I have had jowls (or marionnette lines ?) as long as I can remember - what can I do?

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Hi there! If you’re not wanting to use filler in that area, Botox in your DAO’s could help relax the muscles that pull the sides of your lips down, creating that line. This can help prevent further downturn of the lips and prevent wrinkles or a deep line from forming there.

You could try the 1540 from cynosure or envi treatment to help with those lines. The 1540 is really great for skin tightening and it penetrates deeply for maximum affects. Envi is another option but depending on the depth of the lines this treatment may not be the most affective. For your dry skin Vitamin A oil is a great option.