Hi Jasmin, Although the changes you note are real, they are still too subtle to be worth a full facelift. When people feel they need a facelift, they are really asking about a number of different components which can be treated separately without the full downtime, scars or risks of a full facelift. I like to break those parts into the lower eyelid (mid face), the cheek, the lower face / jawline, and the neck -- which has a superficial and deep part. For example, I might offer lower eyelift, fat grafting to the tear troughs and superficial neck tightening as an early intervention without the full facelift scar around the ears, in fact almost no scarring at all. Then later in life, you could come back for the cheek, face and lower jawline to treat those ares when they need it. In your case, from the pictures you show, the only element you seem to need is treatment to smooth the jawline on the left side. I would find a dermatologist you can trust, with a local treatment option to gently tighten the skin there, and save your money for surgery another day. Consider needle treatments, sometimes done with energy (like the Agnes system), and a dermatologist with the skills for subtle correction. If you don't know of one, your plastic surgeon should be able to recommend one, as we often try to partner with the good ones to offer comprehensive care. Hope that helps!