42yr old woman with heavy jowls and neck sagging - would a mid facelift be adequate to correct this? (photos)

Hello, and thank you for providing images along with your question. Based on these images, you will need a more comprehensive approach to addressing your degree of skin laxity. A standard facelift may be more appropriate for you. A traditional rhytidectomy surgery, the more formal name for a facelift, helps to address more advanced signs of aging, such as sagging skin, jowl formation, and moderate to severe facial wrinkles and creases by tightening the skin, restoring definition, and rejuvenating your appearance. With a facelift, a surgeon will raise the soft tissue of the cheek to ensure a natural appearance. The indentation on either side of the chin, known as the pre-jowl sulcus, can also be smoothed by a facelift. To understand the procedure better and to determine your eligibility, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin quality and facial profile, determine the best surgical approach, and ensure the best possible outcome.

A midface lift will do nothing for you. You need a standard facelift to address the neck and jowls. Midface lifts don’t do much but in your case is particularly not needed.