What can I do for my mid/lower face?

Thank you for your question and pics.Aside from your jowls, your lower face and neck seem to be in pretty good shape.  A limited scar facelift to address the jowls might be appropriate here.  As far as the mid-face, cheek implants do not lift the cheek.  In fact, they may have exacerbated your nasolabial folds.  In this case, a mid-face lift through a lower blepharoplasty incision might do the trick for your nasolabial folds in addition to smoothing out your lower eyelid cheek junction and fixing your tear troughs.  Please consult with a plastic surgeon who has experience with these procedures and who is board certified by the American Board of Plastic Surgery.  Good luck!

You have various surgical and non-surgical options to treat your nasolabial creases and jowls. A facelift can treat your jowls and improve your nasolabial folds but keep in mind that nasolabial folds cannot be completely pulled away without tugging on the corner of your mouths and giving you a "done" look. Facelifts are becoming more popular in younger patients but may not always be necessary. Non-surgical options include Radiofrequency or Ultrasound energy based therapies which tighten the dermis without leaving scars. Speak with your plastic surgeon regardless the multiple options available and what results you can expect.