Is this as good as I should expect from my neck lift, facelift and blepharoplasty? Do I need a revision? (Photo)

I would recommend a revisionary facelift/necklift with fat grafting, ear lobule reduction, and a deep chemical peel. I would not recommend fat transfer alone as this will not address any of the excess/loose skin. Adding volume (fat grafting) ALONE WILL NOT help to tighten the tissues/skin; it might actually create a bigger problem. This is a complex problem to address. I would recommend seeing a board-certified or board-eligible plastic surgeon with actual training in plastic surgery residency (not "facial plastics") and an aesthetic fellowship. Best of luck!

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 loose skin under your neck. An earlobe reduction could also be performed simultaneously. Additionally, fat transfer to areas like the under eyes, temples, and earlobes can help create a more balanced and rejuvenated look when combined with the neck lift revision.

No, this is not as good as you should expect from a facelift/necklift/blepharoplasty. Fat transfer would help improve the result by restoring some fullness to the cheeks, nasolabial folds, prejowl, and around the eyes, but alone it would not fix the sagging skin, jowls, and laxity in your neck. Revision facelift and necklift with fat grafting (and possibly revision blepharoplasty) would be needed to fix your concerns.

It’s hard to tell from photos how much a second facelift would help. However I can assure you that fat transfer is not the answer. Also your earlobes can be reduced quite easily

It's very hard to make judgments about your case without being the Surgeon and knowing how the procedure was performed. Some patients do have more dramatic relaxation of the their result and sometimes a more aggressive procedure is indicated. I recommend waiting another 6 months and re-assessing the results, because if a revision is indeed indicated, you want to make sure that you get the best result possible. Waiting a full year allows the chronic inflammation from your 1st procedure to subside. I would never, ever perform a fat transfer on someone with your morphology or anatomy. An earlobe reduction will address your concerns about your pendulous earlobes, which relate to pre-existing anatomy.

Hello, hope you are well. Based on the photos you submitted, there does appear to be further room for surgical improvement. Fat transfer can be a powerful adjunctive procedure, but it would not really address the sagging skin of the cheeks, jawline, and neck that you mention. Revision surgery would be an option (face and neck lift). The earlobes can be addressed as well.
Best,Dr. Tower

Need to have laxity of your neck skin still. This sometimes happens after facelift especially of people have poor qualitiy skin. While it is not the norm I sometimes do have to go back in and tightened someone's facelift to optimize the result. I would talk to your surgeon to see if they would work with you on this rather than starting with a new surgeon as this would probably cause too much more. Typically surgeons are willing to work with you because ultimately we 1 our patients to be happy.

Your issue is not as uncommon as one may think.
The facial soft tissues have been redraped in surgery however the quality of the soft tissues are not addressed with surgery, specifically suppleness and elasticity of the skin, deep facelift layer and eye muscle(the fourth image displays laxity of your lower eyelid muscle)
A non surgical deep facelift layer rejuvenation would elevate, tighten and rejuvenate, providing noticeable benefit and satisfaction
Hope this helps

You should wait at least one year after your primary facelift before considering undergoing a revision. From the limited photographs, it does appear that you have continued jowls, residual fat deposits in your neck, and loose and inelastic skin in your neck itself. The fat deposits in your neck may be located below the platysma muscle.

Great series of posted photos, but also posting before photos of your appearances helps in determining the extend of any improvement you received... My guess is you had only a mini face/neck lift? As for your "eyes:" - you appear to have genetic asymmetry in the orbits. So the eyes will appear uneven. Best to virtual consult with....I recommend full open face/neck revision. Fee $10,000+.