Soften the lines from the corners of your mouth to your chin by rebuilding the support underneath, never by overfilling the crease.
Marionette lines filler in Miami Beach treats the folds that run from the corners of your mouth toward your chin, and the most natural results come from rebuilding the lower-face support that let them form. At South Florida Face and Body, Kelly Wolfe uses collagen-stimulating biostimulators, Radiesse® for immediate structure and Sculptra® for a gradual, full-face foundation, and can add Botox® to relax the muscle that pulls your mouth corners down. Every injection is performed by owner and nurse practitioner Kelly Wolfe, MSN, APRN, FNP-BC.
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Marionette lines, the folds from the mouth corners toward the chin, along with the jowl and chin volume loss that deepen them.
Radiesse and Sculptra rebuild lower-face support; Botox relaxes the muscle pulling the corners down. Filling the crease alone is not the fix.
Radiesse 45 to 75 minutes; Sculptra 45 to 90 minutes per session. Most patients are back to errands the same hour.
Radiesse about 12 to 18 months; Sculptra up to 2 years after a short series. Added Botox lasts 3 to 4 months.
Radiesse $800 to $1,100 per 1.5 mL syringe; Sculptra $900 to $1,200 per vial. Pricing in writing before any injection.
Kelly Wolfe, MSN, APRN, FNP-BC, board-certified nurse practitioner, Florida APRN #11005134. Every injection, herself.
Marionette lines are the vertical folds that run downward from the corners of your mouth toward your chin, named for the hinged mouth of a marionette puppet.
Three things happen together. The deep fat compartments and bone of the midface and chin shrink, so the scaffolding that once held the lower face up gives way. As that support drops, heavier tissue slides toward the jawline and forms jowls, deepening the crease on either side of the chin. At the same time, a paired muscle called the depressor anguli oris pulls the corners of the mouth down every time it contracts, which etches the line in further.
This is why filling the crease alone disappoints so many patients. If the chin, pre-jowl and jawline support is not rebuilt, filler in the line sits on a sinking foundation and can look heavy. Kelly treats the cause first, restoring lower-face structure with a biostimulator and, when it helps, relaxing the muscle that drags the corners down.
Marionette lines form because the chin, jowl and midface lose volume and structural support with age, letting the lower face descend, while a small muscle actively pulls each mouth corner downward.
They are not a sign of poor skin care. Marionette lines form as the lower face loses its underlying support, so the tissue at the corners of the mouth begins to sag and a shadowed crease appears on each side. Because those creases turn the corners of the mouth downward, they can read as a tired or unhappy expression even when you feel fine. They are one of the most common lower-face concerns patients raise, and they respond well to the right combination of treatments.
The key is that the fold itself is a symptom. Treating marionette lines well means rebuilding what was lost beneath them, not just packing filler into the line.
For most marionette lines a collagen-stimulating biostimulator works better than filling the crease: Radiesse rebuilds immediate jawline and chin structure, while Sculptra restores a gradual, full-face foundation.
Radiesse (calcium hydroxylapatite) gives an immediate firming and structure the moment it is placed, and then keeps improving as it stimulates your own collagen over the next three to six months. It is well suited to the jawline, chin and pre-jowl area that frame marionette lines, and it typically lasts about 12 to 18 months. See how Radiesse rebuilds jawline and chin structure.
Sculptra (poly-L-lactic acid) works differently: it adds no instant volume by design. Over a short series of sessions it prompts your body to rebuild a broad, full-face foundation, with the change appearing gradually and lasting up to two years. It suits patients whose marionette lines come with wider midface and jawline volume loss. Explore Sculptra for full-face volume restoration.
Many patients do best with a combination, Radiesse for immediate structure and Sculptra for the longer foundation, or with support from neighboring areas such as the chin and jawline. Kelly chooses based on the depth of your folds and how much overall volume you have lost, and reviews every option on the fillers and biostimulators menu.
The key is that the fold itself is a symptom. Treating marionette lines well means rebuilding what was lost beneath them, not just packing filler into the line.
Yes. A few units of Botox relax the depressor anguli oris, the muscle that pulls each mouth corner down, so the corners sit in a more neutral position while a biostimulator rebuilds the lost support underneath.
Filler and biostimulators restore structure, but they cannot switch off a muscle that keeps dragging the corners of the mouth downward. That is the job of a small, precise dose of Botox into the depressor anguli oris at each corner. Relaxing that muscle lets the corners lift into a more neutral resting position and keeps the marionette line from being re-etched every time you frown or speak.
