Jowls have returned two months after facelift. (Photo)

Thank you for your question and pictures.  Two months is too premature to start factoring the results.  A facelift which targets the SMAS muscle can variety in longevity depending on the patients skin quality, lifestyle etc.  When the SMAS muscle has been targeted this is the reason for it lasting. If the skin is targeted ONLY this will only last a few months.  Typically patients who are older and have a lot of skin laxity, the results will not last as long as a younger patient with better quality skin.  Please consult your surgeon as sometimes its hard to predict patients skin, therefore it maybe a case of just needing a little adjustment which could be performed under local anaesthetic.  This is easy to rectify.  All The Best 

Recurrent jowls after a facelift are very unusual, especially as soon as two months. There are many types of facelifts, and I feel that each face needs to be treated with the technique that would give the best, longest lasting result. A full evaluation would be necessary to evaluate the cause and treatment for the recurrent jowls. I would recommend that you just be honest with your surgeon and discuss the fact that you are disappointed that you are seeing a recurrence of your jowls.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Correction of the jowl's requires complete release of the ligaments along the angle of the jaw. In your particular case I would've explore the buccal fat pad.

Not all facelifts are the same and some results can be technique dependent.  It does appear you have significant fullness in the jowl area.  Sometimes direct excision of the fat in this area helps, as well as more SMAS flap elevation.

thank you for your question and your photos. You certainly have recurrence of jowls within couple of months of facelift surgery which should not be the case. A well done facelift should last 8-10 years. It's best to have a thorough in discussion with your surgeon about your concerns. If you are not satisfied than consider a second opinion with a board-certified plastic surgeon in your area to discuss all of your treatment options. Best of luck!
Dr. Dhaval M.PatelDouble Board Certified Plastic SurgeonChicago-Water Tower Place, Oakbrook, Hoffman Estates, Orland Park

I know that it is frustrating, but two months post op is really too soon to judge your final results. It can take 6 months or longer for the swelling to fully subside. For now, be patient. If you are still unhappy in a few months, make an appointment to speak with your surgeon. 

Two months is still very early to be evaluating the final results. We should wait at least 2 to 3 more months. You should contact your surgeon and explained that you were concerned about the present appearance. Your surgeon knows best about what exactly was performed and what to expect in recovery.

emmons,
Thanks for the question and pictures.  At the two month post-op period, you still have a significant buildup of scar and remodeling of that tissue into mature scar.  You also have fluid retention which tends to settle into dependent areas, of which I would consider your jowls one such area.  That said, it is also possible that you have extra tissue there, so it's really hard to know.  I would be direct with your surgeon in asking about this so that you can have a meaningful dialogue based on the work that was done and where you are in the healing process.  Good luck!

Two months out is a bit early to start worrying about the final result. There is still some swelling and healing. Keep you head elevated at night. If, after several more months, there is some residual fat in the jowl area, a lipo of several cc's in the area can be easily performed, perhaps in the office, with a hand held canula.All the best,Talmage Raine MD

the facelift alone frequently doesn't make the jowls better for long. I think it's necessary n most cases to remove fat during the facelift. yOu may not need more pulling, after a few months if the jowls are still there they may be liposuctioned under local anesthetic. Very easy, no down time and that may solve the problem .