Thank you for your question and your photographs. Given the concern you have expressed, and your images, I would recommend you consider a combination treatment of Ellanse dermal filler and thread lift treatment with Silhouette Soft. Ellanse is a long lasting collagen stimulating filler that gives instant results that improve with time. I would recommend treatment to your midface, to increase volume in this area, prior to a thread lift. Silhouette Soft is able to lift areas of sagging skin, non-surgically to give an instant lift to your jowls and to the lines between your nose and mouth. The threads are inserted either side of your face and jaw line, just under your skin under local anaesthetic, when tightened they lift the skin. What’s even better is that results actually improve in the months’ post treatment as the threads stimulate your body to create collagen (something we all lose as we age) to give you a second biological lift. Most importantly, for men in particular, you won’t look ‘done’ after the treatment, the results are extremely natural looking.