27, female. I feel like the lower half of my face is very weak. Am I a candidate for a facelift or something else? (Photos)

Thank you for your question. At 27, it’s unlikely that you need a facelift, but the combination of pronounced nasolabial folds, lower face heaviness, and dissatisfaction after cheek fillers points to a possible skeletal imbalance that makes the lower face appear weak or aged prematurely. They may not respond well to filler, especially if it migrates or is placed without correcting the underlying structure.
Rather than pursuing more filler, the best next step is a thorough evaluation with a surgeon to assess your chin and jaw projection (a small or retruded jaw can cause early jowling and nasolabial prominence), midface support (if your maxilla is under-projected, the midface appears flat, making folds more prominent), and soft tissue volume loss (not all folds mean sagging; some mean poor foundation). With the proper diagnosis, you'll be able to make long-term, natural-looking improvements that align with your goals of aging gracefully without masking deeper issues.

Based on the concerns you've shared, a lower facelift or a more limited mini facelift may be appropriate to address laxity and improve definition in the lower face and jawline. Submental liposuction can help reduce fullness under the chin and enhance your neck profile. For facial asymmetry and volume loss, fat grafting offers a natural and long-lasting solution. In cases where deeper nasolabial folds are present, a deep plane facelift may be beneficial, as it repositions the deeper facial structures for a more balanced and lasting rejuvenation. That said, a physical examination is essential to properly assess your facial anatomy, skin quality, and tissue support. Without an in-person evaluation, it’s not possible to create an accurate and personalized treatment plan. I strongly recommend an in-office consultation to determine the best approach for your needs.

You are not a candidate for a facelift at age 27. I would recommend a rhinoplasty. The tip of your nose is inclined to one side and is asymmetrical. The nasal columella angle needs to be improved. Another thing I recommend is an eccentric lip lift. An eccentric lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

I recommend an Endotine midface lift to reposition and support the cheek area, along with buccal fat removal to slim the lower cheek and enhance facial balance. These procedures address the underlying structure rather than masking it with filler, offering natural, long-lasting results.

Facial aesthetics are primarily determined by facial skill structure.
It is facial bone structure that gives each unique person, their unique appearance of whether desirable or not so much.
Therefore, issues related to the lower 1/3 of the face are generally related to the shape and size of the mandible.
In your case, your maxilla is slightly bigger in relationship to your mandible in a vertical height, and into some degree in forward projection
Your mentalis region of the mandible or chin has fairly good projection, but the body of the mandible is slightly lacking in projection in this most likely is giving you an overbite dental occlusion.
The projection of the mandible in the body of the mandible (this determins the dental occlusion) is more important than chin projection in regards to supporting the soft tissues.
Most plastic surgeons are rely on soft tissue manipulation, even if the problem is based on facial skeleton structure.
Creating a larger mandible isn’t really a real realistic solution for most people so they resort to soft tissue manipulation options.
You definitely don’t need a facelift to go to.
In my opinion you don’t really need anything.
Accepting your age and wearing sunscreen would be my top choice of what to do.
Best,
Mats Hagstrom MD