happening with marionette line fillers?
Choose an experienced injector who understands lower face anatomy and uses conservative amounts of filler. A skilled provider will assess your entire face, not just treat one area in isolation.
