I  am seeking a surgeon to perform a comprehensive revision of a poorly executed facelift, need to be good at facial fat grafting as well. The original procedure was done outside the United States by a physician with inadequate technique; this is not a routine “suboptimal result” but a case that likely requires major revision. Feel soooo sad daily :( Because I do not wish to undergo another revision after this, I cannot take any risks and need a surgeon who is exceptionally reliable and highly experienced in facelift revisions. My budget is up to $150,000 better under $100k.

At this stage I am considering Drs. Nayak, Cat Chang, and Ben Talei. I have also looked at Dr. Timberlake but am concerned he may be too early in his career to have substantial revision experience. Other names I have seen recommended include Drs. Mansher Singh, Mark Karolak, Elizabeth Chance, Allen Foulad, Glasgold, Chopra, and Karam. However some above surgeons do not list “facelift revision” as a separate service on their websites—does this imply limited expertise in this area?

I would be very very grateful for analysis on who is most reliable, as well as any additional recommendations for highly capable facelift revision surgeons.

my problems

Left side: There are two bulging areas next to my nose and mouth corner,(I didn't have it before the surgery) while the upper midface appears hollow, as if tissue is missing. But the surgeon reported that no liposuction was performed, only removal of ~1 cm of skin for closure.

Right side: The commissure does not bulge, and the nasal area prominence is less obvious, likely because the deficiency and protrusion blend together. Still, the right side also shows a “layered” appearance, with fullness in the lower face and hollowing closer to the cheekbone.

Overall contour: My lower face looks excessively full, while the upper face has become flat — the opposite of what a facelift should achieve.

Asymmetry: My mouth corners are uneven (right side higher, left lower). If I manually lift the left cheek diagonally upward, the bulging commissure flattens, and the nasal bulge covers the hollow area, producing better symmetry. This makes me suspect the problem may be due to skin redraping and tension or a deeper structural issue such as a lateral sweep deformity?

Adhesion: There seems to be adhesion or tethering in the temple and zygomatic (cheekbone) regions, creating a stuck sensation rather than just numbness or tightness as in other areas. My skin is also quite thin, which I’ve heard can make revision surgery more challenging.

Uneven and irregular: My facial skin now looks uneven and irregular when I smile — it appears bumpy and rough, whereas before surgery my face was overall smooth. I’m not a perfectionist, and what I mean by ‘uneven’ is not small localized irregularities, but rather a large, overall contour irregularity. I’ve also developed what looks like ‘joker lines’ . In addition, a dissolvable suture has become exposed near the outer corner of my left eye, which the surgeon admitted was placed too superficially.

Need help for facelift revision