My cheeks seem to be falling near the centre of my face, making me look aged. Am I a good candidate for a midface lift? (Photo)

The photograph demonstrates an attractive face it does not need any surgery. There is some volume deficiency in the tear trough area that might benefit from filler. I certainly would recommend nothing more aggressive than this.

Dear freesoul,You do have a decent grasp of your surgical and nonsurgical options. I suggest you consult a board certified facial plastic surgeon to receive the highest-quality in-person knowledge, recommendation, treatment, care and skills available. Keep in mind that tt has been proven
that the following features comprise an attractive female face:

Short upper lip

High cheekbones

Small nose

Short distance
between the chin and mouth

Large eyes, widely
spaced apart

Fine jawline

Petite chin

Aging of the midface will manifest as sagging of fat down from the prominent cheekbone area to a lower position, resulting in some flattening of the upper cheeks and increasing fullness of the lower cheeks.  Atrophy and deflation of the fat compartments in the cheeks adds to this change in shape from a heart-shaped, triangular youthful face to an older more square facial shape.  You can recreate a more youthful shape by adding either volumizing fillers or your own fat to the upper and mid fat compartments, or by having a cheek or mid-face lift, with or without adding volume, to reposition one's own fat.  However, based on the photos you submitted, I don't think you have any significant sagging of tissue and certainly would not suggest a surgical lift at this time, considering your relatively young age and firm skin.  Therefore, in your situation, the easiest and least invasive approach would be to add volume to your upper cheeks..

Patients with early signs of facial aging such as “falling
of the cheeks neat the center of the face” (midface soft tissue descent and
deflation) usually don’t require a facelift. These patients can improve/
rejuvenate their facial appearance with either tissue fillers or autologous fat
transfer. Juvederm Voluma ™ is an excellent filler designed to address this
matter in the office setting in a walk-in basis. Fat transfer to the face is a
minimally invasive surgical procedure that requires a short downtime, but has
the advantage of lasting longer. Patients with early signs of facial aging
should discuss their options with a Board Certified Plastic Surgeon specialist
in facial aging treatment.

Aging in terms of an aged facial appearance, begins under the eyes, with deepening of the junction of the cheek and the lower eyelid, usually medially. This is known as the tear trough area. Fine wrinkling occurs under and around the eyelids, then the cheek fat descends and atrophies. Continued laxity is manifested by more visible nasolabial folds, then the corner of the mouth turns down, and the jowl area forms. Neck laxity, further jowl descent and aging changes in the skin follow. After that, there is further loss of fat volume and bone volume of the orbit and maxilla, giving less support to the loosening skin. Sun and smoking hasten these changes.In the picture shown, the early signs of aging under the eyes contribute to a somewhat older appearance. Fat grafting is effective in reversing these changes.