How can I best address my marionette lines? 40 years old. Would prefer to avoid major surgery but I’m not wholly opposed (Photo)

I have had these marionette lines for several years and now I’m starting to get jowls. I’ve tried Botox and fillers with some limited success. I wold prefer not to do a lower face lift yet if I have other viable options but if nothing else will really work I’m willing to consider it.