Madonna - What Has She Done? (photo)

A minifacelift would certainly help with the lower face area. Unfortunately, part of the problem with skin laxity is loss of volume of the face. A conservative amount of fat transfer to the midface region would be very beneficial.  Isolated midface lifts have fallen out of popularity. Complex anatomy and surgery for subtle improvement.  The comination of fat with a minifacelift would be very powerful. Best wishes.

Yes, based upon the limited photos you posted it looks like you could benefit from a facelift and treatment as well of your neck. Natural resuls are my goal and preserving the patients hairline is just one of the ways to do so.  Good luck.