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Correct and fill bitterness lines

The treatment of bitterness wrinkles or bitterness folds is a very common cosmetic surgery treatment of the chin that relies on combined injections of hyaluronic acid and botox.

Here we will talk about the treatment of bitterness folds. You know those little lines that start at the corners of your mouth and extend along your chin and give you a sad look?

This information sheet was written in July 2020 by Dr ABBOU who is a plastic surgeon in Paris.

Before and after photos of bitterness folds

What is the treatment of bitterness lines?

The treatment of bitterness folds is based on:

  • Injections of hyaluronic acid to fill the loss of volume due to aging.
  • Botox injections to modulate the muscular contraction of the DAO muscle (depressor of the angle of the mouth) in order to slightly reduce its contractility.
  • If the bitterness folds are very deep, the cervico-facial lift will allow to treat them.
  • For patients who do not wish to undergo surgery and who want a result that lasts for several years, permanent tightening sutures can be used to treat bitterness folds in the long term.

The result is natural and harmonious. We pay particular attention to the naturalness of the result.

The result of the treatment is visible after three to four days (the time it takes for the botulinum toxin to take effect). The results last six months to one year on average.

For face lifts, the results last an average of ten years.

What are the objectives?

The goals of bitterness fold treatment are:

  • Rejuvenate the lower face
  • Treat deep facial wrinkles
  • Treat a severe or upset appearance of the face
  • Healthy glow effect

Who is the treatment for?

Bitter lines treatment is for patients who have deep wrinkles at the corners of the mouth that give them a sad or severe appearance and who wish to achieve a natural rejuvenation of the face.

What are the dangers?

They are very rare but must be mentioned:

  • Bleeding
  • infection

What is the procedure?

Before treatment

Medical consultation of aesthetic medicine or cosmetic surgery to analyze the aging of your face and define a treatment plan.


The treatment of bitterness lines takes place in the medical office for the following treatments:

  • hyaluronic acid injections
  • Botox injections
  • Permanent tensor threads

It takes place in the operating room for the cervico facial lift.

The aftermath is relatively simple. Your result will be visible after 15 days.

The suites

As with any type of injection, there may be a slight redness immediately afterwards.

You can apply a covering makeup. Over the next 2 weeks, the results will gradually improve. 

What are the rates?

Medical intervention
Treatment of bitterness folds (marionette lines)From 500€

The cost of bitterness folds or wrinkles depends on the complexity of your case and the amount of product needed

The questions most often asked by patients

How to remove bitterness lines?

Thanks to aesthetic medicine treatments: hyaluronic acid and botox injections and permanent tensor threads and thanks to aesthetic surgery: cervicofacial lift.

What are the indications for hyaluronic acid injections?

 The face loses volume and contour as we age. Hyaluronic acid injections replace this loss of volume and restore the structural support, giving the patient a more youthful appearance. The goal is to make the face more harmonious and rejuvenated.

What are the results of hyaluronic acid injections?

Results are visible immediately after treatment, although they gradually improve over the next 2 to 4 weeks. Results can last from 9 to 18 months, although optimal results can be maintained over a long period of time with regular repeat treatments.

Are hyaluronic acid injections safe?

We use only the best products from certified laboratories.

Hyaluronic acid is a naturally occurring substance in skin cells. The dermal filler brands we use are available in over 90 countries and have been used as an injectable cosmetic treatment for over two decades with an excellent safety record.


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