What are Marionette Lines?
Distinguishing Facial Creases; It is common for many individuals to confuseProminent nasolabial folds.with "marionette lines." To clarify the difference: nasolabial folds are the lines located between the nose and the cheeks. These are natural facial features present in everyone, regardless of age—from teenagers to the elderly.
Marionette lines are the creases that extend downward from the corners of the mouth to the lower jawline. The traditional Thai name for these lines, rong nam mak, literally translates to "betel nut juice grooves." This name originates from the past when elders frequently chewed betel nuts; the dark juice would often trickle down the face, naturally following the path of these specific grooves.
What Causes Marionette Lines?
Marionette lines primarily occur in older individuals, resulting from the natural sagging of skin and underlying tissues. As these tissues lose their elasticity, the cheeks begin to droop toward the lower portion of the face. These concerns rarely appear in isolation.
This localized sagging often coincides with broader facial concerns, such as deep nasolabial folds, sagging jowls, a double chin, and neck wrinkles. Collectively, these issues can lead to a tired appearance and may significantly diminish one's self-confidence.
Correcting Marionette Lines
For those experiencing deep nasolabial folds, prominent marionette lines, or Addressing Sagging Cheeks —even for individuals aged 60 and above—it is possible to restore a more youthful appearance. The specialized techniques developed by TRP Hospital (Dr. Choladhis) are particularly effective and stand out for the following reasons:
- The Face-Lock™ facelift procedure and lower Lock System; these techniques specifically target lower facial sagging and contouring. By lifting drooping cheeks, both marionette lines and nasolabial folds become significantly less visible.
- Discreet scar placement; after the procedure, incisions are carefully concealed, allowing patients to resume their daily lives with confidence.
- Minimal discomfort and rapid results; the procedure involves only slight, manageable discomfort. Patients often see visible improvement in as little as 11 to 20 days, with deep lines significantly diminished.
- Attentive post-operative care; we provide comprehensive follow-up care during the first month, including check-ups, medication, and wound cleaning—all at no additional cost.
- Natural-looking outcomes; our goal is to restore a fresh, vibrant, and younger-looking face, helping patients regain their full confidence.



















