Jowling starting to return after 2011 facelift. Am I ready for another lift or do I run the risk of a pulled appearance? (photo)

Thank you for your question and pictures.  It not uncommon for people to repeat a facelift as they do not want the jowls to return to maybe how they were.  I would suggest waiting a few more years before thinking about having another.  If you had one now the change would be minimal.  It would be better to wait and feel like your money was spent well.  All The Best 

Thanks for your question!  It is not uncommon to need another facelift at some point in your life.  That being said, I don't think you're there just yet.  Your face and neck both still look tight and natural.  The jowls are minimal at best.  I would wait until you're further along in the aging process.  Good luck!

Based on these photos and short of in person evaluation, I would suggest treatment with fine liposuction cannula (1-1.2 mm) in local anesthesia. Removing 1-2 ml of fat from jowls would create significant improvement with minimal recovery time. Good luck.