Are there procedure options besides threads and filler that can deliver a more youthful and natural look? (photos)

Thank you for sharing your question and posting your photos. You look great, but could enhance your appearance with mild ptosis repair and erbium laser skin resurfacing. Your eyes will be slightly more open and your skin with have a more youthful glow. See a board-certified oculoplastic surgeon for consultation.
Good luck!

PDO threads and dermal fillers are certainly not your only options. For those seeking a natural, generally more youthful look, we commonly recommend one of the Vampire treatments. These are trademarked techniques for administering PRP therapy in combination with other natural rejuvenation methods. While a Vampire facial involves a combination of microneedling and topical PRP, a Vampire facelift involves a combination of subdermal PRP and hyaluronic acid injections.
We typically recommend the facial to patients whose primary goals are to improve textures and achieve smoother looking skin, while we typically recommend the facelift to patients whose primary goals are to improve volume and reshape the face. Both techniques are safe and effective means of skin repair that have become widely popular for their exceptionally natural-looking results.

YES! based on the nicely posted photos you are a great candidate for the MyElevate neck suture with mini Face/Neck Lift and HA fillers (2-4 syringes). Fee $10,000. Best to virtual consult with...