Do I need a revision facelift? (Photo)

I would recommend a potentially secondary facelift/necklift. This will permit sculpting of the deeper tissues such as the fat around the mouth, fat below the neck muscle (platysma) as well as directly tightening the platysma. This is also the best technique to permit removal of any potential excess skin. I would recommend finding a board-certified plastic surgeon (American Board of Plastic Surgery) with extensive experience in facial aesthetic surgery.

A facelift will not correct the folds around the mouth. These occur because of fat loss in the area, so while getting a facelift, it is usually good to undergo fat transfer at the same time. If you want to easily improve those areas, you can always try some fillers in the office as well.

Hello, hope you are well. Thank you for submitting your photos and questions. Based on the photos that you submitted, it appears that you would benefit from a revision facelift. I would also consider buccal fat removal at the same time to reduce the bulging of your lower cheeks. A less invasive option would be a series of ellacor (micro-coring) treatments. This is a newer procedure that removes excess skin without making incisions.
Best,Dr. Tower

Revising your facelift is an option. Make sure to discuss with your surgeon the reasons you are unhappy. In your case the deeper layer, SMAS, should be addressed in a revision.

You still have a fair amount of laxity along your jaw line. It appears your jawline could be tightened with a revision . It’s worth getting second opinions from surgeons in your area

Yes as seen in your posted photos. I recommend revision anterior face lift with muscle plication, a combination of KyBella micro injections to peri oral mounds with HA fillers to even other areas as lips, upper lines lips, naso labial folds. The fee to redo is $8,000+. Best to virtual consult with....