No two facelifts are exactly alike, just as no two faces are exactly alike. Your facial rejuvenation surgery should be customized for your needs and your goals. The improve the cheeks, a mid face lft might be in order. I also often add structural fat grafting to many areas of the face including the cheeks. When expertly performed, fat grafting provides permanent, natural looking results with smooth contours. Fat grafting has a unique way of restoring a youthful glow like almost nothing else. I ask my facial rejuvenation patients to bring a photo from their youth with them so we can together examine the changes that have taken place over the years. Perhaps you have lost volume in your cheeks, or maybe your cheeks were never as full as you would like. I would suggest avoiding cheek implants and if you do elect to have fat grafting, do not over-fill the area. Find an experienced, well trained plastic surgeon who can share many, many before and after photos with you. You need to find someone you can trust with your health and well being as well as someone you can trust to make a permanent change in your face.