💎 Tension-Fit Lifting for Marionette Lines and Jowl Improvement in a Woman in Her 20s

Hello.

I am Dr. Young-moon Yu, Director of VIBE Plastic Surgery.

Today, I would like to introduce a Tension-Fit Lifting case for a female patient in her 20s.

Despite her young age, she recently noticed slight sagging around the mouth and the formation of jowl lines, leading others to tell her that her ‘expression looks heavier and more tired than before.’

🪞 ‘The marionette lines made my face look saggy.’

From the late 20s, subtle fat migration and loss of elasticity can cause the lower cheeks to descend, leading to thickening and shadows around the corners of the mouth.

This is where the following commonly occur:

👉 ‘Marionette Lines’ (sagging lines extending from the mouth to the jaw)

👉 ‘Jowls’ (the bulging area next to the corners of the mouth)

If not properly cared for at this stage, the jawline will collapse over time, and the area around the mouth will become a major aging point that dictates the overall impression of the face.

💎 Improving Mouth Sagging with VIBE Plastic Surgery’s ‘Tension-Fit Lifting’

For this patient, we applied Tension-Fit Lifting using PDO threads.

Tension-Fit Lifting is not simply about ‘pulling upward’; the key is to rearrange the elastic structure focusing on the marionette lines and jowl areas.

During the procedure:

We delicately lifted the areas where volume below the mouth had sagged.

PDO threads were inserted along the elastic layer (lower SMAS layer) around the mouth to restore the direction of elasticity upward.

By doing this, it is not just about smoothing wrinkles; the shadows below the mouth (jowls) and sagging lines (marionette lines) are alleviated, changing the face to a much brighter and more resilient impression.

🧬 Key Benefits of Tension-Fit Lifting

Improvement of Marionette Lines → Alleviation of sagging lines from the mouth to the jawline.

Jowl Lifting → Restoring a smooth line by pulling up the fat layer that has sagged below the cheeks.

Elasticity Enhancement & Collagen Regeneration → PDO threads stimulate collagen production within the skin, naturally increasing elasticity over time.

⏱ Post-Procedure Changes

Immediately after the procedure, the area below the mouth felt much lighter, and the bulging of the jowls was alleviated, giving the patient the feeling that her overall facial impression had been refined.

There was almost no swelling or bruising, and a natural expression and facial line were achieved within 2 to 3 days.

🌿 Tension-Fit Lifting is recommended for:

Those whose impression looks heavy due to sagging around the mouth or jowls.

Those who look older because of marionette lines.

Those who want to naturally refine their jawline and mouth area without surgery.

Those in their 20s to early 30s who need preventive lifting at the onset of early aging.

💬 Dr. Young-moon Yu’s Comment

Marionette lines and jowls are not just surface wrinkles; they are the result of structural sagging and fat migration beneath the skin.

Tension-Fit Lifting restores the directionality of these deep layers, reducing the weight below the mouth and improving the face to a bright and light impression.

At VIBE, we provide hyperbaric oxygen therapy and swelling management programs after lifting to assist in rapid recovery and natural results.

Consultations and surgeries should be performed by a plastic surgery specialist!

VIBE that comes from rich experience.

Young-moon Yu, Representative Director of VIBE Plastic Surgery

VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.