Mid-face skin laxity and sagging. Would anything other than facelift provide moderate results? (Photo)

Based on your photo, what I mainly see is volume loss in your mid-face area. I think the treatment that would help you most would be restoring this lost volume. Adding volume to the mid-face would normally help produce some lifting of the areas below as well.

A surgical facelift will provide the best overall result. However if you are focused on minimally invasive options you may consider FaceTite. This technology is RF based and addresses the outside and underneath skin layers. You can learn more by visiting my website or a provider near you.

The kind of problem seen in the photo is practically an everyday problem in an active cosmetic dermatology practice. And a rather straightforward one to easily correct with the proper appropriate choice of a robust HA filler injected in the proper manner. Treatment, in experienced hands, should not take more than about ten minutes to perform and the results are typically immediate and elicit an immediate "Wow!" reaction. I literally just treated a male patient in this fashion ten minutes ago with immediately gratifying results that engendered a "Wow!" reaction. Manual microneedling (no need for expensive bells and whistles addition of RF), which I have been performing regularly for well over two decades is best reserved for treating surface, superficial irregularities in color and texture--so wouldn't be expected to do much of anything for volume deficit issues. You would be wise to consult an experienced, board certified cosmetic dermatologist filler injector. Hope this helps and best of luck.