How to get rid of marionette lines without surgery? (Photo)

Evaluation of marionette line in the context of general skin flaccidity is the key.  In your age group, generally would not be a reflection of general loss of skin tensile strength.  Ultherapy as well as Silhouette Instalift can be considered. 

 There are various options available for correction.   I recommend you undergo Ultherapy as a first step, as this cause the skin in that region to tighten and become firm.  If you do not achieve satisfaction through Ultherapy, I recommend you try a filler as a secondary step forward to develop a sense of what you're looking for in terms of volume.  Once you have a better idea of what you will look like without your marionette lines, your surgeon will have a better idea of your aesthetic goals with regards to fat grafting.  It would be in your benefit to try a temporary solution before taking any permanent action.