Facelift or fat transfer? (Photo)

Fat transfer is mostly done to improve volume and projection in certain areas of the face, like periorbital region; it does not create lifting although it may visually look like a lift. In your case I believe that volume augmentation would be more appropriate than lift. Hope this helps.

I feel fat transfer does not do much actual lifting but rather filling out volumes that have hollowed or fallen lower on the face. Lifting procedures are the best thing to address fallen tissues. In your case, I do think a mini face lift with fat transfer would be a really great option. The prejowl / jowl area as well as the nasolabial and labiomental depressions would best be treated by lifting the tissues and tightening. A conservative fat transfer would then help rejeuvenate the skin and add nice volume to your cheek bone, nasolabial areas. If you volumize fallen tissues (ie no lift), the result typically feels heavy and low and can even worsen initial concerns.

Fat transfer would be a great option for you. As we age, we lose facial volume and as a result maintaining this will ultimately maintain a youthful appearance. You could always try the fat transfer first and look at a deep plane mini facelift down the road.