Marionette veins: what procedure would pull up the blossoming jowls? (Photos)

The superficial veins can be treated with some light therapy - IPL/ Laser.
Filling your midface/ cheek may give you a lift of the jowls  -with something like Voluma.
Filling the marionette lines may make the jowls heavier.
Alternatively skin tightening treatments like Ultherapy, Exilis or other RF treatments may help tightening the jowls.

Hi,Thank you for including photographs. You have a few options available to you. First, you may be able to camouflage the jowls with some fillers around the corner of the mouth and marionette area - this is the least invasive and costly treatment. You also have the option of having Ultherapy or Radio Frequency treatment to stimulate collagen production and skin tightening in the jowl area. These treatments can have some down time and increased cost associated with them but results last longer. There are also resuspension sutures (Silhouette Instalift) that can pull the corners of the mouth up - it may be too early for this based on your pictures. I recommend visiting a qualified facial plastic surgeon who can discuss all these options with you to help achieve your aesthetic goals. Best,Mehdi Sina, MD 

There are easy fixes for the corners of the mouth.  The cheek area can be filled conservatively to lift that area that is starting to sag.