Deep Wrinkle on left side of jaw - did not go away after having Facelift/Midface lift and Necklift (Photo)

Thank you for your question and for sharing your concerns and photos with us.  At this point, I don't think surgery would help much to diminish the horizontal folds.  I would recommend using dermal fillers to help directly soften the appearance the folds.  I would visit with an experienced board certified plastic surgeon with a high volume injection practice to help discuss options to address your goals.

It
appears, from the photos you provided, that you could benefit from CO2
fractional ablative laser skin resurfacing and dermal fillers.

I
often explain CO2 ablative laser skin resurfacing to my patients using this
analogy: If you have a wrinkled tablecloth and you pull it tight (with a surgical
lift), it will look better, but the wrinkles could still benefit from an
iron (CO2 Laser) to really make the tablecloth look smooth and pretty.

CO2
Fractional Ablative Laser Skin Resurfacing also helps with skin texture,
pigmentation, and sun damage. However, I typically recommend my patients do
ablative laser resurfacing at the same time as their surgery, because the
recovery is significant.

If
you are unwilling to undergo another recovery period of a week or more, then
you could research a series of fractional erbium laser skin resurfacing
treatments, such as Fraxel Re:Store Dual, or a single, fractionated CO2 Laser
treatment, such as Fraxel Re:Store.

I
recommend dermal fillers as an alternative to fat transfer for plumping up
those nasolabial folds, since fat transfer did not work for you previously.

In
searching for a provider for Lasers and Fillers, you should ask the provider
about their experience with these specific treatments, and look for someone
board certified in cosmetic surgery or plastic surgery. Sometimes, plastic
surgeons are only surgeons, and sometimes they’re also expert laser providers.
These are different skill sets. Be sure to ask about the variety of lasers and
fillers they offer, experience, and certifications or awards. A diamond-level
injector award from Galderma or Allergan (the two major manufacturers of dermal
fillers) is a good indicator of experience with fillers.

I'm sorry to read you're
disappointed with your results. The horizontal line will unfortunately not be
eliminated by a facelift, and the partial recurrence of the nasolabial folds is
due to the inevitable skin stretching and relaxation that occurs over the first
several weeks after surgery. Both can be improved by additional fat transfer or
filler, and the horizontal line could also be improved by selective
dermabrasion or laser to that wrinkle. A facelift really is best at addressing
fallen cheeks and jowls and a loose neck, but it is much less successful in
improving wrinkle lines, which require a resurfacing procedure such as laser,
dermabrasion, or a chemical peel. Thanks for your question, and best of luck.

This horizontal may require filler intradermally.  Fat can be injected in the dermis as well in order to correct it.  You may do it as an office procedure. 

Treating the nasolabial fold surgically can be frustrating.  Even with the addition of fat grafting, the results may not always be what we want.  The easy (although temporary) solution is the addition of an injectable facial filler.  Correction is immediate although the procedure must be repeated at regular intervals to maintain the result.  Best of luck.

The nasolabial fold is a dynamic unit and will recur after a facelift. Treatment is filler. In anticipation of this fat can be injected at the time of the facelift. The marionette line is static and provided the operation is performed properly usually is a long-term fix.

A facelift primarily improves the lower face, neck, and jawline. Wrinkles around the mouth, unfortunately, are not treated by a facelift surgery. Skin resurfacing (laser, chemical peel, dermabrasion), fat injection, or facial fillers (ex. Belotero, Juvederm, Restylane) are the primary methods to improve wrinkles around the lips and mouth.For the horizontal wrinkle around the chin, you may consider possible Belotero treatment. Speak with a plastic surgeon or dermatologist to review appropriate options with you.Best,Dr. Chaboki

Thank you for your question. The horizontal line on the left part of your lower face is an unusual characteristic. Autologous (your own) fat is excellent for volumizing.  In my opinion, it could be helpful to inject the line and possibly your NL folds with fillers of different types at different levels, such as Bellafill, Juvederm or Restylane, and Belotero.  In concert with this plan, laser resurfacing could also be extremely helpful.

Facelifts can redistribute volume and smooth the skin to some degree but have no effect on the quality of your skin.  Nasolabial folds are not eliminated with a facelift and though frequently less immediately after surgery, reappear as the skin relaxes some and the swelling decreases.  Filling agents to the folds or the midface may help to mask them.  The crease along your jawline may be improved with something simple and reliable such as a filler. Fat grafting can be done but is much less predictable.  Skin resurfacing could be tried but i would opt for the filler 1st before committing to facial resurfacing.  The fillers are faster and have almost no downtime.

Thank you for a great question and for sharing your photos and experience. I am sorry to hear that you did not obtain the results you wanted.  While a facelift will improve folds, a deep wrinkle in the skin will be best addressed with resurfacing techniques.  Your nasolabial folds were likely initially filled with swelling, and appear to have "come back" as the swelling goes down.  You are still early in the healing process, so give it some time, and discuss your concerns with your surgeon.  I hope this is helpful."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."