How long should I wait to have an add on to a surgery that did not work? Endotine lift made me look worse than before

I would recommend that you undergo a traditional facelift and would not consider a secondary surgery until 6 months-1 year. This will give your time for all the swelling and scarring to resolve. You also seem to like your postoperative 2 week photo with increased swelling and volume. Fat grafting or fillers can be used during your facelift to give you the long term volume that you are looking for. It is important to choose your plastic surgeon that is experienced in facial rejuvenation and facelifts. Facelift: choosing your plastic surgeonSurgeons can be qualified for a variety of reasons, but you can help select one with the following info:Board Certified by The American Board of Plastic Surgeonsnot ..... Board of Cosmetic surgeonsmember of ASAPSyears of experiencereferral from a friend who is happy

I'm not surprised that the endocrine didn't accomplish what you had hoped.  Your jowls appear pretty loose.  You should seek other opinions about your options, but in my experience, a standard but well done facelift is far superior to the procedure you had done.

I agree that for your jawline, the best procedure would be a mini lift or standard facelift.  I would recommend waiting until the swelling is resolved from your prior surgery and you have normal sensation to your skin before proceeding.  

Well it looks like the mid face lift did what is was intended to do but in reality you needed more a face lift.  Allow a few more months to heal more and then get a standard face lift.

A straight forward face/neck lift or lower face/neck lift would be a good option. You can do it anytime; it will not interfere with your midface lift. One think that you must try to avoid this time is a surgeon that doesn't listen to your needs and desires. Good luck. 

Thanks for sharing your concerns with us.With just a month after surgery is too early to give you value judgments about final results. I recommend you to wait at least 6 months post surgery to talk about results.If after that period of time your problem persist send your photos again to give you advices and recommendations.Respectfully,Dr. Emmanuel Mallol Cotes.-

You should wait a total of 6 months after your first procedure before considering a revision.  I do see what you are talking about and I think a face and neck lift would address the issues of concern.  I personally stopped doing Endotine years ago

It seems that most patients benefit from revision surgeries once their initial surgeries have ample time to heal and take shape. Your endotine lift will continue to heal and your face will continue to change accordingly. I suggest you schedule a follow-up appointment so that your surgeon can monitor your healing progress and answer your questions/thoughts about revision as well as your reaction to the endotine lift.

You are still early in the healing process.  The face is going to continue to change as the swelling resolves from the midface lift.  The hallow area under the cheek region may improve over time.  Since you are continuing to heal, I would caution you about doing additional procedures at this time.   I know the natural instinct is to look for a fix, but remaining patient is the best course of action.I would consider additional procedures around 6 months after your midface lift.  It would be appropriate to consider a lower facelift or other procedures at that time.I hope this helps.   

Pausing the clock,Thanks for your question.  It is still early to judge your results one month out.  I would recommend a gentle massaging of your chin and jowls about 10 times a day for a minute or two. Start with both hands on your chin and then bring them back towards your ears.  This will help some of the swelling to go down.  If after 2-3 months, the midface lift has not corrected your concerns I would consider an "S" lift or similar minilift at around 6 months.