Dear Cole17, At age 60, the most significant improvement for your concerns would come from a facelift. This would tighten the lower face, reduce jowls, soften marionette lines, and improve the heaviness around the nasolabial folds. In addition, you could also benefit from an upper eyelid ptosis repair, which would lift the height of your upper eyelids and give your brows a more relaxed, refreshed look. To enhance your final result, I recommend skin resurfacing after surgery—this evens out tone and texture, adding a youthful glow. If you’re not ready for surgery, fillers combined with resurfacing can give modest improvements, but the results won’t be as transformative or long-lasting as surgery. Summary: Best option: Facelift + upper eyelid ptosis repair, followed by skin resurfacing. Benefit: Improves jowls, folds, eyelid height, and overall balance of the face. Non-surgical option: Fillers + resurfacing, though more subtle and temporary. Next step: An in-person consultation to customize the safest, most effective plan for your goals. Best wishes, Earl Stephenson, Jr, MD, DDS, MBA ESJ Aesthetics "Where Confidence Takes Shape!"