I want to look refreshed and younger - Do I need another facelift? (Photo)

I would recommend a facelift and browlift to you. The browlift will elevate your eyebrows higher, decrease the vertical height of the forehead and remove excess skin around the lateral eye region. You may also benefit from a lip lift. A lip lift does 4 things: shortens the distance between the nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Hello, this is Dr. NK Park from Noonopi Plastic Surgery in Korea.It appears that the distance between the brow and the eyes is slightly short. An endoscopic brow lift would help create a more youthful appearance.
If you're open to a more comprehensive improvement, I would consider performing a new facelift. Based on the photos, there’s still room for improvement in the jowls and nasolabial folds.Since you've previously had a SMAS plication, a high SMAS facelift using dual-plane dissection can be performed safely.