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

This is not a simple question, and there is not a simple answer. In reality, there no way to advise what type of facelift would be best for you without assessing your anatomy. While these 2 factors (marionette lines and jowls) may stand out to you, it is a facial assessment as a whole (including face and neck) is needed to come up with the best plan for you. The best type of facelift also varies by surgeon. Two surgeons doing the same "type" of facelift can get 2 very different results. You are correct in that the terminology can get confusing as a patient, and it is hard to compare surgeons in this regard. I think from a patient perspective, you can read about the different surgical techniques for interests sake if you want, but make sure ook at the surgeons credentials and results. You want to make sure you are choosing not only a properly trained and credentialed surgeon, but also one with results you find attractive. You may visit a surgeon reputed to be "the best" and find you don't like the surgeon's results, so that means that surgeon is not the best *for you*, which is what matters.

There are many techniques of facelifting, and there are many types of facial anatomy. Depending on your particular anatomy, you may be best treated with an aggressive, sophisticated lift like a deep plane lift with subplatysmal contouring, or you may be a candidate for a simple, in the office minilift. The far majority of my patients can have a lift in the office and get great improvements in the jowls and the marionette lines. It solely depends on your facial anatomy. A facial surgeon with extensive experience with facelifts would be able to tell you the best technique for your particular anatomy.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers