Pouches below jawline after lower facelift - would revision be a better option than Botox? (Photos)

Based on your photos, your issue appears to be skin quality not quantity, as well as thin skin revealing the neck's underlying anatomy Hope this helps

I would highly recommend considering fat grafting. I would go see a board-certified plastic surgeon (with 6 year integrated plastic surgery training and 1 year The Aesthetic Society accredited fellowship). Without an evaluation in person, it is difficult to make any recommendations or provide a...

I would recommend discussing less aggressive resurfacing options, such as fractional lasers or non-ablative treatments, which tend to have a gentler impact on sensitive skin in combination with growth factors and exosomes. These topicals have amazing healing properties and can be started even...

The key question to ask is whether the initial facelift effectively lifted the deeper tissues. If these were not properly addressed, it may not have achieved the desired angular jawline. Based on the appearance in these photos, a face and neck lift revision could be beneficial to address the...

It’s difficult to assess without an in-person evaluation, but it’s possible that residual permanent sutures may be contributing to your current issues. Persistent swelling and lymphedema are uncommon three years post-operation, which suggests that there could be permanent anatomical changes or ...

It is impossible to comment properly on your condition based on this photo, unfortunately. A series of recent photos and in person evaluation is needed to give you meaningful opinion and suggestion. In person consultation, second opinion, with a board certified plastic surgeon with good...