Pointy chin elongated face after mid face lift and facelift. Would fillers help? Do I need additional surgery to fix it? (Photo)

A facelift revision is not out of the question but it is difficult to tell from the photos you provided. You should first try speaking to your surgeon about his or her revision policy.

Hello Chi.Girl,Based on the two photos your chin does appear to be more distinct in your post operative photos.  At 4 months out a lot of your swelling should have subsided and what you are seeing will be close to your final result.  If you are concerned about this you do have several options.  There are chin implants designed to augment these areas but this does require another surgery.  You may also consider fillers or volume augmentation with fat but these are not as predictable as far as the long term results go when compared to an implant.  I would certainly discuss your concerns with your surgeon to determine what options are available.I hope this helps and good luck.  

Unfortunately, it is impossible to tell anything from the photos you provided, due to differences in lighting and position.  If you could get before and after photos from your surgeon, I'm sure someone could give you helpful information.