Mid-face Lift vs. Cheek and Chin Implants

I would consider re-inflation of your cheeks with volume (filler) or implant over a mid or face lift at this point.  One has to determine if you problem is more of a bone or soft tissue deficit or both.  In your case, a detailed exam is critical to determine options.  Find someone you trust and whose results you admire.  Good luck! 

The southward progression of your cheeks may be an illusion actually resulting from volume loss in areas above the areas of descent.  A thorough evaluation to evaluate your particular aging progression is necessary.  Many options exist to treat the aging midface, from fillers to fat grafting to midfacelifting to cheek implants.  I think you will find that very simple and minimally invasive solutions will suffice for the treatment of much of your issues and can certainly postpone a full facelift.