Improving Marionette Lines with Lower Facelift?

Thanks for the great question -
A lower facelift is designed to address the neck and submental (beneath the chin) excess skin as well as the jowling which can contribute to the marionette lines.
You should see a significant improvement but sometimes there can be some residual lines.
Have a careful conversation with a board certified plastic surgeon about what to expect and how to proceed in a manner that best addresses your concerns.
I hope this helps.

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 lower facelift will help with marionette lines somewhat, but in most cases will not eliminate them. Keep in mind that some degree of fold in this area is natural and age-appropriate. Some attempts to over-tighten this area can end up looking strange and unnatural. If there is enough tissue available, I offer to transplant some of the patient's own tissue from under the skin into this fold to serve as a natural and semi-permanent filler. This works similarly to fat transfer, but is made up of the patient's own fibrous tissue as well, which allows it to last for many years. Again, this will often not completely eliminate this fold, but will help to soften it. Finally, injectable fillers might be an option for post-operative correction and additional improvement in this area.
Be sure to see a surgeon who specializes in facial aesthetic procedures in order to review all of the options in detail.
Best,

Hi,  if you have beautiful cheek bones, a lower face lift with midface lifting,  your jowls can be easily placed back to their proper position, that will give  fullness to your midface, improve "marionette  lines" and allow you a more youthful  look.
Best of luck to you

Most people age in 3 major ways:1) Skin inelasticity: the skin sags or stretches over time.  The best way to treat sag or excess skin is to remove it.  In milder cases, the skin can be tightened with CO2 laser or Ultherapy.2) Volume loss: we lose volume in the form of fat, collagen, muscle bulk, and bone.  As we age, we lose more.  If the skin is tightened without restoring volume support to the skin, you get an overpulled look.3) Decrease in skin quality: after a facelift, the excess skin is removed.  However, the skin that's left behind hasn't been rejuvenated.  The skin thins as we age and we lose collagen in the dermis.  Collagen can be replaced using a combination of Retin-A, Co2 laser, microneedling, etc. Marionette lines that persist after skin tightening occur as a result of poor skin quality or poor facial volume that needs to be added to address the other ways you may be aging.  

As we age, the cheek moves downward against the relatively fixed tissue around the mouth and this causes folds of skin that we call nasolabial folds and marionette lines. A lower facelift will significantly improve marionette folds. However, lines that are "etched" into the skin in these areas will not go away with a lift alone, but require some type of skin resurfacing.You may test this yourself by pulling the skin of the cheek up and away from the marionette region. Any lines that remain will also remain after a lift.