Botox does not fill the fold, so it is an adjunct, not a stand-alone answer. Used alongside Radiesse or Sculptra, it addresses the muscle while the biostimulator addresses the lost volume, which is why the combination looks more natural than either alone. Kelly will tell you honestly whether adding it fits your face. Learn more about Botox at South Florida Face and Body.
At South Florida Face and Body, Radiesse is $800 to $1,100 per 1.5 mL syringe and Sculptra is $900 to $1,200 per vial, with most lower-face plans using two to four syringes of Radiesse or a short series of Sculptra vials.
Your total depends on three things: which product fits your anatomy, how many syringes or vials your correction needs, and whether Botox is added for the mouth corners. A focused Radiesse plan for the jawline, chin and pre-jowl area commonly uses two to four syringes; a Sculptra foundation is dosed over a series. Because every face is different, Kelly gives you per-syringe and per-vial pricing in writing before any injection, so you know the cost before you commit.
Honest, itemized pricing is deliberate. Rather than a vague quote, you see exactly what each product costs and how many units your plan calls for, and you decide from there.
A Radiesse appointment runs about 45 to 75 minutes and a Sculptra session about 45 to 90 minutes, and most patients return to errands the same hour and full activity the next day.
After a consultation confirms the plan, Kelly numbs the area, and Radiesse and many products contain a built-in anesthetic for comfort. She then injects to rebuild support along the jawline, chin and pre-jowl area rather than into the crease itself, using a technique matched to your anatomy. With Radiesse you see immediate structure that continues to improve; with Sculptra the change builds gradually over the weeks after each session.
Downtime is minimal. You may have some swelling, tenderness or a small bruise for a few days. Avoid heavy exercise and heat for about 24 hours, and, for Sculptra, Kelly will show you how to massage the area as directed. Disclose any blood thinners at your consultation, and never stop or change an anticoagulant on your own; always consult your prescribing physician first.
The goal is a softer, lifted lower face that still moves naturally, achieved by rebuilding lost support rather than packing the marionette crease with filler.
Overfilled lower faces come from the same mistake: chasing the line with more and more product until the area looks heavy and no longer moves the way it should. Rebuilding the underlying structure with a biostimulator, and relaxing only the muscle that drags the corners down, restores balance instead. You look refreshed and less downturned, not done.
Because biostimulators work with your own collagen, the improvement tends to read as your own face, a few years earlier, rather than as an obvious treatment. Kelly errs toward restraint and staged sessions so the result stays natural at every step.
South Florida Face and Body is on 5th Street at the northern edge of South of Fifth (SoFi), the southern tip of Miami Beach, about three blocks from Ocean Drive.
The office is on 5th Street at the northern edge of South of Fifth (SoFi), a short drive from Brickell across the MacArthur Causeway and an easy trip down Collins from Mid-Beach, Surfside and Bal Harbour.
The attached garage is $4 per hour. Street parking around the building is free during business hours, except for one nearby pay-to-park zone.
1000 5th Street, Suite 414 · Miami Beach, FL 33139
Phone: (786) 529-1860
Geography matters in chin filler planning more than patients realize. A Brickell finance executive who presents in glass-walled conference rooms has a different aesthetic target than a Wynwood creative-industry patient. A Bal Harbour patient who travels for work and needs a flawless profile across time zones has different recovery-window constraints than a flexible-schedule Sunset Harbour patient. Kelly factors lifestyle into product choice, syringe staging, and appointment timing — not just the chin at rest.
Radiesse rebuilds immediate structure, Sculptra builds a gradual full-face foundation, and Botox relaxes the muscle that pulls the corners down, and many marionette-line plans combine them.
What it does | Radiesse | Sculptra |
|---|---|---|
Main role | Immediate structure and firming along the jawline, chin and pre-jowl area | Gradual, full-face foundation that rebuilds broad volume |
Onset | Immediate, then improves over 3 to 6 months | Gradual; visible by week 6 to 8 as collagen builds |
Duration | About 12 to 18 months | Up to 2 years after a short series |
Sessions | Usually one visit, 2 to 4 syringes | A series of 2 to 3 sessions, weeks apart |
Cost | $800 to $1,100 per 1.5 mL syringe | $900 to $1,200 per vial |
Botox is the third piece, not a filler at all: a few units into the depressor anguli oris at each mouth corner relaxes the downward pull for about three to four months and pairs with either biostimulator. Kelly recommends the combination that fits your anatomy at the consultation.
Marionette lines rarely sit in isolation. These related treatments support the same goal, a balanced, naturally lifted lower face.
Radiesse · Sculptra · Chin filler · Jawline filler · Cheek filler · All fillers & biostimulators
Botox · Dysport® · Xeomin® · Compare neuromodulators
Same-week consultations available. South of Fifth, Miami Beach.
