it's a little difficult for us to give you useful information without photographs. In general if you have not tried fillers before then a combination of hyaluronic acid and Radiesse would be a good start. These have the advantage of being either temporary or reversible. Fat transfer is a significant investment in time, money, and healing. Midface lift usually do not do anything for midface hollowing or flatness. The lower third of the face may be addressed with buccal fat pad removal or laser assisted liposuction.
Chase Lay, MD
Double board-certified facial plastic surgeon
As a 28 year old, it is highly unlikely that you would benefit from a facelift procedure. It is possible that you have a lack of or loss of fat in the cheeks and mid-face region. Pictures would be helpful. Generally speaking, for patients who have a loss of volume in the midface, I prefer fat transfer. I think that it is a fantastic option to restore the natural, youthful appearance of the cheeks. Other options include dermal fillers such as Restylane or Juvederm, etc.
My guess is that, once volume is restored in your midface it will balance your face and you will no longer notice the fatty appearance in the lower part of your cheeks. I would not consider liposuction in your cheeks as this can create contour abnormalities and risk nerve injury.
Improving mid face and cheek volume can be done with dermal filler injections, fat transplantation, or cheek implants.
Liposuction should not be performed on the cheeks because of the risk of facial nerve injury. Buccal fat pad resection can be done through the inside of the cheek by an expert to reduce fatty cheeks or chipmunk cheeks.
It is really hard to give advice to such specific questions without seeing photos. You can send photos for more information. But, typically, I would not suggest any type of facelift at 28. Most likely a bit of microliposculpting with a filler to shape your cheek would do what you suggest. You do need to discuss with your plastic surgeon in detail, as you are suggesting volume to get 'high' cheek bones. This is typically a female feature. Men usually are more angular...photos are necessary.