From the images and the limited information available, it's not immediately clear whether extensive incision and skin excision are required in your case. The appearance of sagging skin under the right jaw seems to be linked to factors like scar, fat, or muscle issues, rather than solely skin...
Thank you for your thoughtful inquiry. It's commendable that you're seeking insights into the facelift revision process. If you find yourself with concerns, I recommend having an open and honest conversation with your original plastic surgeon. Communication is key, and expressing your feelings...
It is difficult to determine for certain without an in-office evaluation but typically a deep plane facelift improves this area you are referring to. We frequently incorporate gentle liposuction of the jowl/buccal areas to further refine them. Hope that helps and best wishes, Dr. Donath