What will fix this? Should I get a lower facelift or are there alternative treatment plans? (Photo)

From the photos, the major issue lies in volume deficit in the lower third of the face. If that is indeed the case then the appropriate choice of a robust, HA Contouring filler in the hands of an experienced, board certified cosmetic dermatologist filler expert injected properly in the lower third of the face would likely not only create a more desirable, gradual oval shape to the entire face, but would likely secondarily improve the Marionette Lines and smile lines, as well. Hope this helps and best of luck

To make a determination about being a candidate for a facelift requires a full set of facial and neck photographs from all angles with your hair pulled back behind your ears. That means both side profiles, both three-quarter profiles, and a front profile with excellent lighting and no shadows. Also no selfies. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fat deposits in the neck, which also includes a platysma plasty.