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)

You had some kind of face lift 10 years ago. You state it was called a quick lift. There is no academic equivalent for this procedure so it sounds more like a marketing tool. Because you are 10 years older since your last procedure, you have obviously continued to age and as a woman you have lost volume in your face and you have gravitational falling of facial soft tissues. In order to produce a natural looking facial rejuvenation,you need fillers to restore volume and possible surgical elevation of the fallen facial tissues.Don't over do it Be conservative.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. The LiteLift™ is an innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself which benefits many male patients. The goal of the #LiteLift is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.The technique requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used allow us to perform most LiteLift® procedures in the office under local anesthesia. Also, removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people do not move forward with undergoing the desires facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.

This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. 

Thank you for your question and photos.  After ten years, it is not surprising that you need another face lift as you have aged.  Please be sure to see a surgeon that is board certified in plastic surgery and is an expert in the facelift procedure.All the best,Dr. ResultsMiami, FL

Most patients only have one facelift in a lifetime. In your particular case it looks as though things have emerge that would benefit with a secondary facelift.

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

Thank you for your question.If you had a “quick lift” or one of the “mini
facelift” procedures 10 years ago and you were happy with the results, then you
should be thrilled with the results of what a full facelift will do for
you.With a full facelift we can
correct your jowls, jaw line and your neck giving your face a more youthful
appearance.When you go in for a
consultation you may want to ask your surgeon about fat transfers, eyelid
surgery and laser resurfacing to give your entire face a more youthful appearance.It is not uncommon to redo a facelift after
10-15 years because you (and your face) are going to continue to age.Because you only had the quick lift
performed, they probably did nothing with your neck so the results you will get
this time around with a full facelift, I think you are going to be very pleased
with.Good luck to you.

Given the aging changes noted in the photo, the best and only option to address jowls, platysmal banding, and skin laxity is a facelift.  A quicklift is unlikely to be very beneficial for you at this time. 

It is normal for a facelift procedure to last about 10 years. I'm glad you were happy with the first one. Based on your pictures, I would recommend a second facelift, which would include liposuction under your chin and neck tightening as well. That should result in a cleaner neck line. I would also suggest looking into a brow lift, which in my opinion would restore a more youthful appearance. Consult with a board certified plastic surgeon to discuss all your options. I wish you the best.

Your face lift 10 years ago may only addressed your lose skin. You have fair amount of jowls and lose neck. You would need your underlying tissue tighten a well to help the jowls and deepened folds. I would also at the time of your facel lift inject fat into your fce to help with some volume loss as well.