Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam<\/title><br \/>\n<meta name=\"description\" content=\"Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours\">\n<link rel=\"alternate\" hreflang=\"en\" href=\"https:\/\/rappoel-clinic.com\/aptos-thread-lift-marionette-lines-en\/\" \/>\n<link rel=\"alternate\" hreflang=\"zh-TW\" href=\"https:\/\/rappoel-clinic.com\/aptos-thread-lift-marionette-lines-zh\/\" \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"MedicalClinic\", \"@id\": \"https:\/\/rappoel-clinic.com\/#clinic\", \"name\": \"Rappoel Dermatology Clinic\", \"alternateName\": [\"Rappoel \u76ae\u819a\u79d1\", \"\ub77c\ud3ec\uc5d8 \ud53c\ubd80\uacfc\"], \"url\": \"https:\/\/rappoel-clinic.com\", \"address\": {\"@type\": \"PostalAddress\", \"streetAddress\": \"77, Seocho-daero\", \"addressLocality\": \"Seocho-gu\", \"addressRegion\": \"Seoul\", \"postalCode\": \"06609\", \"addressCountry\": \"KR\"}, \"geo\": {\"@type\": \"GeoCoordinates\", \"latitude\": 37.4926, \"longitude\": 127.0175}, \"telephone\": \"+82-2-XXXX-XXXX\", \"openingHours\": [\"Mo-Fr 10:00-19:00\", \"Sa 10:00-17:00\"], \"medicalSpecialty\": \"Dermatology\", \"availableService\": [{\"@type\": \"MedicalProcedure\", \"name\": \"Thread Lift (Aptos)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Hyaluronic Acid Filler\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Botulinum Toxin (Botox)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Ultherapy \/ HIFU\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Skin Booster (Juvelook \/ Exosomes)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Laser Skin Treatment\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Onda Coolwaves Body Contouring\"}], \"sameAs\": [\"https:\/\/www.instagram.com\/rappoel_official\"]}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"Article\", \"headline\": \"Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam\", \"description\": \"Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours\", \"inLanguage\": \"en\", \"author\": {\"@type\": \"Organization\", \"name\": \"Rappoel Dermatology Clinic\"}, \"publisher\": {\"@type\": \"Organization\", \"name\": \"Rappoel Dermatology Clinic\", \"logo\": {\"@type\": \"ImageObject\", \"url\": \"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/favicon-512.png\"}}, \"about\": {\"@id\": \"https:\/\/rappoel-clinic.com\/#clinic\"}}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"How long do marionette line thread lift results last? Do I need regular treatments?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"APTOS thread lift marionette line improvement duration: (1) Physical lift \u2014 the immediate physical lifting gradually weakens over 6-8 months (as threads begin absorbing). (2) Collagen neogenesis \u2014 collagen stimulated during thread absorption maintains partial lift for 12-18 months (approximately 50-60% of initial effect). (3) Overall recommendation \u2014 12-month follow-up after initial treatment; if results diminished significantly, supplement with additional threads. Rappoel recommends: (1) Thread lift alone lasts approximately 12-18 months. (2) If combined with HA filler (lasting 9-12 months), recommend filler touch-up at 6-9 months. (3) If combined with Coretox Botox (lasting 3-4 months), recommend Botox maintenance every 3-4 months. (4) Triple approach (thread + filler + Botox) is most comprehensive but requires separate component maintenance.\"}}, {\"@type\": \"Question\", \"name\": \"Is thread lift alone sufficient for marionette lines? Do I need combination treatment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Depends on marionette line type and severity: (1) Mild marionette lines (only superficial lines) \u2014 APTOS thread lift 1-2 threads alone is effective, no combination needed. (2) Moderate marionette lines (obvious depression + mouth corner drooping) \u2014 thread lift + HA filler for deep depressions + Coretox for depressor anguli oris relaxation, triple approach for best results. Reason: thread lift lifts sagging tissue but cannot fill deep depressions \u2014 HA fills depressions but cannot lift sagging \u2014 Botox prevents muscle pull-down but cannot lift or fill. All three synergize for comprehensive improvement. (3) Severe marionette lines (deep lines + overall sagging) \u2014 need more comprehensive thread plan (mid-face + mouth corners + jawline combined lift) + filler + Botox. Rappoel physicians design the most suitable combination plan during assessment.\"}}, {\"@type\": \"Question\", \"name\": \"Will marionette line thread lift make my smile stiff? Will it affect speaking and eating?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"With correct technique, it does not affect smile or daily function. Rappoel safety strategy: (1) Precise implant depth \u2014 threads are implanted in the sub-SMAS plane (deep subcutaneous fat layer), not affecting orbicularis oris or expression muscle function. (2) Moderate lift force \u2014 lifting sagging tissue to natural position without over-pulling affecting expression. (3) Avoiding facial nerve branches \u2014 Rappoel physicians are familiar with facial anatomy and operate in safe planes. Mild pulling sensation during mouth movement for 1-2 weeks post-op \u2014 this is a normal swelling response, resolving to natural. If smile asymmetry occurs (usually from unilateral excessive thread tension), thread tension can be adjusted within 1-2 weeks. Rappoel has never had severe smile stiffness or long-term functional impairment.\"}}, {\"@type\": \"Question\", \"name\": \"What other methods improve marionette lines besides thread lift?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Marionette line improvement methods depend on type and severity: (1) APTOS thread lift \u2014 for sagging drooping type. Pros: non-surgical, instant, adjustable. Cons: lasts 12-18 months needing maintenance. (2) HA filler \u2014 for fat atrophy depression type. Pros: instant filling, precise control. Cons: lasts 9-12 months. (3) Coretox Botox \u2014 for overactive depressor anguli oris type. Pros: non-invasive, 3-day onset. Cons: lasts 3-4 months. (4) Thermage FLX \u2014 for mild overall laxity. Pros: non-invasive full-face tightening. Cons: limited improvement for deep depressions. (5) Facelift surgery \u2014 for severe laxity. Pros: definitive correction. Cons: surgical trauma. Rappoel recommends: mild \u2192 thread lift or filler alone; moderate \u2192 triple approach; severe \u2192 assess if surgery is needed.