Does Sculptra Work for Jowls and Marionette Lines?

Yes it can. By filling the cheek and replacing the volume that has been lost over time, the droopiness of the mid face is corrected partially thereby correcting the fallen jowls and to some extent the marionette lines. Direct placement of the Sculptra under the marionette lines may help lift them up. There is also a possibility of improving the jowl by inserting a filler between the forward jowl and the chin. This straightens the line of the jaw near the jowl and makes the jowl less obvious.

Sculptra is not a product I use for the jowls and marionette lines. While it can work in these areas, I think that the incidence of irregularities or nodule formation is a bit higher in these areas, and I feel that other products work better to fill these specific regions. Sculptra works great for producing volume in broad areas like the cheeks and temples.
All the best,

I do use Sculptra quite a bit to soften the jowls by building up the jaw line.  I addition, I do use Sculptra in the marionette region.  I don't hesitate to combine Sculptra with a traditional dermal filler.  It does confuse the question as to how long the result will last.  I tell patients to expect the traditional fillers to last up to a year.  The Sculptra, can last beyond a year and will give the marionette region a volume boost.

Sculptra is a great way to lift up sagging areas.  For jowling and marionette lines, it may be appropriate to use Sculptra in the cheek area.  Without seeing you, it is difficult to make an assessment. 

Yes, it does. However it is important to realize that the injections might not be placed directly in the lines. The goal is to lift up the sagging areas behind and above these lines and jowls. Once those areas are lifted (volumized) then these lines will diminish.
Regards