Face feels like it's collapsing after so much fat was removed from lower face after facelift 2 years ago. What can help? (Photo)

I am very sorry that your  facelift results were not as expected.  I would suggest a face to face visit with an experienced facelift surgeon who performs revision surgery and commonly performs fat grafting and perhaps laser resurfacing which would improve the  texture of the skin.  I do not believe non invasive or minimally invasive options would be of significant benefit.

Thank you for your question and your photos.

Based on your photos, you may likely benefit from dermal
filler injections or perhaps fat transfer to the face. Dermal fillers or fat injections may also
camouflage the laxity in the prejowl deformity.
While willing to consider surgical procedure, a neck lift may possibly
help with what you are describing as extra inches in the perioral area. I recommend a consultation with the board
certified plastic surgeon. I wish you
the best of luck.

It appears that you could get an improved result with a revision facelift. Hard to judge exactly what is needed to give you a better result with just the photos you have submitted but the first step to an improvement would be to see a qualified plastic surgeon who can do a complete exam. Bring your old photos and a copy of the operative report as well. From what you have provided, changing the skin vectors for the skin along with removal of excess skin in in the neck followed by fat grafting of the cheeks would help.Best of LuckDr. J

Hi Leisa1I am sorry to hear of your concerns. A face lift (like my Concept Facelift) should make you feel much better - not worse. As you know over time volume gets depleted from the face, skin looses elasticity and tissues descend in different degrees. Face lift surgery address any of these concerns to achieve a natural youthful appearance. If you have had previous surgery this will cause internal scarring, distortion of tissues and depending on technique and surgeon, will have unpredictable progression of the ageing face.It is important to have a thorough consultation with a plastic surgeon that deals with revision surgery to improve the symmetry, contour and generally rejuvenating the face. Your concerns can be improved provided you have a correct treatment plan by a specialist. However due to previous surgery and scaring, it won't ever achieve what you had before.All the best with your journey and getting the results you want.

it appears that the neck was lifted, but not the cheek area.  In addition you have had significant aging of the midface region with volume loss allowing for the cheek skin to sag.  I would recommend revision of the procedure and include fat grafting to the cheek and midface for a rejuvenated appearance.

I would need to do an in person examination to determine what the best course of action would be for multiple problems. Beware of fat injections since scar tissue that is present will prevent the fat from being smooth. See several very experienced facelift surgeons for best results. 

A face lift is a powerful plastic surgery technique to rejuvenate the face. However, a face doesn't stop the aging process, it just reverses the "clock" several years back.A secondary facelift might be necessary after 5 to 10 years after an initial face lift (primary facelift). In some patients this process could be shorter. This could be secondary to the quality of the patient's soft tissues, aging process, weight loss, etc.Face lift patients that rep lapse their facial aging , specially in the lower face, jaw line, jowls, etc might benefit from a secondary facelift and neck lift at the same time. In my practice, secondary facelift with the malar fat pad elevation technique and a neck lift gives a natural result thus addressing the aged look of the lower face and neck ,thus giving a natural  rejuvenated result. Patients interested in a secondary facelift should make a consultation with a Board Certified Plastic Surgeon specialized in natural  facelifts. 

So sorry you are having this problem. Your best option is fat transfer to your face to fill the deformities. I now use some sort of fat grafting in all my Facelifts to restore volume lost as we age. Be sure to consult with a board certified plastic surgeon. Good luck

Sorry for the results attained. Options are: #1. Revision full FL with fat grafting, may take a few sessions of grafting. #2. Try a Silhouette InstaLift with mini FL along with Fat Grafting. Seek in person opinions....

I am sorry that your results are not as it should be. There were more neck lift and no check lift. The scarring over the neck is due to too much fat removal.