\"}}, {\"@type\": \"Question\", \"name\": \"What is the difference between marionette line and nasolabial fold thread lift? Can they be done together?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Marionette lines and nasolabial folds are both aging signs in the mid-to-lower face, but differ in location and cause: (1) Nasolabial folds \u2014 vertical wrinkles from nose to mouth corners, primarily from mid-face soft tissue sagging compression. Thread lift direction: upward-posterior mid-face lifting. (2) Marionette lines \u2014 vertical wrinkles from mouth corners to jaw, primarily from lateral mouth corner soft tissue sagging. Thread lift direction: upward-lateral mouth corner lifting. Can they be done together? \u2014 Absolutely, and recommended. Reason: nasolabial folds and marionette lines usually appear together, and separately lifting the mid-face and mouth corners comprehensively improves mid-to-lower facial aging. Thread count: nasolabial 2-3 per side + marionette 2-3 per side = bilateral total 8-12 threads. Doing both simultaneously does not increase recovery \u2014 because implant planes and paths do not conflict. Rappoel physicians can design a comprehensive plan to improve nasolabial folds + marionette lines in one session.\"}}]}<\/script><\/p>\n<style>\n*{box-sizing:border-box;margin:0;padding:0}\nbody{font-family:'PingFang SC','Noto Sans KR',sans-serif;background:#fffcf7;color:#3d2e1e;line-height:1.8}\n.wrap{max-width:677px;margin:0 auto;padding:32px 20px 60px}\n.banner{background:#FFF8EC;text-align:center;padding:36px 20px 28px;margin-bottom:36px;border-bottom:1px solid #e8d5c0}\n.banner-tag{font-size:11px;letter-spacing:3px;color:#8B7355;text-transform:uppercase;margin-bottom:12px}\n.banner h1{font-size:24px;color:#3d2e1e;line-height:1.4;margin-bottom:12px}\n.banner .sub{font-size:13px;color:#6b5240;line-height:1.7}\nh2{font-size:19px;color:#3d2e1e;margin:32px 0 14px;padding-bottom:8px;border-bottom:1px solid #e8d5c0}\nh3{font-size:16px;color:#3d2e1e;margin:22px 0 10px}\np{font-size:15px;color:#555;line-height:1.9;margin-bottom:14px}\n.highlight{background:#fff;border:1px solid #f0e8dc;border-left:3px solid #D4A574;padding:16px 20px;margin:22px 0;border-radius:0 6px 6px 0}\n.highlight p{margin:0;font-size:14px;color:#6b5240}\n.card{background:#F5E6C8;border:1px solid #e8d5c0;border-radius:8px;padding:18px 22px;margin:16px 0}\n.card-title{font-size:13px;font-weight:700;color:#3d2e1e;margin-bottom:6px}\n.card p{font-size:14px;margin:0}\n.faq-item{margin:14px 0;border-bottom:1px solid #f0e8dc;padding-bottom:14px}\n.faq-q{font-weight:700;color:#3d2e1e;font-size:15px;margin-bottom:6px}\n.faq-a{font-size:14px;color:#555;line-height:1.8}\n.cta{background:#F5E6C8;text-align:center;padding:32px 20px;margin-top:40px;border-radius:8px}\n.cta h3{font-size:17px;color:#3d2e1e;margin-bottom:8px}\n.cta p{font-size:13px;color:#6b5240;margin-bottom:4px}\nimg{max-width:100%;height:auto;display:block;margin:20px auto;border-radius:6px}\nul,ol{padding-left:22px;margin-bottom:14px}\nli{font-size:15px;color:#555;line-height:1.9;margin-bottom:4px}\n.schema-block{display:none}\n@media(max-width:600px){.wrap{padding:20px 14px 40px}.banner h1{font-size:20px}}\n<\/style>\n<p><\/head><br \/>\n<body><\/p>\n<div class=\"wrap\">\n<div class=\"banner\">\n<div class=\"banner-tag\">Lifting<\/div>\n<h1>Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam<\/h1>\n<div class=\"sub\">Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours<\/div>\n<\/p><\/div>\n<p>Marionette lines are vertical wrinkles extending from the mouth corners downward toward the jaw \u2014 named after the mouth-side cracks on marionette puppets. The appearance of marionette lines marks the beginning of aging in the mid-to-lower face \u2014 the skin and soft tissue lateral to the mouth corners gradually sag with age, forming depressed wrinkles at the outer-lower mouth corners, making the mouth appear droopy and the person look tired, unhappy, or even stern. Causes of marionette lines are multifactorial: (1) Skin laxity \u2014 facial skin collagen and elastin decrease with age, skin sags downward, forming depressions lateral to the mouth corners. (2) Ligament laxity \u2014 the masseteric-cutaneous and mandibular ligaments lateral to the mouth corners loosen with age, unable to effectively support the lateral soft tissue, leading to sagging and marionette line formation. (3) Fat atrophy \u2014 subcutaneous fat atrophy in the mid-face and lateral mouth corners, with unsupported skin collapsing downward to form depressions. (4) Gravity \u2014 years of gravity cause lateral mouth corner soft tissue to shift downward. (5) Expression habits \u2014 frequent mouth-corner-pulling-down expressions (sadness, dissatisfaction) deepen marionette lines. Once formed, skincare products cannot improve them \u2014 structural-level lifting support is needed. Rappoel Dermatology near Gangnam Station, Seoul, uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting of lateral mouth corner soft tissue for youthful contours.<\/p>\n<h2>Technical Principles of APTOS Thread Lift for Marionette Lines<\/h2>\n<ul>\n<li><strong>Bidirectional cog thread physical lifting:<\/strong> APTOS threads have bidirectional cogs on the surface \u2014 after implantation, the cogs grip surrounding tissue and generate lifting force in both directions simultaneously. After implanting threads lateral to the mouth corners, the cogs grip sagging soft tissue and lift upward \u2014 immediately improving mouth corner drooping and marionette line depressions<\/li>\n<li><strong>APTOS thread safety certification:<\/strong> APTOS are Russian-developed polycaprolactone (PCL)\/polylactic acid (PLA) absorbable threads \u2014 CE and KFDA certified, fully absorbed in 6-12 months. During absorption, threads stimulate local collagen neogenesis \u2014 even after absorption, new collagen maintains partial lifting effect (approximately 50-60% of initial lift lasting 12-18 months)<\/li>\n<li><strong>Non-surgical with no incisions:<\/strong> APTOS threads are implanted through fine needle punctures \u2014 