I considered different options for face lift. I am 54. I had a little sagging at the jaws and my mouth was turning down at the corners a little. I did not have enough sagging to need the long incisions of regular facelifts. I had had upper and lower blepharoplasty eight years ago and was happy with that. There are two different ways to do the mid face lift with the endotine and the one done on me was straight up with a lower blepharoplasty. I wasn't in need of lower bleph since I had already had that done, but if you are pulling up the cheek skin that adds extra under the eyes. I am thrilled with the results. My cheek pads are back up where they should be, my dropping mouth corners are back up for the most part, but I am wondering if that procedure that turns up mouth corners would help more. I have seen some people that had that mouth corner lifting done that look like jokers so I am hesitent on that one.