Kelly is the owner of South Florida Face and Body. A board-certified Family Nurse Practitioner trained at the University of Miami, she holds advanced degrees in nursing, biochemistry, and biology, with graduate research focused on metabolism and the role of leptin and appetite-suppressing hormones. She practices at the intersection of functional medicine and aesthetic injection — meaning the conversations in her treatment room often go beyond the syringe to consider sleep, hormones, metabolism, and inflammation as part of how your skin and face actually present.
Licensed as an Advanced Practice Registered Nurse in the State of Florida (APRN #11005134), Kelly brings more than three decades of experience in health, fitness, and clinical practice. She has performed aesthetic injections in South Florida for over a decade and has trained alongside the dermatology and plastic surgery community that built Miami’s aesthetic reputation.
She is the one who answers your text message. She is the one who calls the day after your injection.
From your first consultation through every follow-up, you’ll work directly with Kelly — one injector, one set of hands, one consistent plan.
Advanced practice registered nursing with a focus on family health and primary care.
Research focused on metabolism and the role of leptin and appetite-suppressing hormones.
Research with a strong foundation in human physiology, cellular biology, and biochemistry.
National certification in family practice and primary care.
Authorized to diagnose, treat, and prescribe medications in the State of Florida.
Advanced training in root-cause diagnostics, hormone optimization, metabolic health, and integrative wellness.
Over 30 years helping clients achieve sustainable health and wellness transformations.
Straight answers on which filler fits, whether Botox helps, cost, and what recovery is really like.
There is no single best filler for marionette lines. The right choice depends on how deep the folds are and how much support your lower face has lost. For most marionette lines, a collagen-stimulating biostimulator works better than filling the crease itself: Radiesse adds immediate structure along the jawline, chin and pre-jowl area, and Sculptra rebuilds a gradual, full-face foundation over a short series. Kelly matches the product to your anatomy at the consultation rather than defaulting to one filler for everyone.
Yes, but the most natural results usually come from supporting the area around the lines rather than injecting directly into the crease. Marionette lines form as the chin, jowl and midface lose volume and the tissue drops, so rebuilding that support, often with Radiesse or Sculptra, softens the folds from underneath. Placing a large amount of filler straight into the line can look heavy and unnatural, which is why Kelly treats the cause first.
They do different jobs, and some patients benefit from both. Radiesse (calcium hydroxylapatite) gives immediate structure and a firming lift along the jawline, chin and pre-jowl area, and its effect keeps improving as it stimulates collagen over three to six months. Sculptra (poly-L-lactic acid) adds no instant volume by design; it rebuilds a gradual, full-face foundation over a series of sessions and can last up to two years. Kelly recommends one, the other, or a combination based on the depth of your folds and how much overall volume you have lost.
At South Florida Face and Body, Radiesse is $800 to $1,100 per 1.5 mL syringe and most lower-face plans use two to four syringes, and Sculptra is $900 to $1,200 per vial over a short series. Your final cost depends on which product fits your anatomy, how many syringes or vials you need, and whether Botox is added for the mouth corners. Kelly gives you per-syringe and per-vial pricing in writing before any injection, so there are no surprises.
Yes, as a complement to filler. A small muscle at each corner of the mouth, the depressor anguli oris, actively pulls the corners downward and deepens the marionette lines. A few units of Botox relax that muscle so the corners sit in a more neutral, less downturned position. Botox does not fill the fold, so it works best alongside a biostimulator that rebuilds the lost support underneath, and Kelly will tell you whether the combination fits your face.
It depends on the product. Radiesse typically lasts about 12 to 18 months, with results that keep improving for the first few months as collagen builds. Sculptra results settle over a short series and can last up to two years. Botox added for the downturned corners lasts about three to four months. Kelly builds a maintenance plan around whichever combination you choose so the result holds.
Most patients tolerate it easily. Numbing cream and the fine injection technique keep discomfort minimal, and Radiesse and many fillers contain a built-in anesthetic. A Radiesse appointment runs about 45 to 75 minutes and a Sculptra session about 45 to 90 minutes, and most patients return to errands the same hour and full activity the next day. You may have minor swelling, tenderness or a small bruise. Disclose any blood thinners beforehand, and never stop or change an anticoagulant on your own; always consult your prescribing physician first.
Marionette lines are driven by ongoing volume loss and skin changes, so a maintenance plan matters more than any single treatment. Keeping up your biostimulator series, protecting your skin from Miami sun with daily SPF, and adding collagen-supporting treatments such as microneedling all help the result last. Kelly maps out a realistic maintenance cadence at your consultation rather than promising a one-time fix.
