Hi, I have performed many facelifts over the past 30 years and many on women in their late twenties and early thirties however, they all had jowls. From the attached photos, the cheeks are very flat anteriorly (in the front), and the chin appears elongated. The chin isn't seen on profile but I suspect that it is quite weak. These combine to create an elongated, oval shaped face. When the chin is weak, this creates an imbalance that makes the nose appear larger, the lower face short and the mid face appear top heavy. Chin augmentation, using a chin implant, will add projection to the chin creating harmony and balance to the lower face. I have found placing a silastic chin implant through a small, curved, incisions under the chin to be very safe, quick, highly effective and far less invasive than a sliding genioplasty that requires bone cuts with placement of screws and metal plates. Following the beauty principles outlined in my book on face and body beauty, male faces look ruggedly handsome when there is angularity in the cheeks, chin and mandibular angles. In addition to chin augmentation, cheek augmentation with either a dermal filler or cheek implants (for a permanent enhancement) will add angularity to the cheeks. Mandibular angle augmentation with a dermal filler (jaw implants IMHO have too many unwanted side effects) will add volume, angularity and flare to the jaw line. If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane and subperiosteal facelifts) but with these added benefits: •very small incisions •minimal tissue dissection = less bruising and swelling = rapid recovery •can be performed in 90 minutes or less, with or without anesthesia •no incisions within the hair = no hair loss •excess fat can be removed •excess skin removed •cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants •most patients fly back home to parts all over the world in as little as 3 days post-op Hope this helps.