What type of facelift properly addresses the marionette lines and jowls?

Thank you for your question.  There are many facelift available whether it be under a general anaesthetic or local anaesthetic.  All facelift should target the SMAS muscle therefore ensure the longevity.  Different surgeon will have different places of where the scars will be and how long the scars are.  When you have a consultation ensure to ask these questions.  Ask to look at before and after pictures to see whether you like their results.  A facelift typical targets the jowls and will soften the marionette lines, however if they are deep they will not be removed.  This could be addressed with some dermal filler after the facelift.  The facelift I perform is under a local anaesthetic which means a significantly reduced downtime.
Most of my patients want a facelift however do not want the downtime associated.  The Concept Facelift and Necklift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. 
If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.
 Typically recovery period is 7-10 days as you do tend to bruise more with your eyes than facelift and necklift.  You would need to return for a follow up appointment 7 days later to check your healing progress.  This can be combined with lower eyelid surgery which I think will give you a fresher appearance.
What are the benefits of a local anaesthetic facelift?
Minimally invasive as it is a short scar facelift, although has the same effects as the Traditional Facelift as the SMAS muscle is tightened along with the skin.There is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease make sure you find a reputable and qualified plastic surgeon

The best facelift includes addressing skin collagen loss, volume deficiency(marionette) and sagging tissue(jowls).The vertical lift of the face and neck tightening will best improve the neck, jawline and cheeks. Fat grafting adds volume to the facial deficient areas such as nasolabial , cheeks,  lips and marionette lines. Regional erbium laser, peels and postoperative skin care maintenance address collagen loss in the skin.I would  visit a board certified plastic surgeon to discuss all your options. We use the Vectra before and after face simulation system to help meet your expectations . Connecting with the correct facial surgeon is important in your decision making to proceed forward with a facelift.

All techniques address the jowls and marionette lines to some extent.  However, the SMAS lifts tend to have the best longevity with at the same time the most natural results.