Can this facelift be improved? (Photo)

Hello, hope you are well. There is plenty of room for improvement with your surgical result. I would suggest a revision facelift (and not just skin excision "tuck up" which will cause hypertrophic scars and an unsatisfactory outcome). The proper way to do this is via a revision modified deep plane approach which provides access to the buccal fat. If it is needed, a conservative amount of buccal fat can be removed via this approach to sculpt the lower cheeks--I consider this to be just a component of deep plane facelifting, along with parotid reduction, etc. You may also consider a lip lift and fat grafting for complete facial rejuvenation. Good luck!
Best,Dr. Tower

Did your lift actually lift? Sometimes you are better off going with a full facelift revision to lift the deeper tissues to achieve a full face rejuvenation. Most of my patients go with a full face and neck lift to achieve their goals. In most cases our goal is for a facelift to last 10-15 years if maintained properly with medical grade skin care and resurfacing lasers.

You still have jowls, which were not treated adequately by your deep plane facelift (this is a shortcoming of many deep plane techniques). The answer would be a revision facelift with techniques directed specifically at reducing the jowls.