Hello and thank you for your question. When it comes to soft tissue enhancement, in addition to dermal fillers which you had mentioned, fat grafting is an excellent option. Fat grafting adds volume to specific areas of your face by taking the fat from your abdomen or thighs, and injecting it...
The picture that you attached demonstrated that you have downturned sides of your mouth with drooping of your facial skin and wrinkles. A multifaceted approach will yield the best result. This could be achieved with a combination of botox to the muscle that depresses the corner of the mouth,...
A facelift or "mini-facelift" (a.k.a. short scar facelift) helps with skin tightening (by surgical removal of excess skin), but also allows for adjustments to some of the deeper face structures- e.g. tightening of the SMAS layer, simultaneous fat grafting to certain areas to replenish the volume...