Thanks Arkay for your question! It sounds like you're looking for a solution to address age-related changes in your face, particularly mid-face fat loss and a weak neck. A vertical facelift, combined with fat transfer, could potentially be a good option for you, but it's crucial to consult with a qualified plastic surgeon for a personalized assessment. The cheeks, jowls, and nasolabial folds (smile lines) are among the mid-face tissues that droop and are especially addressed by vertical facelifts. They improve face contours and provide a more youthful look by lifting and realigning underlying components. Many vertical facelift techniques also address neck laxity, improving the definition of the jawline and reducing sagging skin. Fat transfer can help restore volume to areas that have lost fullness due to aging, such as the temples, cheeks, and under the eyes. This can complement the lifting effects of the facelift by creating a more balanced and youthful facial profile. Moreover fat grafting uses your own body fat, resulting in natural-looking and long-lasting results. If you're hesitant about injectables like fillers, a surgical approach like a facelift and fat transfer could offer a longer-lasting and more comprehensive solution and these procedures can address multiple concerns simultaneously, such as mid-face sagging, neck laxity, and volume loss. Consultation is Key. A thorough consultation with a board-certified plastic surgeon is essential. They will assess your specific concerns, evaluate your facial anatomy, and discuss your goals. The best approach will be tailored to your individual needs and desired outcome. Hope this was helpful! Best wishes, Dr Ali Sajjadian