64, do I need I another face lift with fat transfers or just fat transfers for volume? (Photo)

You might not be able to get the jowls all the way better without a revision facelift but I would start with fat grafting to the under eyes and cheeks. You might also benefit from a lip lift and CO2 laser to the face. You may be surprised with how much improvement you get with those three things before you consider revising the facelift. Hope that helps!

Hi,
I think the issues you have is because the fat transferred looks a little lumpy I would recommend talking to your original surgeon about possibly using some steroid or kybella to dissolve the fat that's there and come back in 3-6 months with microfat that is a much smaller globule fat transfer to add subtle transition from the lid to the midface.