Would Morpheus8 be ideal for treating my jowls and marionette lines or should I consider a lower facelift? 47 y/o (photos)

In person exam is essential, as well as standard set of photos- all views -including profile. Based on limited photos, and history of Botox to address platysma bands and visible improvements - it appears that you may benefit from facelift/neck lift +Platysmaplasty . Even though there're variety of non surgical options available - they will not be able to achieve the result of surgery. To maintain the best result after surgery - we recommend Sylfirm X- which is our preferred RF device . I suggest that you seek an experienced Board Certified PS and discuss your options in detail

Regarding radio frequency microneedling and focused ultrasound energy devices: There isn't much upside and quite a bit of downside. These include: 1) expense to result mismatch, 2) quite painful, usually performed while awake, 3) formation of deeper scar tissue that complicates a later facelift. In fact, I have had patients that have had such procedures multiple times prior to seeing me. These cases were universally complicated by dense deeper scar tissue similar to a poorly performed prior facelift. I strongly recommend that you avoid such procedures and spend your money on a nice vacation.... or have a facelift.

One thing to consider would be a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This will help with the marionette lines and the downturned corners of your mouth.

Best Wishes,

Gary Horndeski, M.D.