Well...what's next? Jowls, mouth laxity, issues related to gravity. (photos)

A facelift may help you to improve your jowls and sagging skin, however I would need to see you in person to determine the best course of action.

The pointed chin is effecting the facial aesthetics. The easiest and quickest treatment is a filler (my choice would be Radiesse) in MCTs (Marionette Chin Triangles) also called Prejowl Sulci. RegardsDr. J

From the photograph it looks like pruning of the buccal fat pad might improve the sculpting when accompanied with the facelift. You should be an excellent candidate for facelift in that you have attractive features, what appears to be good quality skin, and aging changes that facelifts generally do a good job with.

Facelift
before 50

You are an excellent candidate for a
well performed lower facelift. Facial aging varies from patient to patient, it
is imperative that the surgeon carefully examine your face to individualize your
surgery. A well executing facelift can produce a dramatically rejuvenating, and
yet very natural result. In my practice I routinely perform facelift in
patients in their 40’s. The results of a facelift in this age group lasts for
many years. Interview a few surgeons with reputation for excellence in facial
surgery. The office should be able to provide a large number of before and
after photos of patients with similar facial aging as you have.

The lower face would benefit greatly from a deep plane facelift with platysmaplasty, some liposuction of the jowls, and a pre-jowl sulcus implant or at least fat grafting in this area to improve the mandibular rim.  I would strongly conside a lower eyelid blepharoplasty to tighten the lid, elevate the muscle slightly, and remove a small amount of skin.  Laser resurfacing would improve the overall skin envelope  which has aged due to environmental and lifestyle stresses.  Although this may seem like more surgery than you currently think you need, this procedure has significant longevity ( 10 years) and will significantly rejuvenate your face.Younger patients like yourself benefit greatly from traditional facelift surgery and should consider this as an alternative to mini facelift procedures.