Radiesse or Lipo for Lifting Jowls and Marionette Lines?

For those patients who are dead set against having surgery, and don't mind repeated visits, even more than once per year, volumization may help them significantly obtain improvement in their appearance. Botox on the neck underneath the jowl can be done as an off-label use with some benefit to lift the cheek, liposuction can be done on the jowl (but this is surgery and there are risks) and tightening devices might improve the appearance, but all these treatements will not give you the same good result as a facelift it appears. It might be more cost effective for you to have the lift, although, you should realize that some patients still benefit from some filler for smile folds after a lift.

If the extent of face skin sagging is not considerable and the patient with marionette lines is not willing to have surgery, then the use of dermal filler injections may be a great option. Dermal fillers are a class of cosmetic injections that are designed to add volume to the patient's face. By filling the lines, sagging can be reduced, and patient will get much younger look. For light form of M lines these fillers and injections could be a good relief but for deeper forms surely it can comparable to the surgical option's result, I mean face lift surgery.When marionette or nasolabial lines appear as a result of serious drooping and sagging of the skin in the lower part of the face, a lower facelift can be helpful. The lower facelift involves incisions made around the lower portion of the ear, allowing surgeons to tighten the facial skin and improve overall appearance in the process.

I dont know what you have spent this year on all that filler, but I would recommend waiting, save your money and then get a facelift, which is what I really think you need and would benefit most from.
Good luck.