For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
From your limited pictures, you would definitely benefit from volume augmentation. Its hard to say whether you would benefit from a mini lift. While 32 is young, I have done these procedures on patients who have had significant weightloss and they have done very well with a facelift and fat...
You might have to make a little decision to plan your incision for the mini facelift. Most of the patients that I have done surgery that use a hearing aid prefer to be able to hide the incision line so they elect to stop wearing their hearing aids for 7-1 days to allow the healing of the area....