no surgical incisions, no general anesthesia. Only local anesthesia, puncture holes under 1mm, no visible scarring after healing<\/li>\n<li><strong>Instant lift + gradual improvement:<\/strong> Physical lifting effect is immediate after thread implantation \u2014 physician and patient confirm improvement on the spot. Results improve as mild swelling subsides over 2-4 weeks, with further optimization at 3-6 months from collagen neogenesis<\/li>\n<li><strong>Combines with multiple therapies for enhancement:<\/strong> Marionette line improvement typically requires combination treatment: (1) APTOS thread lift for sagging tissue; (2) HA filler for deep depressed wrinkles; (3) Coretox Botox for relaxing the depressor anguli oris. Three therapies synergize for optimal results<\/li>\n<\/ul>\n<h2>Treatment Strategies for Different Marionette Line Types<\/h2>\n<ul>\n<li><strong>Mild marionette lines type:<\/strong> Slight depressions lateral to the mouth corners, visible at rest but not prominent, deepening with movement (smiling, speaking). Strategy: implant 1 APTOS thread per side lateral to the mouth corners for upward lifting, effectively improving. Can combine with a small amount of HA filler for superficial lines (0.5ml per side)<\/li>\n<li><strong>Moderate marionette lines type:<\/strong> Obvious depressed wrinkles lateral to the mouth corners, mild mouth corner drooping, clearly visible at rest. Strategy: implant 2 APTOS threads per side for upward-posterior lifting, restoring lateral mouth corner support. Combine with HA filler for deep depressions (1-2ml per side) and Coretox for depressor anguli oris relaxation (5-10 units per side)<\/li>\n<li><strong>Severe marionette lines type:<\/strong> Obvious mouth corner drooping, deep and long marionette lines (extending to jaw), with overall mid-face sagging. Strategy: comprehensive thread lifting \u2014 not only lifting mouth corners (2-3 threads per side) but also mid-face (2-3 per side) and jawline (2-3 per side), total 6-10 threads. Combine with HA filler for deep depressions and Coretox for depressor anguli oris<\/li>\n<li><strong>Fat atrophy marionette lines type:<\/strong> Marionette lines primarily from fat atrophy lateral to mouth corners, without significant skin laxity. Strategy: HA filler as primary treatment (1-2ml per side restoring volume), supplemented with 1-2 APTOS threads for mild lifting. Severe fat atrophy can consider autologous fat grafting<\/li>\n<li><strong>Expression-habit marionette lines type:<\/strong> Marionette lines deepened by habitual mouth-corner-pulling-down expressions causing overactive depressor anguli oris. Strategy: Coretox Botox as primary treatment (5-10 units per side relaxing the depressor anguli oris), supplemented with 1-2 APTOS threads for lifting and a small amount of HA filler. Triple approach for best results<\/li>\n<\/ul>\n<h2>Rappoel Marionette Line Thread Lift Treatment Protocol<\/h2>\n<ol>\n<li><strong>Marionette line assessment and plan design (15 min):<\/strong> Frontal and side evaluation of marionette line depth and mouth corner drooping degree \u2192 assess overall mid-face and jawline laxity \u2192 determine marionette line type (laxity\/atrophy\/expression\/mixed) \u2192 establish treatment plan (thread count, implant positions, lift directions, whether to combine filler or Botox)<\/li>\n<li><strong>Disinfection and local anesthesia (10 min):<\/strong> Facial cleansing \u2192 povidone-iodine preparation \u2192 local anesthesia injection along implant paths and entry\/exit points (lidocaine + epinephrine) \u2192 wait 5-10 minutes for full anesthesia<\/li>\n<li><strong>Thread implantation (20-30 min):<\/strong> Specialized introducer needle punctures from designed entry points \u2192 advances along the sub-SMAS plane to target positions \u2192 APTOS bidirectional cog threads implanted along the needle tract \u2192 withdraw introducer leaving threads \u2192 gentle compression to adjust thread position and lift tension \u2192 implant thread by thread with immediate assessment \u2192 same for the other side<\/li>\n<li><strong>Immediate assessment and micro-adjustment (10 min):<\/strong> Patient sits up for frontal and side observation \u2192 confirm mouth corner drooping improvement and marionette line reduction \u2192 adjust thread tension if over-lifted or insufficient \u2192 trim excess thread \u2192 before\/after photography<\/li>\n<li><strong>Post-care instructions (5 min):<\/strong> Precautions (avoid wide mouth opening and intense expressions for 2 weeks, avoid facial pressing for 1 month, avoid side-sleeping for 2 weeks, avoid strenuous exercise for 2 weeks) \u2192 2-week follow-up<\/li>\n<\/ol>\n<p>The marionette line thread lift takes about 45-60 minutes, with immediate improvement visible, stabilizing at 2-4 weeks, lasting 12-18 months. Located 3 minutes from Gangnam Station Exit 10, with seamless English and Chinese consultation.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<div class=\"faq-item\">\n<div class=\"faq-q\">How long do marionette line thread lift results last? Do I need regular treatments?<\/div>\n<div class=\"faq-a\">APTOS thread lift marionette line improvement duration: (1) Physical lift \u2014 the immediate physical lifting gradually weakens over 6-8 months (as threads begin absorbing). (2) Collagen neogenesis \u2014 collagen stimulated during thread absorption maintains partial lift for 12-18 months (approximately 50-60% of initial effect). (3) Overall recommendation \u2014 12-month follow-up after initial treatment; if results diminished significantly, supplement with additional threads. Rappoel recommends: (1) Thread lift alone lasts approximately 12-18 months. (2) If combined with HA filler (lasting 9-12 months), recommend filler touch-up at 6-9 months. (3) If combined with Coretox Botox (lasting 3-4 months), recommend Botox maintenance every 3-4 months. (4) Triple approach (thread + filler + Botox) is most comprehensive but requires separate component maintenance.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">Is thread lift alone sufficient for marionette lines? Do I need combination treatment?