What are the causes of asymmetry after a Facelift? My right side had a hematoma which had healed nicely, that side is fine.

At nine weeks some facial asymmetry due to swelling is fairly common. As long as the trend is favorable you have little to worry about.

Nobody’s
face is symmetrical before or after a facelift surgery. Therefore some asymmetry
is expected and normal. Significant asymmetry is due to either 1. Born with asymmetrical
face 2. The underlying asymmetry became more apparent after surgery. Or 3. The
facelift was done asymmetrically.

9 weeks after a facelift is too early to make final judgment on your results. Many times patients have bony differences from one side of the face to the other that is carried after surgery. take a good look at your before pictures and go with an open mind and see if this is the case. Also sometimes the way patient's sleep will make one side of the face swell more than the other. Seek the advice of your surgeon.Hope this helps.Dr. Gus DiazDouble Board Certified in Facial Plastic Surgery

Even without the hematoma swelling can be different from one side to the other.   Other explanations would be difference in bony symmetry, more tightening on one side than the other, or more liposuction on one side.  There is still another 4months at least until most of the edema is gone.  Were you sleeping more on the left because of the right hematoma?  If so the down side tends to swell more.  Should that be the case sleeping with the head elevated may help. Best wishes

A photo would be helpful to better understand the asymmetry.More pull or tightness on the left side can make the other look fuller.Swelling should be similar on each side and be resolving soon.85 % is already gone.Sometimes filler can help add balance. See your surgeon.