Norman Leaf, MD (in memoriam)

Temporary numbness is not a complication of facelift. That has been well addressed by the other doctors responding to your questions. 11 Weeks without any resolution is a little longer than usual, but I am confident that the feeling in your cheeks and neck will come back eventually. Patience is a virtue here. The ears may be a different issue...sometimes the greater auricular nerve (provides sensation to the outer ear) can be injured, stitched or even severed during the dissection on the sides of the neck. This might take a great deal longer to return...and some parts of the ear might remain permanently numb.  This will not affect hearing, but simply remain as a bit of a nuisance if it persists. Ask you surgeon about that.

If you choose to roll the dice and  travel to Mexico for this extensive and intricate procedure, you obviously have plenty of confidence in the surgeon you have chosen. He or she should be able to answer this question more reliably than those of us board-certified American surgeons who have no clue what his or her level of skill is and who have not been able to examine you.  Ask him (or her).

I don't blame you for feeling dissatisfied. It's a shame to have gone through an extensive (and expensive) procedure and end up with your neck, which shows some improvement but does not show an excellent result. It appears to be more than just loose skin. It is true that a neck which had such a significant amount of fullness and laxity, such as yours, is more difficult to repair than a minimally sagging neck, but I think you are right to have expected a more satisfactory result. It's hard to tell from your after picture, but I'm afraid another lower face and neck lift is in order.  I wouldn't waste time and/or money on Ulthera...it's a reasonably good treatment for very mild sagging, but it wouldn't give you enough of an improvement to warrant the time, the cost (if any) or the discomfort. Talk to your surgeon about a complete redo.

Facelifts, including secondary neck lifts, must have all the tension of the lift taken up by the deep layer repair before the skin is trimmed from around the earlobe. There should be absolutely no tension on the skin closure. It's important for the surgeon to make sure the first side is not pulled too tightly, which can create a situation in which there's not enough laxity to close the second side without  tension, creating a pixie ear on that side only. This is extra important in a secondary procedure, such as the revision facelift you experienced. The good news is that a mild pixie ear is usually fixable with a minor local anesthetic procedure. It would be best to discuss this with your plastic surgeon.

This is truly every patient's worst nightmare. It's obviously a problem with the administration of local anesthetic. The only thing more nightmarish is being aware of everything but being unable to talk or move...I've never seen this happen, but patients ask about it often. There just isn't an excuse for either scenario in contemporary plastic surgery. Therapy may be a good idea.  I presume you've spoken to your surgeon about it.