Mini lift or mid facelift for my sagging cheeks, nasolabial lines, jowls and tear troughs? (Photo)

I would recommend a standard facelift to address the neck and jowls. A mini facelift means different things to different people but usually involves cutting corners. Forget the mid face lift. Never been impressed that it did anything at all. You might benefit from lower lid eyelid surgery. Your kids look a little puffy. Personally I’ve never thought the tear trough was even a real thing or just something that plastic surgeons dreamed up. Also no fat injections. I’m trying to keep you away from junk procedures that surgeons will try to sell you. They’re entirely unnecessary. Keep things simple

Thank you for your question and for providing photos. You may be a candidate for a traditional facelift to improve skin elasticity, lift fallen tissue, and define the overall face shape. Excess fat in the neck and jowls can be removed, along with any excess skin as necessary. Underlying tissue that has fallen over time can also be repositioned to achieve optimal results.
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a thorough physical examination and determine the best option to address all of your concerns while helping you achieve your aesthetic goals.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.