<\/div>\n<div class=\"faq-a\">Depends on marionette line type and severity: (1) Mild marionette lines (only superficial lines) \u2014 APTOS thread lift 1-2 threads alone is effective, no combination needed. (2) Moderate marionette lines (obvious depression + mouth corner drooping) \u2014 thread lift + HA filler for deep depressions + Coretox for depressor anguli oris relaxation, triple approach for best results. Reason: thread lift lifts sagging tissue but cannot fill deep depressions \u2014 HA fills depressions but cannot lift sagging \u2014 Botox prevents muscle pull-down but cannot lift or fill. All three synergize for comprehensive improvement. (3) Severe marionette lines (deep lines + overall sagging) \u2014 need more comprehensive thread plan (mid-face + mouth corners + jawline combined lift) + filler + Botox. Rappoel physicians design the most suitable combination plan during assessment.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">Will marionette line thread lift make my smile stiff? Will it affect speaking and eating?<\/div>\n<div class=\"faq-a\">With correct technique, it does not affect smile or daily function. Rappoel safety strategy: (1) Precise implant depth \u2014 threads are implanted in the sub-SMAS plane (deep subcutaneous fat layer), not affecting orbicularis oris or expression muscle function. (2) Moderate lift force \u2014 lifting sagging tissue to natural position without over-pulling affecting expression. (3) Avoiding facial nerve branches \u2014 Rappoel physicians are familiar with facial anatomy and operate in safe planes. Mild pulling sensation during mouth movement for 1-2 weeks post-op \u2014 this is a normal swelling response, resolving to natural. If smile asymmetry occurs (usually from unilateral excessive thread tension), thread tension can be adjusted within 1-2 weeks. Rappoel has never had severe smile stiffness or long-term functional impairment.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">What other methods improve marionette lines besides thread lift?<\/div>\n<div class=\"faq-a\">Marionette line improvement methods depend on type and severity: (1) APTOS thread lift \u2014 for sagging drooping type. Pros: non-surgical, instant, adjustable. Cons: lasts 12-18 months needing maintenance. (2) HA filler \u2014 for fat atrophy depression type. Pros: instant filling, precise control. Cons: lasts 9-12 months. (3) Coretox Botox \u2014 for overactive depressor anguli oris type. Pros: non-invasive, 3-day onset. Cons: lasts 3-4 months. (4) Thermage FLX \u2014 for mild overall laxity. Pros: non-invasive full-face tightening. Cons: limited improvement for deep depressions. (5) Facelift surgery \u2014 for severe laxity. Pros: definitive correction. Cons: surgical trauma. Rappoel recommends: mild \u2192 thread lift or filler alone; moderate \u2192 triple approach; severe \u2192 assess if surgery is needed.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">What is the difference between marionette line and nasolabial fold thread lift? Can they be done together?<\/div>\n<div class=\"faq-a\">Marionette lines and nasolabial folds are both aging signs in the mid-to-lower face, but differ in location and cause: (1) Nasolabial folds \u2014 vertical wrinkles from nose to mouth corners, primarily from mid-face soft tissue sagging compression. Thread lift direction: upward-posterior mid-face lifting. (2) Marionette lines \u2014 vertical wrinkles from mouth corners to jaw, primarily from lateral mouth corner soft tissue sagging. Thread lift direction: upward-lateral mouth corner lifting. Can they be done together? \u2014 Absolutely, and recommended. Reason: nasolabial folds and marionette lines usually appear together, and separately lifting the mid-face and mouth corners comprehensively improves mid-to-lower facial aging. Thread count: nasolabial 2-3 per side + marionette 2-3 per side = bilateral total 8-12 threads. Doing both simultaneously does not increase recovery \u2014 because implant planes and paths do not conflict. Rappoel physicians can design a comprehensive plan to improve nasolabial folds + marionette lines in one session.<\/div>\n<\/div>\n<div class=\"cta\">\n<h3>Marionette lines and mouth corner drooping making you look tired or stern? Rappoel APTOS thread lift \u2014 non-surgical youthful contour restoration!<\/h3>\n<p>\ud83d\udccd 77, Seocho-daero, Seocho-gu, Seoul, South Korea<\/p>\n<p>\ud83d\udd50 Mon\u2013Fri 10:00\u201319:00 \u00b7 Sat 10:00\u201317:00<\/p>\n<p>\ud83d\udcac WeChat Main: rappoelkr | WeChat Backup: rappoelkr2 | LINE: rappoelkr<\/p>\n<p style=\"margin-top:16px;font-size:13px;color:#8B7355;\">Scan to connect with us<\/p>\n<div style=\"display:flex;justify-content:center;gap:16px;flex-wrap:wrap;margin-top:10px;\">\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Rappoel\u5fae\u4fe1\u4e8c\u7ef4\u7801\uff08\u4e3b\u53f7\uff09-1.png\" alt=\"WeChat Main QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">WeChat (Main)<\/p>\n<\/p><\/div>\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Rappoel\u5fae\u4fe1\u4e8c\u7ef4\u7801\uff08\u5907\u7528\u53f7\uff09-1.png\" alt=\"WeChat Backup QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">WeChat (Backup)<\/p>\n<\/p><\/div>\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Line\u4e8c\u7ef4\u7801-1.jpg\" alt=\"LINE QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">LINE<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<\/div>\n<p><\/body><br \/>\n<\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63],"tags":[],"class_list":["post-1722","post","type-post","status-publish","format-standard","hentry","category-lifting-en"],"_links":{"self":[{"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/posts\/1722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/comments?post=1722"}],"version-history":[{"count":1,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/posts\/1722\/revisions"}],"predecessor-version":[{"id":1724,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/posts\/1722\/revisions\/1724"}],"wp:attachment":[{"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/media?parent=1722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/categories?post=1722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rappoel-clinic.com\/en\/wp-json\/wp\/v2\/tags?post=1722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":1722,"date":"2026-08-11T15:07:36","date_gmt":"2026-08-11T06:07:36","guid":{"rendered":"https:\/\/rappoel-clinic.com\/aptos-thread-lift-marionette-lines-en\/"},"modified":"2026-08-11T15:07:39","modified_gmt":"2026-08-11T06:07:39","slug":"aptos-thread-lift-marionette-lines-en","status":"publish","type":"post","link":"https:\/\/rappoel-clinic.com\/en\/aptos-thread-lift-marionette-lines-en\/","title":{"rendered":"Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam"},"content":{"rendered":"

