It would be great to see pictures to determine if you are a good candidate for facial lifting. If you have significant facial skin laxity, are in good health, and open to the idea of surgery a mini lift would give you a bigger improvement then thermage. However, for patients with small amounts of facial skin looseness, or patients who are not psychologically, financially prepared for surgery thermage is a reasonable alternative.
It would be helpful to see your picture to make the right recommendation. Many people are delaying facelifts, or in many cases not having them. Instead, patients are seeking out an injection specialist - either a plastic surgeon, oculofacial plastic surgeon or dermatologist to discuss other alternatives. There are several non-surgical treatments are available in the US. While they are not permanent, they can bring a long-lasting improvement and with proper maintenance the results often look entirely natural. People get jowls due to multiple factors and Ultherapy is one of the excellent tool that we can use. Often, we will add volume to the face in the areas where it was lost and sometimes that gives a beautiful correction. Other times, Ultherapy alone or in combination with a less-expensive nonsurgical device such as Thermi can also produce great results. Seek a practice that offers these various services and get educated before you go under the knife.