I had marionette lines and loose skin in the jowl area. They were not fatty. I had a Mini lift that included lifting and trimming of the SMAS muscle. Now my jowls look like this. I am not happy with this. My doctor's only solution is to do either Lipodissolve or liposuction.
I hope this isn't confusing. I added another photo (more photos are posted in my review). The doctor swears that he lifted my SMAS muscles. The left side of my face was aggressively pulled higher than the right side. Leaving the right lower side of my face sagging. And a horrible sweep mark on the left side. He will only do lipo to correct my lower face. But honestly he says he can't see anything wrong.