Marionette lines are vertical lines from the corners of the lips to the chin. The names comes from Marionette puppets that have the same vertical lines. Loss of midface volume and changes to the skin cause sagging of the skin and the formation of Marionette lines and jowls. These lines can give a sad appearance to the face. Dermal fillers are injected in the area between the chin, jawline and corner of the mouth to provide support and eliminate Marionette lines and also lift the corners of downturned lips.