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

Hello,
There are numerous surgical and non-surgical options available, and determining the most appropriate approach depends on individual factors such as facial volume, skeletal structure, and chin anatomy. For patients with minimal skin laxity, I often prefer a minimally invasive technique utilizing endoscopic access with well-concealed incisions within the hairline. This approach allows for effective rejuvenation with limited scarring and a shorter recovery period.

Based off your photos - you have some midface decent (as we all do when we age) - this can potentially be re-lifted with a midface lift (can be done minimally or endoscopic through temporal incisions. Some fat grafting to the malar region (cheek area) can really help rejuvenate this area. (A traditional facelift is likely unnecessary at this point.)