Facelift in a person with Bell’s palsy asymmetry.

Dear DogMomma123, thank you for your question.
A skilled facelift surgeon with experience in facial palsy can tailor the procedure to account for asymmetry by adjusting the SMAS (superficial musculoaponeurotic system) differently on each side of the face. In cases like yours, the facelift is not just about lifting—it’s about restoring balance. Surgical planning might also include fat grafting or even minor muscle repositioning to help achieve a more symmetrical resting appearance.
Centers that specialize in facial reanimation or facial nerve disorders are often ideal for this level of customization.

Yes, indeed, a carefully performed facelift carried out by an experienced Plastic Surgeon can improve the results after Bell's Palsy. It cannot change the dynamic position of the face, however it can change the static position. I have performed this procedure on patients with Bell's Palsy with good results.

Thank you for the great question. A deep plane facelift will certainly be the best procedure to elevate and reposition the deeper soft tissue of your face and should give you a more symmetrical result. When properly performed, it is a procedure of maximal elevation and repositioning. However, if you have residual weakness from Bell's palsy (and it sounds like you may), this won't be changed by the procedure. Your question would be better answered fully in a consultation.