I'm 68 yrs old & had a face lift 10 years ago. My face has drooped since then and I'd like to know what my options are? (photo)

Thank you for sharing your photos and for your question.
There are a number of options available to you, but the most longstanding
return on your investment would be a deep plane facelift with fat transfer.
This would remove the excess tissues present along the jawline and neck as well
as replace the “baby fat” that has been lost over time in the upper and lower face.
Taken together these procedures “turn back the clock” and create a beautiful
and natural look. Hopefully this helps to answer your question.

Be healthy and be well,

James M. Ridgway, MD, FACS

I'm happy to hear you were pleased with your "quick lift."  These "mini" lifts are typically done in offices and can be a reasonable option for early signs of facial aging, but are less adequate for more advanced aging signs.  Based on your photos, you have more significant aging that a mini lift/quick lift won't address well.  A formal lower facelift--which also includes a neck lift--will nicely rejuvenate your face and neck.  A properly done lower facelift should last another ten years.  Best regards.

Here is something that may help you think this through logically:1. Will I do well with another quick lift procedure?A: NO! Neither a quick lift nor a no-scar lift nor a micro-lift nor a no-bruise lift nor a weekend-lift, nor a lift-only-with-fat-lift, nor a comma-lift, nor a micro-scar lift, nor a no-scar lift, nor a Yoga-lift, nor a magic-balm lift, nor an acupuncture-lift. Other surgeons on this site will have heard of many more different and cleverly-worded types of "lifts": share them with me please! 2. Will I do well with a proper face and neck lift?A: Absolutely.3. Should I also have a brow lift, upper and lower blepharoplasty and cheek lift?A: Only if these parts of the face bother you! If you are happy, don't let us tell you what to do!4. Should I have fat grafts and lasers at the same time as my face and neck lift?A: Almost certainly. In order to give you a pleasing result with a reasonably long-term improvement, combining procedures at the same sitting is wise and fruitful.5. Does this mean my quick lift failed?A: No. If you were happy with what you got 10 years ago, then time and tide waiteth for no man (or woman). Aging is progressive and no facelift lasts forever. It is perfectly reasonable for you to need a further procedure after 10 years (IF the changes bother you!).6. How long will this last, if I have a proper face and neck lift with ancillary procedures as my surgeon suggests?A: Many a long and happy year! Enjoy it with vitality and vivacity while you can! Tempus fugit!Excellent question and you have received very sensible answers: this particular thread of the question and answer series (excluding mine) should be framed by RealSelf to allow others to gain from it.Au revoir.Prof. Bhupendra C. K. Patel MD, FRCS