Droopy lower face. Options? (Photo)

Sagging around the lower face, downturned mouth corners, marionette lines, and fullness under the chin can occur earlier than expected — not just from aging but due to genetic factors or structural facial anatomy. In your case, since you've already tried non-surgical options like fillers, Dysport, and Ultherapy without much improvement, the issue may lie deeper, at the structural support level (like the SMAS), which non-invasive treatments often can’t reach.
At 36, surgery is not too early — age is less relevant than facial condition and expectations. It's not about being a certain number, but about how your face is aging.
Here are some common approaches for your concerns:
Lower facelift or mini facelift: This targets jowls, marionette lines, and redefines the jawline by repositioning sagging tissues. It typically provides the most natural and long-lasting result when non-surgical methods fall short.
Submental liposuction: If there’s excess fat under the chin, this can help refine the neck and jawline.
Chin/jawline enhancement (with filler or implants): If the lower face is recessed, these can restore proportion and structure.
Targeted filler in marionette lines: May help if there’s still adequate skin tone, but without addressing sagging, the result is usually subtle.
You’ve already taken the right first steps by trying less invasive options. Now might be the time to explore more structural and foundational solutions — especially if you're looking for a more defined, youthful, and natural lower face appearance.

There are both surgical and non-surgical options available to address the concerns you described, depending on your preferred approach. Here are a few options:

Non-surgical:
• Lower face filler (strategic placement to lift corners and smooth lines)
• Jawline contouring with filler
• Skin tightening (such as Morpheus8, RF microneedling, or the newer Ultherapy)
• CoolSculpting for under-chin fat

Surgical:
• Mini facelift or lower facelift – directly addresses sagging skin, jowls, and deeper lines • Neck liposuction or neck lift – targets under-chin fat and loose skin
• Corner lip lift (sometimes considered for persistent downturn)

At 36, surgery can be an option if non-surgical treatments haven't been effective, and you seek long-lasting, more dramatic results. A consultation with a facial plastic surgeon is ideal for determining what’s right for your anatomy and goals.

Based on the photos, you appear to be a suitable candidate for a **facelift** surgery. The sagging in your lower face, marionette lines, andskint under the chin (if any) can be significantly improved with a **SMAS facelift**, providing a more youthful and defined appearance. This procedure tightens the facial muscles and deeper tissues, offering a more permanent solution. I would recommend an under chin liposuction if the volume under your chin is fat, rather than skin. This can only be decided after physical examinaytion While other non-surgical treatments, like Ultherapy or fillers, provide temporary results, a surgical approach would give you a more lasting and natural outcome.