Age 38 - Which type of facelift to achieve desired look?

Dear patient,
Thank you for sharing your experience and concerns. As a board-certified plastic surgeon, I understand the challenges you’re facing with volume loss and sagging in your cheeks, especially after undergoing a forehead lift and endoscopic mid-face lift eight months ago.
Based on your description, it seems that the primary issue may be a loss of facial volume rather than skin laxity. In such cases, a facial fat transfer can be an effective solution. This procedure involves harvesting fat from another part of your body, purifying it, and then injecting it into areas lacking volume, such as your cheeks and temples. This approach not only restores fullness but also provides a natural and longer-lasting result compared to synthetic fillers. 
It’s important to note that while fat transfer can effectively restore volume, it does not address significant skin sagging. However, in cases where volume loss is the primary concern, restoring this volume can provide a subtle lift to the skin. 
I recommend consulting with a board-certified plastic surgeon who specializes in facial fat grafting. They can assess your specific situation and discuss the potential benefits and considerations of this procedure in detail.

I would recommend Sculptra injections... usually about a series of 3. Consider also fat graft but in a premenopausal woman, you have to be very careful. You do look quite lifted so this could be a temporary issue- hence the recommendation of Sculptra. Best Wishes!