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\nMarionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam<\/title><br \/>\n<meta name=\"description\" content=\"Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours\">\n<link rel=\"alternate\" hreflang=\"en\" href=\"https:\/\/rappoel-clinic.com\/aptos-thread-lift-marionette-lines-en\/\" \/>\n<link rel=\"alternate\" hreflang=\"zh-TW\" href=\"https:\/\/rappoel-clinic.com\/aptos-thread-lift-marionette-lines-zh\/\" \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"MedicalClinic\", \"@id\": \"https:\/\/rappoel-clinic.com\/#clinic\", \"name\": \"Rappoel Dermatology Clinic\", \"alternateName\": [\"Rappoel \u76ae\u819a\u79d1\", \"\ub77c\ud3ec\uc5d8 \ud53c\ubd80\uacfc\"], \"url\": \"https:\/\/rappoel-clinic.com\", \"address\": {\"@type\": \"PostalAddress\", \"streetAddress\": \"77, Seocho-daero\", \"addressLocality\": \"Seocho-gu\", \"addressRegion\": \"Seoul\", \"postalCode\": \"06609\", \"addressCountry\": \"KR\"}, \"geo\": {\"@type\": \"GeoCoordinates\", \"latitude\": 37.4926, \"longitude\": 127.0175}, \"telephone\": \"+82-2-XXXX-XXXX\", \"openingHours\": [\"Mo-Fr 10:00-19:00\", \"Sa 10:00-17:00\"], \"medicalSpecialty\": \"Dermatology\", \"availableService\": [{\"@type\": \"MedicalProcedure\", \"name\": \"Thread Lift (Aptos)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Hyaluronic Acid Filler\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Botulinum Toxin (Botox)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Ultherapy \/ HIFU\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Skin Booster (Juvelook \/ Exosomes)\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Laser Skin Treatment\"}, {\"@type\": \"MedicalProcedure\", \"name\": \"Onda Coolwaves Body Contouring\"}], \"sameAs\": [\"https:\/\/www.instagram.com\/rappoel_official\"]}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"Article\", \"headline\": \"Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam\", \"description\": \"Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours\", \"inLanguage\": \"en\", \"author\": {\"@type\": \"Organization\", \"name\": \"Rappoel Dermatology Clinic\"}, \"publisher\": {\"@type\": \"Organization\", \"name\": \"Rappoel Dermatology Clinic\", \"logo\": {\"@type\": \"ImageObject\", \"url\": \"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/favicon-512.png\"}}, \"about\": {\"@id\": \"https:\/\/rappoel-clinic.com\/#clinic\"}}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"How long do marionette line thread lift results last? Do I need regular treatments?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"APTOS thread lift marionette line improvement duration: (1) Physical lift \u2014 the immediate physical lifting gradually weakens over 6-8 months (as threads begin absorbing). (2) Collagen neogenesis \u2014 collagen stimulated during thread absorption maintains partial lift for 12-18 months (approximately 50-60% of initial effect). (3) Overall recommendation \u2014 12-month follow-up after initial treatment; if results diminished significantly, supplement with additional threads. Rappoel recommends: (1) Thread lift alone lasts approximately 12-18 months. (2) If combined with HA filler (lasting 9-12 months), recommend filler touch-up at 6-9 months. (3) If combined with Coretox Botox (lasting 3-4 months), recommend Botox maintenance every 3-4 months. (4) Triple approach (thread + filler + Botox) is most comprehensive but requires separate component maintenance.\"}}, {\"@type\": \"Question\", \"name\": \"Is thread lift alone sufficient for marionette lines? Do I need combination treatment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Depends on marionette line type and severity: (1) Mild marionette lines (only superficial lines) \u2014 APTOS thread lift 1-2 threads alone is effective, no combination needed. (2) Moderate marionette lines (obvious depression + mouth corner drooping) \u2014 thread lift + HA filler for deep depressions + Coretox for depressor anguli oris relaxation, triple approach for best results. Reason: thread lift lifts sagging tissue but cannot fill deep depressions \u2014 HA fills depressions but cannot lift sagging \u2014 Botox prevents muscle pull-down but cannot lift or fill. All three synergize for comprehensive improvement. (3) Severe marionette lines (deep lines + overall sagging) \u2014 need more comprehensive thread plan (mid-face + mouth corners + jawline combined lift) + filler + Botox. Rappoel physicians design the most suitable combination plan during assessment.\"}}, {\"@type\": \"Question\", \"name\": \"Will marionette line thread lift make my smile stiff? Will it affect speaking and eating?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"With correct technique, it does not affect smile or daily function. Rappoel safety strategy: (1) Precise implant depth \u2014 threads are implanted in the sub-SMAS plane (deep subcutaneous fat layer), not affecting orbicularis oris or expression muscle function. (2) Moderate lift force \u2014 lifting sagging tissue to natural position without over-pulling affecting expression. (3) Avoiding facial nerve branches \u2014 Rappoel physicians are familiar with facial anatomy and operate in safe planes. Mild pulling sensation during mouth movement for 1-2 weeks post-op \u2014 this is a normal swelling response, resolving to natural. If smile asymmetry occurs (usually from unilateral excessive thread tension), thread tension can be adjusted within 1-2 weeks. Rappoel has never had severe smile stiffness or long-term functional impairment.\"}}, {\"@type\": \"Question\", \"name\": \"What other methods improve marionette lines besides thread lift?