
Marionette Lines: Why the Corners of Your Mouth Turn Down
The anatomy behind the lines running from your mouth corners to your jawline, why they can appear early, and how the treatment options really compare.
Dermal fillers · Chiswick and Covent Garden
A precise, restorative treatment that smooths vertical lip lines and rejuvenates the mouth area, without affecting natural movement.
5.0on Google · Read reviewsDr Harry JamesEvery treatment, personally

In short
Smoker's lines filler at Dr Harry Clinic, Chiswick and Covent Garden. Fills and softens fine lines around the lips caused by ageing or expression. Results are immediate and typically last 6 to 9 months. Guide price from £400. Every treatment is carried out personally by Dr Harry James, MBChB PGDip (CAIT), GMC 7528423, at a CQC registered clinic.
At a glance
Fills and softens fine lines around the lips caused by ageing or expression
Restores volume and structure to the perioral skin
Enhances skin texture while preserving natural lip dynamics
Results are immediate and typically last 6 to 9 months
From £400 1ml · 2ml £600
Dr Harry James
MBChB PGDip (CAIT), GMC 7528423
£75, book online
Reviews
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
Dr. Harry is incredibly knowledgeable and really takes his time to talk you through everything, answer any questions, and ensure you’re comfortable throughout the whole appointment. I never felt rushed, and he explained the treatment and expected results clearly, which made me feel really confident in the process. I’m so pleased with my results and wouldn’t hesitate to recommend him.
NNatasha-LaraChiswick · via Google
★★★★★
Great experience for an ultrasound-guided filler dissolution treatment. Dr Harry was very patient, caring and professional. I really appreciated the thorough consultation and felt well looked after throughout the treatment. Very happy with the results!
KKasey SongCovent Garden · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
Smoker’s lines, also known as perioral or lipstick lines, are the fine vertical wrinkles that appear above the upper lip and sometimes below the lower lip. Despite the name, they’re not exclusive to smokers, these lines are a natural part of the ageing process and can affect anyone due to repetitive lip movement, collagen loss, sun exposure, and skin thinning.
These lines can make the lips look aged or create an impression of tension, even in those who have never smoked. Dermal filler treatment provides an effective, non-surgical option to smooth and soften this area whilst maintaining natural lip expression and avoiding heaviness or distortion.
At Dr Harry Clinic, our approach to treating smoker’s lines is subtle, precise, and focused on natural rejuvenation. Dr Harry’s training expertise ensures that each treatment is tailored to your facial dynamics and skin quality for results that look refreshed, not overfilled.



The area around the mouth is in constant motion, talking, eating, smiling, sipping. Over time, repetitive use of the orbicularis oris muscle, combined with a gradual loss of skin elasticity and volume, leads to the formation of vertical lines. Additional contributing factors include:
Natural ageing and collagen breakdown
Repeated pursing of the lips (e.g. smoking, drinking from straws)
Genetics and skin type
Hormonal changes
Environmental stressors like sun and pollution
Because the skin in this area is thinner and more delicate, lines tend to deepen quickly once they appear.
Dr Harry’s approach to smoker’s line treatment focuses on:
Natural movement, Ensuring the lips remain expressive and soft
Precision placement, Using micro-injections for detailed line filling
Minimal volume, Avoiding bulk or stiffness above the lip
Skin texture improvement, Enhancing hydration and skin quality with fine fillers
Harmonisation, Balancing the mouth area with surrounding facial features
The goal is not to erase all lines but to significantly reduce their depth and visibility whilst preserving the natural character of your mouth.
Each treatment begins with a detailed consultation where Dr Harry will assess your facial anatomy, discuss your goals, and determine the most appropriate filler product and technique.
The procedure itself involves:
Cleansing and numbing the area
Careful micro-droplet injections using a fine needle or cannula
Strategic placement just beneath the skin to lift and smooth the lines
Optional blending with skin boosters or hydration fillers for added softness
The entire process typically takes 20 to 30 minutes, with minimal discomfort and little to no downtime.
Softer, smoother perioral skin
Reduced visibility of vertical lip lines
Improved skin texture and hydration
Refreshed, youthful lip contour
Natural expression without a “stiff” or overfilled look
Most patients notice visible improvement immediately, with final results settling over the following few days. The effects typically last between 6 to 12 months, depending on product used, skin type, and lifestyle.
Dr Harry uses specialist filler products designed for fine lines, such as Belotero Balance or Belotero Soft. These fillers integrate seamlessly into the superficial dermis, allowing for subtle correction without adding bulk.
His expertise ensures:
No “duck lip” effect
Smooth transition between lip and skin
Long-lasting results without compromising facial movement
A gentle return to softness and symmetry
In some cases, Dr Harry may recommend combining filler with other treatments such as skin boosters, microneedling, or anti-wrinkle injections for optimal skin texture and movement control.

