Hi, I have performed many facelifts including the minimally invasive variation over the past 30 years. There's no reason, as you continue to age, that you can't have another facelift. These typically last about 10 years at which time the facelift can be repeated to achieve similar results. The key IMHO is always shape the cheeks and mid face so they are feminine (in women) or angular/ruggedly handsome (in men). If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift, not Cheek Augmentation. I have performed many Cheek Augmentations over the past 30 years and the notion that Cheek Implants or dermal fillers to the cheeks will lift tissues is an urban myth. Filler to the cheeks or cheek implants will not lift up the jowls. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits: •very small incisions •minimal tissue dissection = less bruising and swelling = rapid recovery •can be performed in 90 minutes or less, with or without general anesthesia •no incisions within the hair = no hair loss •excess fat can be removed •excess skin removed •cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implants •most patients fly back home to parts all over the world in as little as 3 days post-op Hope this helps.