Hello,The short answer is 'yes,' it is time for a face lift. Years ago, facelifts were reserve for patients in their later years (50s and up) but today, many patients are requesting procedures to rejuvenate their faces at a younger age, all with the goal of maintaining (rather than restoring) a youthful appearance. I recommend a "maintenance" face lift for you to address your concerns of jowls and to soften your "lid-cheek junction" which will improve the appearance of dark circles. I would also recommend facial fat grafting to restore volume and contour through your mid-face. My approach would be less aggressive (albeit very meticulous as always) because you have focal areas of laxity and descent. I also collaborate with my wife, Board certified dermatologist Dr. Noëlle Sherber, to perform laser resurfacing and advise on results-oriented skincare regimen, since surgery is good at lifting but poor at improving skin surface texture, tone and radiance. Combining the best of plastic surgery and dermatology helps our patients achieve superior results for the long term. All my best,Dr. Rad