Recommendations To Fix Ear Deformity After Facelift? (photo)

According to the photos shown, there are multiple issues that are present.  The temporal hairline has been shifted unnaturally upward and a loss of the temporal tuft and sideburn has occurred from the previous facelift.  In addition, the angle of inclination and axis of the ear has been brought too far forward, causing the earlobe to be more anterior and stretched.  The earlobe has also been elongated significantly and there is blunting of the tragus. 

The surgical repair for this type of problem is complicated but in experienced hands is relatively straightforward.  First, it is impossible to bring down the temporal hairline without hair transplants.  Second, blunting of the tragus can be repaired by thinning down the dermis over that area and re-draping the skin.  The entire skin area in front of the ear and a portion behind the ear will need to be re-draped.  The earlobe will need to be reduced, reset, and the entire axis of deviation of the lower portion of the ear will need to be set more posteriorly to restore normal orientation and axis to the ear.  Dermal thinning of the area in front of the earlobe will also need to be performed.  Some undermining of the anterior portion of the skin in the cheek will have to be performed to gain enough traction on the skin to stretch the earlobe posteriorly.  This can be all done under a local anesthesia if needed.

The issue is the original incision and inset of the earlobe. The skin needs to be redraped with a reinset of the earlobe. I would address your concerns with the original surgeon as a start. If you are not satisfied then look for a board certified plastic surgeon.