Loose skin in lower face 12 mos after deep plane facelift. What are my options to correct this? (Photo)

I would recommend a secondary/revisionary facelift/necklift with facial fat grafting. There does not seem to have been adequate tightening of the deeper structures of the face/neck nor adequate skin redraping. There is also displacement of the ear tragal component. I would find a plastic surgeon certified by the American Board of Plastic Surgery. I always tell prospective patients to look at the plastic surgeon's training (ideally a 6 year integrated plastic surgery residency and a 1 year aesthetic fellowship accredited by The Aesthetic Society). Also be careful to check what board certification has been obtained...only the American Board of Plastic Surgery is accredited by the American Board of Medical Specialties. Other entities such as the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Cosmetic Surgery are NOT accredited by the American Board of Medical Specialties. In addition, examine before/after photos on social media platforms. I would also look at Google or RealSelf reviews. This will help you get a comprehensive understanding of your provider.

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It's quite common to experience loose skin in the lower part of the face following a facelift. This can be influenced by various factors, such as the adequacy of mobilizing deep tissues, your individual anatomy, and whether the skin was properly addressed during the procedure. Loose skin concerns can be managed with resurfacing lasers or medical-grade skincare. Given that your surgery took place 12 months ago, it's advisable to consult with your surgeon about addressing the deeper tissues and determining if your skin has sufficient laxity for a revision.