DAO Botox in Sugar Land, TX: How to Soften Marionette Lines Without Filler
If you’ve started noticing the corners of your mouth turning downward or deeper lines extending from the mouth toward the chin, you may be seeing marionette lines. Many people assume dermal filler is the only solution, but in some cases DAO Botox can soften this area without adding extra volume.
At Get Tox’d near Sugar Land, TX, DAO Botox is one of our most requested lower-face treatments for patients who want a more refreshed, lifted appearance while still looking completely natural. Keep reading to learn how DAO Botox works, who it’s best for, and what kind of results you can expect.
What Is DAO Botox?
DAO Botox targets the depressor anguli oris (DAO), a small muscle located on each side of the mouth that pulls the corners downward. When this muscle becomes overactive, it can contribute to a downturned expression and make marionette lines, the lines that extend from the corners of the mouth toward the chin, appear more noticeable.
A small amount of Botox or Xeomin is injected into the DAO muscle to reduce that downward pull. As the muscle relaxes, the corners of the mouth can sit in a softer, more neutral position, helping create a more refreshed and balanced lower-face appearance without adding filler or changing your natural smile.
DAO Botox vs. Filler for Marionette Lines
Many patients in Sugar Land ask whether they need filler or Botox for marionette lines. The answer depends on why the line is forming.
DAO Botox works best when:
The corners of the mouth are being pulled downward by an overactive DAO muscle, creating a tired or unhappy appearance.
The marionette line becomes more noticeable during smiling, talking, or other facial movements rather than remaining deeply visible at rest.
You want a subtle lift and softening of the lower face without adding extra volume.
Your goal is to improve expression and muscle movement while keeping your results natural-looking and minimally noticeable.
Filler works best when:
There is significant volume loss around the mouth, chin, or lower face that contributes to the appearance of marionette lines.
The line is deeply etched even when the face is relaxed, suggesting that loss of support is a major factor.
The area appears hollow or sunken, especially near the corners of the mouth.
You want to restore structure and fullness in addition to softening the visible line.
In some patients, especially those with both muscle pull and volume loss, a combination of DAO Botox and filler may provide the best result. However, many younger patients with early marionette lines can see noticeable improvement with DAO Botox alone
What Results Can You Expect From DAO Botox?
Most patients notice a subtle, meaningful improvement in the lower face within the first couple of weeks after treatment. Common results include:
Softer marionette lines around the corners of the mouth
Less downward pull when the face is at rest
A more rested and approachable expression
A smoother, more balanced appearance in the lower face
When the treatment is placed correctly, you should still be able to smile, talk, eat, and express yourself naturally. The purpose is simply to reduce the heaviness and downward tension around the mouth while maintaining normal facial movement.
How Long Does DAO Botox Last?
DAO Botox is not permanent, so maintenance treatments are usually needed to keep the results looking consistent. Most patients enjoy results for about 3–4 months, although the exact duration can vary depending on factors such as muscle strength, facial movement, metabolism, and previous Botox use.
Many patients in Sugar Land, TX choose to repeat DAO Botox every few months, often scheduling it at the same time as their upper-face Botox appointments for convenience. With regular maintenance, results tend to remain softer and more consistent over time.
Why Patients in Sugar Land Choose DAO Botox
One of the biggest reasons patients in Sugar Land choose DAO Botox is that it can refresh the lower face without adding filler. For patients who are concerned about looking overfilled or changing their facial shape, DAO Botox is often an excellent first step because it focuses on relaxing muscle movement rather than adding volume.
At Get Tox’d, we specialize in natural-looking results and conservative dosing. Our goal is to soften the downward pull around the mouth while preserving your normal smile and facial expression, so you still look like yourself, just a little more rested and refreshed.
Frequently Asked Questions
Do I need filler or Botox for marionette lines?
It depends on what is causing the line. If the line is mainly related to muscle pull and becomes more noticeable when you smile, talk, or make facial expressions, DAO Botox may be enough. If the line is deeply visible even when your face is relaxed or the area around the mouth appears hollow, dermal filler may be a better option. In some patients, combining both treatments provides the most balanced result.
Is DAO Botox the same as a Nefertiti Lift?
No. DAO Botox targets the depressor anguli oris muscle, which pulls the corners of the mouth downward. A Nefertiti Lift targets the platysma muscle in the neck and jawline to improve jawline definition. They are different treatments, although they can be combined for a more complete lower-face rejuvenation.
Will DAO Botox make my smile look frozen?
No. When DAO Botox is dosed and placed correctly, it is designed to soften the downward pull at the corners of the mouth while preserving your natural facial expression. You should still be able to smile, talk, eat, and express yourself normally.
How soon will I see results?
Most patients begin to notice softening within a few days after treatment, with full results typically developing over 10–14 days. The improvement is gradual, which is one reason many patients feel DAO Botox looks very natural.
DAO Botox Near Sugar Land, TX
If you’re looking for DAO Botox near Sugar Land, TX or wondering whether your marionette lines are caused by muscle movement or volume loss, our team can evaluate the area during a personalized consultation and recommend the treatment that best fits your goals.
At Get Tox’d, we focus on natural-looking lower-face rejuvenation and conservative treatment plans designed to refresh your appearance without looking overdone.
Schedule your DAO Botox consultation today and find out whether this subtle lower-face treatment is the right option for you.

