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

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

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.