Is facelift too radical? Non surgical options. (photo)

Visible sagging in the lower face and jawline can only be temporarily masked with fillers or device-based treatments. However, these approaches are often insufficient to lift and reposition descended tissues.
For a long-lasting and natural result, I recommend a lower facelift. This procedure lifts and tightens the lax tissues of the lower face, redefines the jawline, and restores a youthful appearance.
When combined with fat grafting, we can restore lost volume in key areas, creating a more balanced and natural-looking result. To determine the most appropriate treatment plan, a thorough in-person consultation and physical exam is essential.

Thank you for sharing your concerns in such detail. Based on your description, one of the key structural factors contributing to the changes in your lower face is likely low cheekbone (malar) projection. This often leads to a heavier appearance in the lower face, especially as early volume shifts begin with age.
If you’re not considering a facelift at this stage, targeted fat grafting to the midface combined with skin rejuvenation treatments could offer a noticeable improvement—similar to the benefits you experienced with upper cheek fillers, but with longer-lasting results and more natural integration.
If surgical intervention becomes a consideration, a focused, endoscopic midface lift would likely be the most appropriate method. This approach directly addresses midface descent without the extent or recovery of a full facelift.
A proper evaluation of your facial structure, including cheek projection and soft tissue behavior, would help determine which path offers the best outcome for your goals.
Warm regards,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon

Hello and thanks for your question. You have a beautiful face and early signs of facial aging that you are noticing. Nonsurgical options do exist but given your description my recommendation would be a mini facelift to address the subtle laxity and descent in the lower face and prejowl area and combine this with conservative fat transfer to restore some natural volume to the cheekbone, temple and nasolabial areas. This fat helps soften the features, provides a youthful face shape and helps the appearance of the skin (fat transfer contains stem cells that help rejuvenate the skin). Thanks!