Are there procedures that would address my cheek and eye wrinkles or should I consider a facelift? 55 y/o (photos)

Living a healthy and active life and receiving regular botulinum toxin treatments have likely helped slow down the visible signs of aging on your face. However, as we age, structural changes in the face — including skin laxity, fat redistribution, and weakening of connective tissues — become more noticeable. These changes often result in deeper lines in the cheeks and around the eyes, as well as sagging that pulls the facial features downward.
Dermal fillers can provide support and soften some wrinkles by restoring volume, especially in the midface. But in cases of moderate to severe sagging, fillers may fall short and can even distort facial proportions if overused.
Laser treatments and energy-based devices like fractional lasers or radiofrequency microneedling (e.g., Morpheus8) can improve skin texture and stimulate collagen, which helps with fine lines — but their lifting effect is modest, especially when deeper tissues are involved.
At this stage, a facelift may offer the most natural and long-lasting improvement. Modern facelift techniques do more than just tighten the skin; they reposition deeper structures like the SMAS layer, restoring youthful facial contours without looking overdone. In your case, especially given the combination of volume loss and tissue laxity, a facelift — possibly combined with eyelid or neck rejuvenation — might provide a more balanced and comprehensive outcome.
Every face ages differently, and the ideal solution is always personalized. But when nonsurgical options are no longer enough, a well-performed facelift becomes a rational next step, not a last resort.

A deep plane lift would lift the deep tissues in your cheeks and lower face with a natural and long term results. It will significantly reduce these lines when you smile.

These wrinkles are dynamic and will not improve significantly with facelift alone. In an ideal world you should get a facelift and laser resurfacing. If you don't want surgery then a combination of fillers and laser resurfacing will help.
Regards
Dr. J