Do I need a facelift to improve the look of my face?

Hello and thank you for your question.  I would recommend a face to face consultation with a board certified plastic surgeon.  This will give you the benefit of showing the provider exactly what you expect from your correction and they may offer you a variety of choices based on that. We have some very exciting new technologies for non-invasive tightening of the Neck. J-Plazty (Cool Helium Plasma) produced dramatic improvement in skin laxity for the neck area.  Ultherapy would also be an option. You can perform a neck lift procedure on its own if you do not have the appearance of jowls and loose skin around jawline, however it can make these areas more prominent once you address the neck area. Discuss your goals with your board certified plastic surgeon.   Best of luck! Tweet

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!
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By looking at your pictures, you do have early signs of aging face. You could benefit from a mini facelift to improve your marionette lines and neck laxity. This is your best permanent option. The other option is non-surgical such as Vivace a radio-frequency and microneedling device with PRP.  Chronological aging is not a determining factor for a facelift rather physical aging. In my practice, I have seen some 40 year old that needed full facelift and there were some 50 year old that only benefited from Botox and fillers. Having a facelift surgery at an early age has no disadvantages, as long as you’re a good candidate for it. I would recommend that you find a facial specialist who has performed thousands of facelifts.  If you decide to have a mini facelift done, I would recommend having your procedure performed using local anesthesia and twilight sedation without the need for general anesthesia. 
I have performed well over 3,000 face and neck lifts for over past 14 years. About 500 of them were performed under general anesthesia and nearly 2500 of those cases were performed under local anesthesia with twilight sedation. Without a doubt local anesthesia and twilight sedation is safe and well tolerated by patients.