Hi, I have performed many facelifts over the past 30 years and many on patients in their late twenties and early thirties. The presence of "jowls" is the primary indication for some type of a facelift and the photo included does seem to show signs of jowling. The cheeks are flat anteriorly (in the front) and there is evidence of a double chin that may indicate a weak chin. The mandibular angles do appear to be weak. Following the beauty principles outlined in my book on face and body beauty, male faces look ruggedly handsome when there is angularity in the cheeks, chin and mandibular angles. Chin augmentation, using a chin implant, will add projection to the chin creating harmony and balance to the lower face. I have found placing a silastic chin implant through a small, curved, incisions under the chin to be very safe, quick, highly effective and far less invasive than a sliding genioplasty that requires bone cuts with placement of screws and metal plates. In addition to chin augmentation, cheek augmentation with either a dermal filler or cheek implants (for a permanent enhancement) will add angularity to the cheeks. Mandibular angle augmentation with a dermal filler (jaw implants IMHO have too many unwanted side effects) will add volume, angularity and flare to the jaw line. If you do have "jowls" on examination, this is sagging facial tissues and an indication for some form of a facelift, not Cheek Augmentation. I have performed many Cheek Augmentations over the past 30 years and the notion that Cheek Implants or dermal fillers alone to the cheeks will lift tissues is an urban myth. Filler to the cheeks or cheek implants will shape the cheeks but will not lift up the jowls. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane and subperiosteal facelifts) but with these added benefits: •very small incisions •minimal tissue dissection = less bruising and swelling = rapid recovery •can be performed in 90 minutes or less, with or without anesthesia •no incisions within the hair = no hair loss •excess fat can be removed •excess skin removed •cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants •most patients fly back home to parts all over the world in as little as 3 days post-op Hope this helps.