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Marionette line improvement methods depend on type and severity: (1) APTOS thread lift \u2014 for sagging drooping type. Pros: non-surgical, instant, adjustable. Cons: lasts 12-18 months needing maintenance. (2) HA filler \u2014 for fat atrophy depression type. Pros: instant filling, precise control. Cons: lasts 9-12 months. (3) Coretox Botox \u2014 for overactive depressor anguli oris type. Pros: non-invasive, 3-day onset. Cons: lasts 3-4 months. (4) Thermage FLX \u2014 for mild overall laxity. Pros: non-invasive full-face tightening. Cons: limited improvement for deep depressions. (5) Facelift surgery \u2014 for severe laxity. Pros: definitive correction. Cons: surgical trauma. Rappoel recommends: mild \u2192 thread lift or filler alone; moderate \u2192 triple approach; severe \u2192 assess if surgery is needed.\"}}, {\"@type\": \"Question\", \"name\": \"What is the difference between marionette line and nasolabial fold thread lift? Can they be done together?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Marionette lines and nasolabial folds are both aging signs in the mid-to-lower face, but differ in location and cause: (1) Nasolabial folds \u2014 vertical wrinkles from nose to mouth corners, primarily from mid-face soft tissue sagging compression. Thread lift direction: upward-posterior mid-face lifting. (2) Marionette lines \u2014 vertical wrinkles from mouth corners to jaw, primarily from lateral mouth corner soft tissue sagging. Thread lift direction: upward-lateral mouth corner lifting. Can they be done together? \u2014 Absolutely, and recommended. Reason: nasolabial folds and marionette lines usually appear together, and separately lifting the mid-face and mouth corners comprehensively improves mid-to-lower facial aging. Thread count: nasolabial 2-3 per side + marionette 2-3 per side = bilateral total 8-12 threads. Doing both simultaneously does not increase recovery \u2014 because implant planes and paths do not conflict. Rappoel physicians can design a comprehensive plan to improve nasolabial folds + marionette lines in one session.\"}}]}<\/script><\/p>\n<style>\n*{box-sizing:border-box;margin:0;padding:0}\nbody{font-family:'PingFang SC','Noto Sans KR',sans-serif;background:#fffcf7;color:#3d2e1e;line-height:1.8}\n.wrap{max-width:677px;margin:0 auto;padding:32px 20px 60px}\n.banner{background:#FFF8EC;text-align:center;padding:36px 20px 28px;margin-bottom:36px;border-bottom:1px solid #e8d5c0}\n.banner-tag{font-size:11px;letter-spacing:3px;color:#8B7355;text-transform:uppercase;margin-bottom:12px}\n.banner h1{font-size:24px;color:#3d2e1e;line-height:1.4;margin-bottom:12px}\n.banner .sub{font-size:13px;color:#6b5240;line-height:1.7}\nh2{font-size:19px;color:#3d2e1e;margin:32px 0 14px;padding-bottom:8px;border-bottom:1px solid #e8d5c0}\nh3{font-size:16px;color:#3d2e1e;margin:22px 0 10px}\np{font-size:15px;color:#555;line-height:1.9;margin-bottom:14px}\n.highlight{background:#fff;border:1px solid #f0e8dc;border-left:3px solid #D4A574;padding:16px 20px;margin:22px 0;border-radius:0 6px 6px 0}\n.highlight p{margin:0;font-size:14px;color:#6b5240}\n.card{background:#F5E6C8;border:1px solid #e8d5c0;border-radius:8px;padding:18px 22px;margin:16px 0}\n.card-title{font-size:13px;font-weight:700;color:#3d2e1e;margin-bottom:6px}\n.card p{font-size:14px;margin:0}\n.faq-item{margin:14px 0;border-bottom:1px solid #f0e8dc;padding-bottom:14px}\n.faq-q{font-weight:700;color:#3d2e1e;font-size:15px;margin-bottom:6px}\n.faq-a{font-size:14px;color:#555;line-height:1.8}\n.cta{background:#F5E6C8;text-align:center;padding:32px 20px;margin-top:40px;border-radius:8px}\n.cta h3{font-size:17px;color:#3d2e1e;margin-bottom:8px}\n.cta p{font-size:13px;color:#6b5240;margin-bottom:4px}\nimg{max-width:100%;height:auto;display:block;margin:20px auto;border-radius:6px}\nul,ol{padding-left:22px;margin-bottom:14px}\nli{font-size:15px;color:#555;line-height:1.9;margin-bottom:4px}\n.schema-block{display:none}\n@media(max-width:600px){.wrap{padding:20px 14px 40px}.banner h1{font-size:20px}}\n<\/style>\n<p><\/head><br \/>\n<body><\/p>\n<div class=\"wrap\">\n<div class=\"banner\">\n<div class=\"banner-tag\">Lifting<\/div>\n<h1>Marionette Lines Treatment in Seoul: APTOS Thread Lift for Mouth Corner Drooping at Rappoel Dermatology Gangnam<\/h1>\n<div class=\"sub\">Mouth corners drooping with marionette lines making you look tired or stern? Rappoel Dermatology uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting for youthful lip-cheek contours<\/div>\n<\/p><\/div>\n<p>Marionette lines are vertical wrinkles extending from the mouth corners downward toward the jaw \u2014 named after the mouth-side cracks on marionette puppets. The appearance of marionette lines marks the beginning of aging in the mid-to-lower face \u2014 the skin and soft tissue lateral to the mouth corners gradually sag with age, forming depressed wrinkles at the outer-lower mouth corners, making the mouth appear droopy and the person look tired, unhappy, or even stern. Causes of marionette lines are multifactorial: (1) Skin laxity \u2014 facial skin collagen and elastin decrease with age, skin sags downward, forming depressions lateral to the mouth corners. (2) Ligament laxity \u2014 the masseteric-cutaneous and mandibular ligaments lateral to the mouth corners loosen with age, unable to effectively support the lateral soft tissue, leading to sagging and marionette line formation. (3) Fat atrophy \u2014 subcutaneous fat atrophy in the mid-face and lateral mouth corners, with unsupported skin collapsing downward to form depressions. (4) Gravity \u2014 years of gravity cause lateral mouth corner soft tissue to shift downward. (5) Expression habits \u2014 frequent mouth-corner-pulling-down expressions (sadness, dissatisfaction) deepen marionette lines. Once formed, skincare products cannot improve them \u2014 structural-level lifting support is needed. Rappoel Dermatology near Gangnam Station, Seoul, uses APTOS bidirectional cog threads \u2014 non-surgical precise lifting of lateral mouth corner soft tissue for youthful contours.