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

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!

You are not having any extreme aging, but mild at this point. i would suggest treatment with radiofrequency and micro-needling like Secret to help tighten your face and neck and improve collagen in your tissue.