Loose skin, lids hanging and ridges and bumps under jaw after facelift. What are your thoughts for a revision? (Photo)

I would recommend obtaining a second opinion from an experienced aesthetic plastic surgeon who actually does lots of facial surgery. I would personally perform a revisionary facelift/neck lift with facial fat grafting and/or some type of resurfacing skin procedure such as a deep chemical peel. These are all my own opinions based on the photos provided. I would recommend seeing a plastic surgeon who has great training and experience in aesthetic surgery.

Hello @Beemer01, thank you for your question and showing your pictures. Several factors can influence the healing process following surgery. These factors include the surgical technique used by the surgeon, the type of procedure performed, and the level of recovery the patient is experiencing. To make an informed recommendation, we need more information. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

The main problem I see is the pouches at the corners of the mouth.. it is possible that the skin was not freed up from the muscle in that area. Extensive elevation of that skin and redirecting should give you improvement in that area

Hi there! Thanks for your questions. I see what you're talking about and am sorry that you're experiencing this. I would definitely meet with your surgeon to determine what may be the best course of action. It's almost been 1 year so a majority of your result has settled at this point. If you don't feel comfortable with your current surgeon, seek consultation with several others to see what may work for you. Other "non-invasive" options would be Morpheus 8 or CO2 to help with the skin. Hope this helps!

Great posted photos! I recommend round 2 face/neck lift with more plication with medium to deep peeling of circum oral anatomical zone . Fee $15,000+
Best to virtual consult with….

It would be necessary to see your starting point to evaluate the result. Without that, I would point out that you have 3 strikes against obtaining a great result - extensive sun damage destroying the skin elasticity and creating permanent etched lines; severe deflation/volume loss; and a very narrow bone structure.
Staples in the hair are routine as they are more hair folicle friendly and easily removed.
Best to re-post please.