Surgery is not for everyone. This is a common question, on how to achieve cheek volume or facial contouring. Procedures are customized for each individual to their aesthetic goals, age is just a number. In today's day and age, there are many surgical and nonsurgical options to address various concerns one has for their face as they age. Cheek implants are not as common as they used to be and I personally do not do them any longer because of the risk of complications. I'd much rather do injections or facelift to auto augment volume for the cheeks.In general, surgery is one of the best ways to address jowls. However, skin tightening and all sorts of injectables can definitely help significantly especially for patients that are not interested in surgery. If you're ever interested in surgery, the procedure is much different than what you're probably reading about online. A short scar facelift that addresses the jowls & marionette lines can typically be done under local anesthesia in the office, usually in as little as 20 to 30 minutes. There are usually no drains, recovery is quick and most patients take no narcotics. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and never be pushed out with just one suggestion. Ultimately there are pros and cons to every procedure whether it's surgery or not surgery. It should always be your choice. I have had 80 year old patients be very happy without having had any surgical procedures. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.