75 year old healthy woman who wants to look younger. Would I be better off with a lower facelift or fillers? (Photo)

In general, the best recommendations come during an in-office examination and discussion of your aesthetic goals.Typically the aesthetic goals would come from a combination of surgery, volume augnmabntion with fillers ot fat augmentation and laser resurfacing.The attached link provides more infomation.I hope this helps.

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.

Although a personal consultation would allow me to closely examine your face and be more specific concerning what is best for you to look younger, based on your photos, I would offer the following information.  Various fillers can plump up the nasolabial folds and scattered lines, softening them and making them less distinct.  Volumizer fillers can add bulk to you cheek bone areas and temples.  However none of these are permanent.  Fat grafting can add fullness to your cheeks but is a surgical procedure and more involved that just injecting fillers.  Although some of the fat may dissolve, whatever survives the grafting will last for many years.  So if you just want to add volume or soften some lines, then the injectables or fat grafting may suffice.  However, if you are bothered by your loose skin on the cheeks or neck, the bulges (jowls) near the sides of your chin, or even the loose saggy muscle bands I see on your neck, then there is no substitute for a lower facelift to create a smoother, firmer neck and lower cheek.  At surgery, you could always have fat grafted into the cheeks to add some fullness there if desired.  You really should have a thorough discussion with an experienced plastic surgeon to better understand which treatments will give you the improvement you are looking for.