Multiple different approaches

Facelifting is the most obvious answer.  This can help elevate soft tissue that has fallen and take up extra skin. There are some lasers that can tighten the skin, but in my hands they only give about a 20% improvement.  The advantage to the lasers are that they result in very little down time and are ideal for the patient with only mild laxity and who doesn't want to undergo a facelift.  Facial skin laxity can also be the result of "deflation" or the face or facial fat atrophy. Soft tissue fillers can plump the face to fill it out a bit. This can be done in conjunction with all the other techniques that I have described.

I specifically recommend the option of autologous fat grafting for your sagging cheeks.  As you have learned by now, aging changes related to volume loss are best addressed by volume correction.

Autologous fat grafting is easily performed using your own fat (taken from belly, arm, thigh) which is then "purified" and reinjected into your cheek area to provide a natural lifting and filling effect.  It very well may require additional injections (your fat can be stored and frozen for later use) and a certain amount of swelling and bruising is to be expected.  The results however are very satisfying and while still more involved of a procedure than fillers or some resurfacing options, well worth it.

Cheek or malar/submalar implants are also very effective for addressing sagging cheeks but that is a surgical procedure albeit not a very extensive one.  This option is helpful when there is concern about the cheekbone itself.

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