Sagging cheeks and lower face. Do I need a face lift? (photo)

As we age it is common to see the 'inverted triange'. In youth, the upper face is wider and as we age the lower jaw region becomes wider. You are a beautiful young woman and therefore have multiple options. You could consider filler, fat transfer, skin tightening devices or surgery. The deep plane facelift is the best way to rejuvenate both the mid face and the lower face as well as the neck.

A mini lift with a deep plane SMAS release would lift your cheeks and correct deep nasolabial lines and perioral lines with limited incisions.

Thank you for your question. Based on what you’ve described—volume descent in the midface and heaviness in the lower third, but without signs of sagging in the upper face—a full facelift may not be necessary.
In cases like yours, where the goal is a more heart-shaped facial contour and the changes are mostly limited to the cheeks and lower face, the least invasive and most targeted surgical option is often an endoscopic midface lift.
This technique repositions the mid-cheek fat pads vertically, improves the nasolabial region, and helps restore facial balance—without the need for traditional facelift incisions. Compared to a “ponytail lift,” which primarily affects the upper face and temples, a midface lift directly addresses the area that’s most responsible for the concern you’ve described.
A full facial evaluation would help confirm whether this is the best approach for your anatomy and goals.
Warm regards,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon