If this is an outcome from radio frequency, then most likely the ideology is a loss of facial fat. To make an assessment that would be very helpful to have quality before and after pictures. If you don’t have before, and after pictures, then ask the provider who did your treatment to forward the pictures they took. Volume restoration is best done with fillers. Fillers are precise, predictable, and forgiving if you don’t like the outcome. To get an understanding of what volume restoration can accomplish it’s even possible to temporarily inject sailing and take immediate after pictures. This is not exactly the same as injecting fillers, but can be a fairly good representation of what injecting fillers could accomplish. The key with almost every plastic surgery procedure is finding the right provider. Because your situation is unique you need someone who can think on their feet and increase the chance of quality outcome. In the past, I often treat situations like this by first injecting saline solution to get an idea of what volumes I needed and exactly where to inject the filler. Each provider will have their own view and technique of how to best handle the situation. I think your problem is pretty clearly related to volume loss and therefore a facelift is probably not going to do what you’re hoping for. You may or may not be a good candidate for a facelift. The very limited picture does not allow for an assessment for that procedure. To find the right provider and get a better understanding of treatment options I suggest you schedule a multitude in person consultations with plastic surgeons in your community. Try to find plastic surgeons, who actually do filler injections themselves rather than have their nurses do it for them. Plastic surgeons who have no experience with fillers, typically aren’t very good at doing the treatment. in the end, it doesn’t really matter what the background is. What matters is that they know what they’re doing and finding someone who’s good at this kind of work is not easy or straightforward at all. Best, Mats Hagstrom MD