Is there an unevenness or distortion after a facelift?

Even the most perfect facelifts will have swelling, and all swelling is asymmetric, it is simply a question of degrees. If you are asking this question preoperatively, I suggest meeting with an expert facelift surgeon -- someone who has been performing facelifts for decades, preferably a board-certified plastic surgeon -- because he (or she) and staff should prepare you thoroughly for your surgery so that you have a solid understanding of the post-operative course. If you are asking because you've had surgery and you are experiencing unnevenness or distortion, I suggest you call your surgeon to discuss your current situation.  I (and I assume that my colleagues are similar) am always happy to share my knowledge with my patients to help allay concerns. Plastic surgery is a partnership between surgeon and patient, and the job of a surgeon does not end with the surgery; it is our responsibility, and pleasure, to help you.

All facelift techniques are prone to this if not enough care is taken that the same amount of tissue is manipulated in each side.  Careful attention to reproducing the result on both sides is important.