The DAO is the muscle responsible for the pull-down of the lower face and hyperactive DAO muscles can have an affect on the marionette lines, making it look worse. It also connects to the platysmal bands in the neck, responsible for more pulldown. And as we age, the degenerative state of the fat pads descending accentuates the marionette lines, or the lines that form from the corner of the mouth down into the jawline.

This procedure combines relaxation of the DAO muscle (pulls down the corner of the mouth) with neuromodulators PLUS subcision (with the use of a microcannula, releasing tension of pseudo-ligaments) resulting in a more neutral, relaxed smile.