How Long to Wait for Lower Face and Neck Lift Revision Surgery?

In a case like yours where you need the lift revised extensively, it is usually safest to wait about a year from the original surgery.  The reason is that there is scar tissue under the skin that takes time to soften up.  Minor revisions can be done sooner, but in your case, wait a year.

In most cases, patients should wait 6-12 months at a minimum before considering any revision procedures on the face (preferably 12 months or more). In some cases, folds or lines that occur with head-turning or other dynamic movements may be unavoidable regardless of surgical technique. These types of issues need to be examined in person to see movement in 3 dimensions in order to fully evaluate them and offer recommendations. In many cases, patience is key, and changes due continue to occur many months after the initial operation. Be sure to discuss any post-operative concerns with your surgeon. 
All the best,

Typically, it's best to wait 6 to 12 months depending on the reason for #revision. As with all #cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical #procedure and #revision, there are some risks of unhappy outcome or other complications which your surgeon should discuss with you during your consultation. Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery.

This is somewhat of an open-ended question. I do a lot of
revision facelift surgery so when a patient comes for a second opinion and has
a less than optimal result; I will often offer a revision facelift. I do
facelift surgery using the deep plane approach which I feel is much more
effective in elevating, releasing, and lifting the tissue back in a more
natural location. We would prefer to wait a full year or more since there will
be changes over the first year and to be most effective we should wait until
all of these changes have occurred before attempting a revision procedure.
Sometimes it is difficult for the patients to wait but it really is in their
best interest for long term healing.

Unfortunately, the photos are very limited and you are only 4 months postop from a Facelift.  I would recommend that you wait at least a year before having revision surgery.  If there is a significant aesthtic problem that requires correction, you can actually compound the problem by intervening too soon.

Except in cases where there has been a complication which requires urgent attention, the general rule is at least 6 months before revision facelift. Subtle changes will continue to occur up to a year, however. If you can wait that long, it may be worth considering.

This creasing likely will not improve over time without followup surgery. Your surgeon is right and the skin needs to be released. This can likely be done under local anesthesia, possibly with some Valium. Anytime would be the right time after 4 months. 

Our office specializes in facelift surgery and revision facelift surgery. One of the best options for revision surgery in some cases is the Ultherapy non surgical lift. Raffy Karamanoukian MD FACSLos Angeles

The general rule of thumb is to wait at least for a year for edema to resolve and suppleness to return. In some cases if the skin and underlying tissue is supple and your surgeon thinks it might resolve a few months less would be considered.

After reviewing your photos, I would suggest that you wait at least 6 months before revisional surgery. Your result may improve with the passage of time. If it doesn't, then waiting will allow the soft tissues to soften. This will increase your likelyhood for a better result. Good luck.