Can I have a touch up lower face lift after having a lifestyle lift 11 years ago?

Yes, it is absolutely fine to do a lower face lift to continue the good results you had from your lifestyle lift 11 years ago. Surgery will always give you the most dramatic and long-lasting results rather than trying to add volume and lift with dermal fillers. A lower lift will address your jowls and also tighten up your jawline and neckline. As for your marionette lines, the mini lift will smooth them out to some degree but if they are very deep you may still need a hyaluronic-acid based filler to even them out. I hope this helps.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

The aging process involves 3 things: downward decent from facial soft tissue laxity, skin surface aging characterized by wrinkles and discoloration, and loss of volume especially in the cheek area.
Failure to treat all three may make you more aware of what is not treated: in your case the lower commissures, marionette lines and jowls.. You only have already explored a facelift. Volume corrective procedures with fillers will help to a small degree but it would appear that the remaining factor, skin redundancy is still the major cause for your concern. In that case a min-facelift such as the MACS, LiteLift, LifeStyle, S-lift etc by a qualified board certified plastic surgeon would help you the most.Probably most important is the skill and experience of the surgeon. Always check out his/her before and after photos and ask to see long term results and most of all that he is trained and a board certified plastic surgeon.

Without pictures or clinical evaluation it would be hard to give you good suggestion. However, we all know that type of face lift you had in the past is of very short duration and "real" face/neck lift needs to be done very soon after that procedure in most patients. If you had a good result for 11 years that is exceptional!  I would suggest a consultation with a board certified plastic surgeon with solid reputation in face lift surgery to discuss your goals and options. Good luck.

Yes, it is possible to undergo revision lower facelift after having had a previous procedure.  A full set of facial photographs are required to make a determination about being a candidate for a lower face and neck lift.  In our practice, we perform this procedure for patients who have loose facial and neck skin, loose facial and neck muscles, fatty deposits in the neck, and jowls.  For more information and many before and after facelift examples, please see the link and the video below

  Hi, I have performed many facelifts and many minimally invasive type facelifts with facial shaping over the past 30 years.  While non smiling photos of your face from the front and side would help in the evaluation, in general terms "jowls" and the associated tissue folds called the "marionette lines" represent sagging facial tissues that are the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 For well over 15 years now, my most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed
excess skin removed
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.  This can be done if you have "jowls" regardless of whether you have had a prior facelift or lifestyle lift.
Hope this helps.