<\/p>\n<h2>Technical Principles of APTOS Thread Lift for Marionette Lines<\/h2>\n<ul>\n<li><strong>Bidirectional cog thread physical lifting:<\/strong> APTOS threads have bidirectional cogs on the surface \u2014 after implantation, the cogs grip surrounding tissue and generate lifting force in both directions simultaneously. After implanting threads lateral to the mouth corners, the cogs grip sagging soft tissue and lift upward \u2014 immediately improving mouth corner drooping and marionette line depressions<\/li>\n<li><strong>APTOS thread safety certification:<\/strong> APTOS are Russian-developed polycaprolactone (PCL)\/polylactic acid (PLA) absorbable threads \u2014 CE and KFDA certified, fully absorbed in 6-12 months. During absorption, threads stimulate local collagen neogenesis \u2014 even after absorption, new collagen maintains partial lifting effect (approximately 50-60% of initial lift lasting 12-18 months)<\/li>\n<li><strong>Non-surgical with no incisions:<\/strong> APTOS threads are implanted through fine needle punctures \u2014 no surgical incisions, no general anesthesia. Only local anesthesia, puncture holes under 1mm, no visible scarring after healing<\/li>\n<li><strong>Instant lift + gradual improvement:<\/strong> Physical lifting effect is immediate after thread implantation \u2014 physician and patient confirm improvement on the spot. Results improve as mild swelling subsides over 2-4 weeks, with further optimization at 3-6 months from collagen neogenesis<\/li>\n<li><strong>Combines with multiple therapies for enhancement:<\/strong> Marionette line improvement typically requires combination treatment: (1) APTOS thread lift for sagging tissue; (2) HA filler for deep depressed wrinkles; (3) Coretox Botox for relaxing the depressor anguli oris. Three therapies synergize for optimal results<\/li>\n<\/ul>\n<h2>Treatment Strategies for Different Marionette Line Types<\/h2>\n<ul>\n<li><strong>Mild marionette lines type:<\/strong> Slight depressions lateral to the mouth corners, visible at rest but not prominent, deepening with movement (smiling, speaking). Strategy: implant 1 APTOS thread per side lateral to the mouth corners for upward lifting, effectively improving. Can combine with a small amount of HA filler for superficial lines (0.5ml per side)<\/li>\n<li><strong>Moderate marionette lines type:<\/strong> Obvious depressed wrinkles lateral to the mouth corners, mild mouth corner drooping, clearly visible at rest. Strategy: implant 2 APTOS threads per side for upward-posterior lifting, restoring lateral mouth corner support. Combine with HA filler for deep depressions (1-2ml per side) and Coretox for depressor anguli oris relaxation (5-10 units per side)<\/li>\n<li><strong>Severe marionette lines type:<\/strong> Obvious mouth corner drooping, deep and long marionette lines (extending to jaw), with overall mid-face sagging. Strategy: comprehensive thread lifting \u2014 not only lifting mouth corners (2-3 threads per side) but also mid-face (2-3 per side) and jawline (2-3 per side), total 6-10 threads. Combine with HA filler for deep depressions and Coretox for depressor anguli oris<\/li>\n<li><strong>Fat atrophy marionette lines type:<\/strong> Marionette lines primarily from fat atrophy lateral to mouth corners, without significant skin laxity. Strategy: HA filler as primary treatment (1-2ml per side restoring volume), supplemented with 1-2 APTOS threads for mild lifting. Severe fat atrophy can consider autologous fat grafting<\/li>\n<li><strong>Expression-habit marionette lines type:<\/strong> Marionette lines deepened by habitual mouth-corner-pulling-down expressions causing overactive depressor anguli oris. Strategy: Coretox Botox as primary treatment (5-10 units per side relaxing the depressor anguli oris), supplemented with 1-2 APTOS threads for lifting and a small amount of HA filler. Triple approach for best results<\/li>\n<\/ul>\n<h2>Rappoel Marionette Line Thread Lift Treatment Protocol<\/h2>\n<ol>\n<li><strong>Marionette line assessment and plan design (15 min):<\/strong> Frontal and side evaluation of marionette line depth and mouth corner drooping degree \u2192 assess overall mid-face and jawline laxity \u2192 determine marionette line type (laxity\/atrophy\/expression\/mixed) \u2192 establish treatment plan (thread count, implant positions, lift directions, whether to combine filler or Botox)<\/li>\n<li><strong>Disinfection and local anesthesia (10 min):<\/strong> Facial cleansing \u2192 povidone-iodine preparation \u2192 local anesthesia injection along implant paths and entry\/exit points (lidocaine + epinephrine) \u2192 wait 5-10 minutes for full anesthesia<\/li>\n<li><strong>Thread implantation (20-30 min):<\/strong> Specialized introducer needle punctures from designed entry points \u2192 advances along the sub-SMAS plane to target positions \u2192 APTOS bidirectional cog threads implanted along the needle tract \u2192 withdraw introducer leaving threads \u2192 gentle compression to adjust thread position and lift tension \u2192 implant thread by thread with immediate assessment \u2192 same for the other side<\/li>\n<li><strong>Immediate assessment and micro-adjustment (10 min):<\/strong> Patient sits up for frontal and side observation \u2192 confirm mouth corner drooping improvement and marionette line reduction \u2192 adjust thread tension if over-lifted or insufficient \u2192 trim excess thread \u2192 before\/after photography<\/li>\n<li><strong>Post-care instructions (5 min):<\/strong> Precautions (avoid wide mouth opening and intense expressions for 2 weeks, avoid facial pressing for 1 month, avoid side-sleeping for 2 weeks, avoid strenuous exercise for 2 weeks) \u2192 2-week follow-up<\/li>\n<\/ol>\n<p>The marionette line thread lift takes about 45-60 minutes, with immediate improvement visible, stabilizing at 2-4 weeks, lasting 12-18 months. Located 3 minutes from Gangnam Station Exit 10, with seamless English and Chinese consultation.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<div class=\"faq-item\">\n<div class=\"faq-q\">How long do marionette line thread lift results last? Do I need regular treatments?<\/div>\n<div class=\"faq-a\">APTOS thread lift marionette line improvement duration: (1) Physical lift \u2014 the immediate physical lifting gradually weakens over 6-8 months (as threads begin absorbing). (2) Collagen neogenesis \u2014 collagen stimulated during thread absorption maintains partial lift for 12-18 months (approximately 50-60% of initial effect). (3) Overall recommendation \u2014 12-month follow-up after initial treatment; if results diminished significantly, supplement with additional threads. Rappoel recommends: (1) Thread lift alone lasts approximately 12-18 months. (2) If combined with HA filler (lasting 9-12 months), recommend filler touch-up at 6-9 months. (3) If combined with Coretox Botox (lasting 3-4 months), recommend Botox maintenance every 3-4 months. (4) Triple approach (thread + filler + Botox) is most comprehensive but requires separate component maintenance.