My lower facelift did not totally remove my marionette lines, any suggestions?

Thank you for your picture and questions. It would be helpful to know more about your "lower facelift." Lots of surgeons call everything a "facelift" but the devil is in the details...how long ago, what exactly was done, SMAS work, skin removal, etc. I would start with an evaluation of your current appearance in movement and a review of your previous procedure. Most people on here are going to recommend fillers or injectables or threads, and I think this is continuing to throw small solutions at a more significant problem.

Hope this helps!

Dallas R. Buchanan, MD, FACS
VIVIFY plastic surgery

In patients with heavy jowls, we have seen some residual marionette (labio-mandibular) lines, despite dividing the mandibular ligaments and doing an aggressive fascial tightening along the lower border of the face. In those cases, we have recommended the use of threads as an adjunct to the tightening. Obviously, fillers would be another option.