Pointy chin elongated face after mid face lift and facelift. Would fillers help? Do I need additional surgery to fix it? (Photo)

Thank you for your photos, they are helpful in describing what you do not like about your face. Often times these days, fat grafting is included with a facelift. The reason for it is exactly what you show in your photos. As we age, not only does skin stretch and sag, but we lose volume, which gives a youthful appearance. While fillers could help, they are temporary and the amount that you would need to get you closer to what you looked like before, would not be cost effective. My advice would be autologous fat grafting to naturally fill volume back into your face for permanent results. May grafting can be done with local anesthesia and sedation, if you do not want any more general anesthesia. Best to see a board certified plastic surgeon for an in person consult. Good luck!