What are they?

Marionette lines, also known as sad mouth lines, are facial creases that run from the corner of your mouth down to your chin. They can develop due to genes, ageing or smoking and give the mouth a downward appearance, often making it seem that we are always grumpy or tired.


As we age, our skin loses collagen and fat, resulting in a loss of skin elasticity and volume that causes our skin to sag. This ageing process deepens the marionette lines. The downturn of the corners of the mouth created by this can be corrected by creating a slight upturn.

River Aesthetics can create a youthful and fresh appearance, achieving exceptional results by using advanced anti-aging treatments such as dermal fillers, Silhouette Soft® Lift PDO Thread Lifting. Our medical team’s experience and artistic skill help patients achieve their desired look whilst maintaining their natural beauty using only the best products available on the market.

PDO Thread Lifting

Minimally invasive aesthetic treatment that rejuvenates skin and treats signs of ageing, restoring volume, and reducing wrinkles.

To see how we can help improve sad mouth corners, book a no obligation consultation with one of our experienced clinicians at River Aesthetics today.

Dermal Fillers

Dermal fillers are made of hyaluronic acid, natures ‘plumping molecule’ that is found naturally in the body, they are used to volumize, augment, and hydrate the skin.

Silhouette Soft® Lift

Silhouette Soft is a revolutionary non-surgical thread lift treatment that helps to treat signs of ageing, giving you a naturally refreshed appearance.

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    Which treatment is right for me?

    Dependent on the severity of the sad mouth corners that need treating and your skin condition there may be one option better for you than the other. An initial consultation with our doctors will help us decided which treatment is more suited to you. However, a combination of treatments can provide exceptional results.

    Which dermal fillers do you use?

    At River Aesthetics we use Ellansé® and Perfectha®.

    What are Thread Lifts?

    Our non-surgical Thread Lifts enable a more youthful and refreshed appearance for both men & women, with no need for surgery and a quick recovery time! Dissolvable threads are inserted under the skin using a fine needle – without the need for incisions – to elevate the sagging tissue and lift problem areas. Once the threads are in place, your body starts to produce new bundles of collagen around each thread, which over time gradually plump out the skin and give an incredible rejuvenating effect.

    River Aesthetics is one of the UK’s top thread lifting clinics, where we empower our patients to age well by achieving beautiful, natural-looking results.

    What is a Silhouette Soft Lift?

    This innovative 30-minute non-surgical treatment involves suturing sagging skin on the face with extremely fine Silhouette Soft® absorbable threads, which are dotted with bi-directional cones, are inserted via needle beneath the subcutaneous layer of fat in the face and pulled tight to lift the sagging skin.

    What is a PDO Thread Lift?

    Made from Polydioxanone (PDO), the same material used for medical stitches which dissolve naturally in the body over time, the smooth sutures are inserted via needle beneath the subcutaneous layer of fat in the face and pulled tight to instantly lift the sagging skin.

    Is there any downtime?

    The most common side effects for dermal fillers are bruising and swelling. Most swelling should settle within 48 hours however at River Aesthetics we use a cannula technique minimising which minimises the downtime.

    Downtime after a thread lift treatment is minimal. However, as with all cosmetic procedures, you may experience some very slight bruising or swelling in the days following the procedure and some mild tension in the areas that have been elevated. During the first two weeks after treatment, you should not undergo dental surgery and you must avoid facial and beauty treatments. We recommend that you avoid any impact exercise for two weeks after the treatment and advise you to sleep on your back and slightly elevated during that time.


    Dr Victoria Manning


    “As we age, our skin loses collagen which can cause the skin to sag which can give the appearance of looking sad. Many of our patients come to us asking if we can lift the corners of their mouth simply so they can look happier again. At River Aesthetics, we achieve this by using the latest thread technologies to give beautiful natural results.”

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