If you feel that the area around your nose and mouth needs improvement, volume loss is typically the culprit. Minimally invasive techniques using fillers and fat grafting can work nicely to fill back up what time has taken away. Occasionally, facial implants are necessary to add permanent volume.
Midface lifts are usually performed through eyelid, mouth, or hairline (endoscopic) approaches. They are designed to reposition saggy cheek skin only. The problem lies in the fact that they are typically only so successful. Downsides include chronic swelling, numbness, and dissatisfaction with the cosmetic outcome.
If your concerns lie along your jawline and under your neck, then a facelift operation makes sense. Facelift operations along with liposuction of excess fatty deposits are designed to reposition sagging muscle tissue at the side of the face and underneck areas, along with tightening excess facial skin.
Whether you need a mini facelift or something more traditional will depend on your surgeons' exam. Go see your surgeon and ask lots of questions. Really try to get a good idea of where you have aged and why, so that you can then make the best decision for what type of procedure or combination of procedures will optimize your concerns.
Best of luck.
