The paired jowls interfere with the contour of the jaw line as it moves from the chin up to the ears.  In the after picture, that contour is more triangular; in the before, the jowls make burbles in the smooth line of the jaw.  Note that her melolabial folds did not improve with the face lift, as they typically do not.

Her lower eyelids sit in a low position as a complication of lower eyelid surgery that was performed elsewhere.  The eyelid surgery tutorial's chapter on lower eyelid surgery contains a discussion on what can happen to the eyelids when the eyelid operation isn't performed with judgment and care.