I'm 23 Years Old and my Face Sags. Would a Mid-Facelift Help?

From the first picutre it appears you have a small jaw which may contribute the the apperance of jowls. Occasionally this can be associated with an overbite. Corrective surgery may require orthognathic intervention. Alternatives include chin implants with prejowl augmentation, as well as the use of fillers. Fillers would allow a reversible and lower risk option with the benefits of reversibility.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

I commonly address issues like the ones you are complaining of at your age with either Juvederm or autologous fat.  Stay away from any permanent products as the complications down the road can be severe.  you may also benefit from some modest skin tightening using a BBL device.  I would recommend starting with a HA filler such as Juvederm.

From your pictures, it seems that you have some marionette lines, or lines from the corner of your mouth down toward your chin. You don't have any jowling, so a surgica procedure is probably not needed. I would recommend filling the folds with Juvederm or Restylane. I'm sure you will be very happy with your results.

Andrew C. Campbell, M.D.

Board Certified Facial Plastic Surgeon
 

Looking at your photos, I see an attractive, young lady.  You do not need surgery at this point in your life. Besides, midface lifts are a lot of surgery for a subtle change.

At this time, the only treatment I might consider for you would be a little filler injection - to smooth out the line that runs downward from the corner of your mouth ("marionette" line).  

All the best,