After cheek implant removal: replacement or facelift?

Hello, Im in my mid forties. I had porex implants /submalar for about 12 years. I had them removed. I had no complications whatsoever. They have been out now for about 2.5 years. I have some sagging in the mid face/ cheek region. My implants were medium but really more like a large. I feel like small silicone implants would help. I dont feel like a FL could work as well, cosidering they were Medpore. In advance, I know I must be seen etc, but any opinions on this, is appreciated.