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

Considering the surgical work that you had last year, I would start focusing on skin rejuvination for full face and neck to improve the dermis; aggressive laser work with deep collagen stimulation. Botox would be great to help animation lines on forehead and glabellar area. An Upper blepharoplasty would make you look very refreshed with less heaviness to upper lids.

Based on your photos, you are a great candidate for upper eyelid surgery and browlift. That will take the heaviness off the eyes and give them a more youthful appearance. It's hard to really see your jowls/neck from the photo, but a deep plane face and necklift can give a better appearance, if indicated. Be sure to see a facial expert for consultation.

The thing that really stick out in the photo is that you would benefit from having your upper eyelids done. That will make a huge improved with a very easy procedure to undergo. Occasionally I will re- tighten a facelift after about a year if needed. But it’s hard to tell from the photo