Are Some Surgeons Able to Deal with a 3rd Facelift, and Others Not?

Typically scar tissue is not an insurmountable problem with facelifts but if you are feeling too tight and pulled additional surgery might not be for you.  Other procedures might better soften or naturalize your look.  We need to talk.  Come in for a discussion of multiple options. 

What you seem to be describing sounds more like 'volume loss' than 'sagging skin'. You may want to consider a fat grafting or a fat transfer procedure to improve the hollowing instead of another facelift, a surgeon experienced in facelifts and fat trasnfer will be able to evaluate your particular situation and discuss options for you.

Hard to give you really good answers without photos.  It sounds like you may need volume as well as redraping of the soft tissues.  Each surgeon has his/her own comfort level.  Best to see a few board certified surgeons with experience in these matters.  Tell him/her your goals.  If you have operative notes and photos these can help as well.

Before seeking a third face lift, you may want to consider a facial recontouring procedure such as fat grafting.  This can give a lifted look without subjecting you to a 3rd major surgery.

Without a picture it is hard to say.  However, from your descrition it sounds like all you may need is facial fillers such as Scultpra.  You may want to ask your doctor for more information or other options.

Most experienced plastic surgeons can do any revisions.  You should always check on the experience of the doctor.  Revisions can be more challenging.  The corrections more difficult.  You must also be realistic about the improvements