Meet Dr Harry James
Dr Harry James brings a wealth of experience and clinical precision to our London clinics. As a certified trainer in aesthetic medicine and a finalist in multiple national aesthetic award ceremonies, Dr Harry is recognised for his advanced techniques, patient-focused results, and commitment to setting high standards in non-surgical aesthetics.
His expertise extends beyond delivering treatment, he actively trains other practitioners and remains at the forefront of the field through continuous education and professional development.
Common questions
Yes, when performed with precision, dermal fillers can significantly soften vertical lip lines without adding excessive volume. Dr Harry uses micro-droplet techniques and low-viscosity fillers to treat the fine lines around the lips, not the lips themselves (unless needed). The result is a smoother upper lip area with no puffiness, distortion, or exaggerated lip size.
Despite the name, smoker’s lines can develop in non-smokers due to repetitive muscle movement, loss of skin elasticity, sun exposure, and natural ageing. The area around the mouth is highly mobile and prone to fine creasing over time. Dermal fillers help by restoring subtle volume and hydration to the skin, reducing the appearance of etched lines and improving skin texture.
Absolutely. Dr Harry’s filler technique focuses on supporting the skin rather than altering movement. You’ll be able to speak, smile, eat, and express yourself just as before, but with smoother skin and a more refreshed appearance. Preserving natural facial animation is a key part of Dr Harry’s treatment philosophy.
Results typically last between 9 and 12 months, depending on the filler used and your individual skin dynamics. Dr Harry uses premium products such as Belotero Balance, which integrates smoothly into delicate areas like the perioral zone. Maintenance treatments can help build on initial results, with long-term improvement in line depth and skin quality over time.
Your visit
The same five steps for every patient, whatever you come in for.
Book online or call the clinic. A consultation is £75 and is redeemable against your treatment if you go ahead. Two to four weeks is the usual lead time.
A full medical history review, then a detailed assessment of your concerns and goals. Where the skin itself is the question, that includes an Observ 520x scan, which looks under the surface at sun damage, pigmentation and hydration. Unhurried, and with time to ask everything you want to ask. About the skin analysis
Dr Harry talks through the options and what each can and cannot do, then builds a personalised plan. Nothing is decided for you, and there is no obligation to treat on the day.
Carried out by Dr Harry James himself, never handed to whoever is free. You leave with written aftercare and a number to call if anything concerns you.
A follow up to assess how the treatment settled, monitor anything that needs watching and plan maintenance or next steps.
Where to have it
West London
Smoker's lines filler with Dr Harry James at our Chiswick clinic, W4. Six days a week, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Chiswick300 Chiswick High Road, Chiswick, London W4 1NP
★★★★★ Rated 5.0 on Google
Central London
Smoker's lines filler with Dr Harry James at our Covent Garden clinic, WC2. Thursdays and Fridays, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Covent GardenJubilee Hall, 30 The Piazza, Covent Garden, London WC2E 8BE
★★★★★ Rated 5.0 on Google
Smoker's lines filler is available at both clinics, at the same price and with the same practitioner: Dr Harry James carries out every treatment himself. Chiswick clinic · Covent Garden clinic.
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Ready when you are
A £75 consultation with Dr Harry James at Chiswick or Covent Garden, redeemable against your treatment if you go ahead. He assesses, explains what smoker's lines filler can and cannot do for you, and writes a plan. Nothing is decided for you on the day.
Chiswick, W4 and Covent Garden, WC2020 3633 8687