What is the best way to get rid of marionette lines? (photos)

Thank you for your question and photographs.  Marionette lines are best improved with the use of dermal fillers to help soften these facial creases.  Liposuction can then be performed to the neck to help improve the appearance of a double chin.  In cases of more severe jowling, a surgical facelift/necklift best addresses all of these issues to leave a pleasing jawline.   Hope this helps

Liposuction is a poor treatment for marionette lines.  Fillers or fat grafting usually help for this area.  Jowl and neck issues are often treated best with a face and neck lift.  Fat grafting may be added at the time of surgery to enhance the outcome.  There are many excellent surgeons in your area.  I would recommend making an appointment with one to discuss your concerns.

Nonsurgical treatment of jowls includes fillers. Generally a gel emerges from dissent of the midface fat to the anchoring point between the corner of the mouth and the cheek. The best solution is surgical-a facelift. Skin tightening technology does not work.

Marionette and other lines on the face need more than just direct filling with fillers.  They improve best with facial sculpting and lifting and this requires a combination approach with fillers, skin tighetning, and lasers.  Please see a cosmetic dermatologist with experience.  Best, Dr. Emer.

The indisputably best way to fix marionette lines long term and restore anatomy is face lifting.  The cheek needs to be re-suspended and this will lift the tissue.  This will also correct a double chin and jowls.  A less expensive, secondary method would be placement of fillers or fat in the cheek to lift the cheek, improving the jowls and marionette lines.  This will not help a double chin.  Best of luck