C. Carson Huynh, MD, DMD, FACS

Hello. From your photo and description, the marionette lines have returned because they are influenced by volume loss and skin laxity around the mouth and chin, which a facelift only partly addresses. Your surgeon can often improve them with a combination of treatments such as fat grafting or filler, skin tightening with Morpheus8, or a revision deep plane facelift if deeper laxity has recurred. For best results, discuss these options at an in-person consultation.

Hello. From your photo and description, the loose skin around the mouth is skin laxity rather than deep tissue descent, since you already had a deep plane facelift. A skin-only lift can tighten it, though skin tension alone tends to give less longevity and can look pulled if overdone. Laser resurfacing, fat grafting, or energy-based tightening such as Morpheus8 may help the skin quality for natural looking results. For best results, discuss the plan with your surgeon and consider an in-person second opinion.

Hello. From your photo and description, the prominence over the zygomatic arch with hollowing below it can come from the SMAS plication sutures and bunched tissue, combined with volume loss in the midface. Ultrasound or an in-person exam can help identify the cause. Revision surgery may release the plication and redistribute the tissue, sometimes with fat grafting to soften the contour, for natural looking results. For best results, consult a facial plastic surgeon experienced in revision deep plane surgery.

Hello. From your photos and description, the rippling near the incision lines after a mini lower facelift is likely a combination of skin redundancy and residual soft tissue thickening rather than ongoing swelling at one year. Treatment depends on the cause, and options can range from skin tightening such as Morpheus8 or FaceTite to a revision deep plane facelift if deeper laxity remains. For best results, consult a facial plastic surgeon in person for a hands-on exam.

Hello. From your photos and description, the fullness in the lower cheeks sounds like jowl tissue that was lifted but not fully repositioned, along with some persistent soft tissue laxity, so liposuction alone would not be expected to resolve it. A revision deep plane facelift can release and reposition this deeper tissue for natural looking, long lasting results. For best results, seek an in-person evaluation with a surgeon experienced in revision facelift surgery.

Hello. From your photos, you have lower cheek laxity with early jowl formation, without significant neck banding or a double chin. A deep plane facelift would reposition the deeper tissue to address this for natural looking, long lasting results, and there is no set age you must wait for if the laxity bothers you. For best results, consult a facial plastic surgeon in person to discuss timing, downtime, and risks.

Hello. From your photos, you have jowling with some soft tissue laxity along the lower face, which is why Botox and a Nefertiti lift did not fully correct it. Depending on the degree of laxity, a mini facelift or a deep plane facelift can address the jowls at the deeper layer for natural looking, long lasting results. For best results, consult a facial plastic surgeon in person to determine which option fits your anatomy.

Hello. From your photos and description, you have early soft tissue laxity of the lower face with heaviness at the jawline and some jowling. A deep plane facelift with neck lift releases and repositions the deeper tissue for natural looking, long lasting results, while a mini facelift is a lesser lift that may suit milder laxity. For best results, consult a facial plastic surgeon in person to match the technique to your anatomy.

Hello. From your photos and description, you have soft tissue laxity of the lower face with jowls and visible neck cords from platysma banding. A deep plane facelift with neck lift addresses these at the deeper layer for natural looking, long lasting results, and a lower blepharoplasty can be considered separately if the lower lids bother you. For best results, consult a facial plastic surgeon in person.

Hello. Based on your description and photo, the fullness beside the mouth sounds like jowling from soft tissue descent rather than a skin problem, which is why fillers and radiofrequency treatments have not corrected it. A lack of overall laxity does not always rule out surgery, because a deep plane facelift repositions the deeper tissue for natural looking, long lasting results. For best results, consult a facial plastic surgeon in person.