Marionette lines are the vertical lines that extend from the corners of the mouth toward the chin, often creating a tired or downturned, heavy, or sad, appearance. These lines develop due to volume loss, skin laxity, and aging.
At MD Wellness Center & Med Spa, we offer non-surgical marionette line treatments in Indianapolis, including dermal fillers, PDO threads, and skin tightening to restore a smoother, more youthful appearance.
The best treatment for marionette lines depends on whether the concern is volume loss or skin sagging. Dermal fillers restore lost volume, while PDO threads lift sagging tissue. Many patients achieve the most natural and long-lasting results by combining both treatments.
The best treatment depends on whether the concern is volume loss, skin laxity, or both. Many patients achieve optimal results by combining dermal fillers with PDO threads or skin tightening.
Treatment Options:
Fillers restore volume
Threads lift sagging
Tightening improves skin
Combination gives best results
Dermal fillers are one of the most effective treatments for marionette lines in Indianapolis, helping restore lost volume and smooth deep folds around the mouth with immediate, natural-looking results. Dermal fillers use hyaluronic acid to restore volume and support the lower face, which helps lift the corners of the mouth and reduce the appearance of deep folds.
We use advanced fillers such as Juvederm and RHA to deliver natural, balanced results. Different fillers are selected based on the depth of the lines and desired outcome.
Best for:
Volume loss
Mild to moderate lines
Most patients require 1–3 syringes, with results lasting 6–12 months.
Skin tightening treatments use advanced radiofrequency(RF) and ultrasound technology, such as Exilis Elite, to gently heat the deeper layers of the skin. This process stimulates collagen production, improving skin elasticity over time and helping to firm and tighten loose or crepey skin around the mouth and lower face.
Best for:
Mild skin laxity
Crepey texture and early sagging
Enhancing filler or thread results
Benefits:
Gradual, natural-looking improvement
Non-invasive with minimal downtime
Supports long-term skin firmness
Skin tightening is often used as a combination treatment alongside dermal fillers or PDO threads for optimal, long-lasting results.
Laser treatments improve skin texture, tone, and collagen production by resurfacing the skin and addressing early signs of aging around the mouth. However, laser resurfacing is typically not sufficient alone for deeper marionette lines and is best used as part of a combination treatment.
Best for:
Fine lines
Mild skin laxity
Benefits:
Tightens skin around the mouth
Improves overall skin quality
Customizable with minimal downtime
Laser treatments are typically used as a supporting treatment rather than a primary solution for deeper marionette lines and are often combined with fillers or PDO threads for optimal results.
A PDO thread lift provides a non-surgical lifting effect by physically repositioning sagging tissue and stimulating collagen production for long-term support, making it ideal for deeper marionette lines.
Best for:
Lifts and supports the lower face
Improves firmness over time
Gradual, natural-looking improvement
Non-surgical alternative to a facelift
Benefits:
Tightens skin around the mouth
Improves overall skin quality
Customizable with minimal downtime
Results typically last 12–18 months and continue to improve as collagen builds.
We recommend starting with a free aesthetic consultation to evaluate your under-eye concerns, discuss your goals, and determine which treatment option is the best fit for you.
Serving Indianapolis, Carmel, Fishers, and surrounding areas
Call 317-548-4666 or click below to schedule your consultation at MD Wellness Center & Med Spa today.
At MD Wellness Center & Med Spa, our approach to skin rejuvenation blends medical expertise with advanced aesthetics to create results that look refreshed, not “done.” Led by Dr. Srinivasu Kesa, MD, a licensed physician with more than 30 years of experience, our team combines clinical precision with an artistic eye to restore natural balance and vitality to your appearance.
At MD Wellness Center & Med Spa, we approach marionette lines by evaluating structure, muscle movement, and skin quality—not just filling lines. Led by Dr. Srinivasu Kesa, MD, our team creates personalized plans designed to restore balance and expression while keeping results natural and age-appropriate.
Marionette lines are vertical creases that run from the corners of the mouth down to the chin. They form due to collagen loss, aging, and reduced facial volume, often making the face appear tired or downturned.
Dr Kesa is kind and a master giving face injections! Very little pain and amazing results.
Christine
Loved the staff and Dr. It was my first time getting filler and they were all so sweet, the energy was great. But most importantly they took their time asking and answering questions to better understand what I was looking for!
Kayla Scully
I’m always happy with Dr.K. He is patient and understanding. He listens to what i’m trying to achieve. He also tells me honestly what can be done and what can’t. I do not want to have a facelift or any invasive surgeries so he is very honest with me what kind of results I can expect with the minimal or non invasive procedures. He did the thread lift on me in November 2019 and it has made a big difference and It is still building collagen along my jaw line which is what I was going for. If you are thinking about it I would consult with him about it, they are great. Everyone at MD Medical is awesome
Laura Jean
I received the thread lift and Bellafill and I could not be happier with my results! Dr Kesa is so knowledgeable of the best fillers that is appropriate for your face. His techniques in the thread lift were awesome! I had immediate results and cried because of the difference that it made! I’m extremely satisfied to say the least.
Vickki Jones
I went to an open house event and signed up for an elite face treatment for a fair price. Bought their skincare line and love the products. Wish I had found theses products earlier in my life. I have complete confidence in this office Thank you Yamini you did a great job.
Millie Warrum
I am looking forward to going back for the Med Spa offerings. I wanted to add that I have had more done. I had the skin [tightening] with Yamini, she is amazing and I am very pleased with the results!
Pat Royer
My experience was better than I ever could have imagined. Yamini was my technician, and took such pride in what she did. From the beginning, she was so kind, honest about the results I could expect, and only wanted to treat me with what she felt confident would work for me. Never have I gotten such honesty and transparency from someone in this industry! I’m thrilled with my results so far, and look forward to seeing the end result!
L. Harris
I love MD Wellness Center! I have seen Dr. Kesa for thread lifts, botox, and fillers. He was very respectful of my concerns and worked with me to obtain realistic, achievable results. I have seen a significant improvement in my jowls and lower face- and it all looks so natural! I feel 10 years younger….
Donna Harris
Our team is here to help you make an appointment with the specialists that you need: call us or fill the online booking form
6822 E 82nd Street #310, Indianapolis IN 46250
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*Disclaimer: The information on this website is provided for general informational and educational purposes only and is not intended as medical advice. Content on this site is not a substitute for professional diagnosis, treatment, or medical decision-making.
*Photos and testimonials are for illustrative purposes only. Individual results vary.