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">Is thread lift alone sufficient for marionette lines? Do I need combination treatment?<\/div>\n<div class=\"faq-a\">Depends on marionette line type and severity: (1) Mild marionette lines (only superficial lines) \u2014 APTOS thread lift 1-2 threads alone is effective, no combination needed. (2) Moderate marionette lines (obvious depression + mouth corner drooping) \u2014 thread lift + HA filler for deep depressions + Coretox for depressor anguli oris relaxation, triple approach for best results. Reason: thread lift lifts sagging tissue but cannot fill deep depressions \u2014 HA fills depressions but cannot lift sagging \u2014 Botox prevents muscle pull-down but cannot lift or fill. All three synergize for comprehensive improvement. (3) Severe marionette lines (deep lines + overall sagging) \u2014 need more comprehensive thread plan (mid-face + mouth corners + jawline combined lift) + filler + Botox. Rappoel physicians design the most suitable combination plan during assessment.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">Will marionette line thread lift make my smile stiff? Will it affect speaking and eating?<\/div>\n<div class=\"faq-a\">With correct technique, it does not affect smile or daily function. Rappoel safety strategy: (1) Precise implant depth \u2014 threads are implanted in the sub-SMAS plane (deep subcutaneous fat layer), not affecting orbicularis oris or expression muscle function. (2) Moderate lift force \u2014 lifting sagging tissue to natural position without over-pulling affecting expression. (3) Avoiding facial nerve branches \u2014 Rappoel physicians are familiar with facial anatomy and operate in safe planes. Mild pulling sensation during mouth movement for 1-2 weeks post-op \u2014 this is a normal swelling response, resolving to natural. If smile asymmetry occurs (usually from unilateral excessive thread tension), thread tension can be adjusted within 1-2 weeks. Rappoel has never had severe smile stiffness or long-term functional impairment.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">What other methods improve marionette lines besides thread lift?<\/div>\n<div class=\"faq-a\">Marionette line improvement methods depend on type and severity: (1) APTOS thread lift \u2014 for sagging drooping type. Pros: non-surgical, instant, adjustable. Cons: lasts 12-18 months needing maintenance. (2) HA filler \u2014 for fat atrophy depression type. Pros: instant filling, precise control. Cons: lasts 9-12 months. (3) Coretox Botox \u2014 for overactive depressor anguli oris type. Pros: non-invasive, 3-day onset. Cons: lasts 3-4 months. (4) Thermage FLX \u2014 for mild overall laxity. Pros: non-invasive full-face tightening. Cons: limited improvement for deep depressions. (5) Facelift surgery \u2014 for severe laxity. Pros: definitive correction. Cons: surgical trauma. Rappoel recommends: mild \u2192 thread lift or filler alone; moderate \u2192 triple approach; severe \u2192 assess if surgery is needed.<\/div>\n<\/div>\n<div class=\"faq-item\">\n<div class=\"faq-q\">What is the difference between marionette line and nasolabial fold thread lift? Can they be done together?<\/div>\n<div class=\"faq-a\">Marionette lines and nasolabial folds are both aging signs in the mid-to-lower face, but differ in location and cause: (1) Nasolabial folds \u2014 vertical wrinkles from nose to mouth corners, primarily from mid-face soft tissue sagging compression. Thread lift direction: upward-posterior mid-face lifting. (2) Marionette lines \u2014 vertical wrinkles from mouth corners to jaw, primarily from lateral mouth corner soft tissue sagging. Thread lift direction: upward-lateral mouth corner lifting. Can they be done together? \u2014 Absolutely, and recommended. Reason: nasolabial folds and marionette lines usually appear together, and separately lifting the mid-face and mouth corners comprehensively improves mid-to-lower facial aging. Thread count: nasolabial 2-3 per side + marionette 2-3 per side = bilateral total 8-12 threads. Doing both simultaneously does not increase recovery \u2014 because implant planes and paths do not conflict. Rappoel physicians can design a comprehensive plan to improve nasolabial folds + marionette lines in one session.<\/div>\n<\/div>\n<div class=\"cta\">\n<h3>Marionette lines and mouth corner drooping making you look tired or stern? Rappoel APTOS thread lift \u2014 non-surgical youthful contour restoration!<\/h3>\n<p>\ud83d\udccd 77, Seocho-daero, Seocho-gu, Seoul, South Korea<\/p>\n<p>\ud83d\udd50 Mon\u2013Fri 10:00\u201319:00 \u00b7 Sat 10:00\u201317:00<\/p>\n<p>\ud83d\udcac WeChat Main: rappoelkr | WeChat Backup: rappoelkr2 | LINE: rappoelkr<\/p>\n<p style=\"margin-top:16px;font-size:13px;color:#8B7355;\">Scan to connect with us<\/p>\n<div style=\"display:flex;justify-content:center;gap:16px;flex-wrap:wrap;margin-top:10px;\">\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Rappoel\u5fae\u4fe1\u4e8c\u7ef4\u7801\uff08\u4e3b\u53f7\uff09-1.png\" alt=\"WeChat Main QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">WeChat (Main)<\/p>\n<\/p><\/div>\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Rappoel\u5fae\u4fe1\u4e8c\u7ef4\u7801\uff08\u5907\u7528\u53f7\uff09-1.png\" alt=\"WeChat Backup QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">WeChat (Backup)<\/p>\n<\/p><\/div>\n<div style=\"text-align:center;\">\n <img decoding=\"async\" src=\"https:\/\/rappoel-clinic.com\/wp-content\/uploads\/2026\/04\/Line\u4e8c\u7ef4\u7801-1.jpg\" alt=\"LINE QR Code\" style=\"width:120px;height:120px;border-radius:6px;\" \/><\/p>\n<p style=\"font-size:11px;color:#6b5240;margin-top:4px;\">LINE<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<\/div>\n<p><\/body><br \/>\n<\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mouth corners drooping with marionette lines making you look tired or stern? 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