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; To resolved the problem of the jowl in a more permanent way and more natural way you need a SMAS procedure that will lift the fat  attach to the SAMS and have no tension in the skin in your face will give you a natural look without look pull.

Often a secondary lift will enhance the results of your original lift if done properly. In fact, the underlying scar tissue can serve as a buttress to reinforce the lifting procedure and I often see patients who have a better and longer lasting result after their secondary lifting procedure. You can avoid a pulled look by going to the right surgeon and board certified facial plastic surgeons are a good option.