How Do I Maintain the Tightness of my Facelift a Year Later?

     Facelift maintenance usually needs to be done every 2 to 7 years depending upon patient demands and patient constitution.  I would try to resist the urge to touch up the facelift every year.  The face always swells following the facelift, and the swelling helps to make for a more youthful look for the first 6 weeks or so.  Fat grafting can be performed to allow for the volume improvement to be permanent.

You may consider doing Ulthera annually. You may have poor elasticity that predisposes you to persistent laxity.  Because I am unaware of the method that your surgeon used to perform a facelift, it is difficult to know how the SMAS was treated. If you are losing trust of your plastic surgeon, get a second opinion from a facelift specialist.