Sagging face at 23, what can I do? Am I a candidate for midface lift? (Photo)

(Based off your single photo) - would be good to see the full face with eyes and brows to give a full evaluation - but seeing you have NLF - you can benefit from a midface lift versus fillers / fat grafting - results will vary based off the extent of surgical invasiveness you want to proceed with. A hidden scar midface lift can be done to also incorporate some eye rejuvenation (or perhaps changing downward slanting eyes to more upward). Just all depends on what your goals are and the downtime / risks you want to incur.

At 23, noticing deep nasolabial folds can feel distressing — especially when they weren’t there just a few years ago. From what you described, it seems like your malar fat pad may have slightly descended, which can accentuate the fold area. Coupled with mild malocclusion and lip incompetence, the midface may lack support, further contributing to the folds.
Here’s the key:Nasolabial folds are not exclusively age-related.They can become prominent at a young age depending on facial structure, bone support, dental alignment, skin elasticity, and even habitual facial expressions.
Now, is a midface lift an option at 23?There isn’t a universal yes or no. Why?
23 is young for surgical intervention in most cases.
But facial anatomy isn’t always about age — some individuals may benefit from earlier structural correction if there's noticeable volume descent or poor soft tissue support.
A midface lift does reposition the cheek tissues upward, which may soften the nasolabial area, but it's not a treatment for the line itself. It's about restoring balance to the midface.
That said, less invasive techniques (like deep structural fillers, thread lifts, or energy-based skin tightening) may be a more appropriate first step.
Also:✔️ Your sensitivity to how your face looks in lighting is very valid. It often means the issue isn’t just physical, but also psychological and emotional — and that matters.✔️ Whether or not surgery is the path for you, a comprehensive in-person facial assessment with a skilled aesthetic surgeon could help guide you through the safest and most natural-looking options.

Every one aging at different times. That said, you have some premature aging that could be improved with a both surgical and non surgical options including fat grafting alone or combined with a mini deep plane facelift. Nonsurgical options include the use of appropriate fillers to help add volume in key locations to rebalance your facial features.