My lower facelift did not totally remove my marionette lines, any suggestions?

Removing the marionette lines completely may require significant tension on the SMAS and lead to abnormal shape at the corner of the mouth.
Visibility of the lines is sometimes made worse by the buccal fat volume and buccal fat reduction can help control the area. A deep plane facelift may also offer a stronger correction.
Treatments using fillers or fat transfer can also help to smooth the area and also to enhance slightly the chin projection for continuity in the contour of the jawline.
I suggest that you discuss your concerns with your surgeon and explored together options for improvement before considering alternatives.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

A face lift will NEVER EVER affect marionette lines. They have to be filled in and fillers or an implant does the job nicely .