Hi thank you for your question and posting a photo of the problem area. There is some sagging in the mid and lower face, as evidenced by the prominent nasolabial folds and marionette lines. There are a few treatment options available depending on degree of invasiveness that you are comfortable with. I would recommend some lifting via non invasive HIFU (high intensity focused ultrasound) as well as volume replacement in the temples, mid face and buccal area with fillers. For a more dramatic result, you could also consider bio-absorbable threads that help reposition the sagging fat pads.