Face laxity after a lower facelift. Do I need a revision? (Photos)

The extent of correction around the mouth is partially dependent on technique and unfortunately the skin and to a lesser extent the underlying superficial muscle layer stretch in response to tension (an intrinsic biomechanical property affected by patients genetic makeup and age) . Filler or fat transfer will not substantially fix the problem without adding so much volume that it changes your facial shape. A secondary deep plane midface lift would give a major correction without looking tight or pulled. The superficial muscle layer must be released and elevated for a natural and lasting g result.

It is too early to consider this result permanent; it usually takes good 12 months for result to mature in your age group. Without ability to compare your current photos with preoperative images it would be difficult to comment and give you any advice at this point. Patience. Good luck.

Based on your nice series of photos, I recommend virtual consultations for better discussion points. I recommend revision a full mini neck facelift with re muscle plication and possible nano fat grafting under ultrasound. Expect possible fees in the $10,000 range. I might also add Endo laser treatment. Again, best of virtual consult with.