Distortions, bulges & smile block following facelift. What caused this? Is it smile block? Can a revision facelift help? (Photo)

It is really impossible to answer your question based on your photos. My best advice would be for you to get a copy of your pre-op photos from your surgeon and then schedule a consultation with a different board certified plastic surgeon for a second opinion. Then, fully informed, you can decide whether or not revision surgery is merited.

ballingdon,
Thanks for your question and pictures.  The pictures you provided are not standard pre and post-op pictures, so it's really hard to judge some details that you are referring to.  The restriction on animation may be caused to some degree by the tightening of the SMAS during your facelift.  I personally do not focus too much on asymmetries after facelifts, as there are many techniques that we can use symmetrically and still give you an asymmetric result, as our skeletons are not symmetric, and our soft tissues (all layers) are not perfectly symmetric either.  If you are worried about the skin bunching on the left side of your smile, this can be treated with subcision to release the deep and superficial tissues and allow the skin to "re-drape" over the deeper tissues, though the success is variable.  I encourage you to look at your results with your surgeon from across the room rather than very up close, as this is a more realistic distance that your face is evaluated from.  Good luck!

I thought I made up that term in the early 1990's when I first noticed it. This is a version of a smile block where the mass of the cheek fat is free anteriorly, but at the back end of the cheek fat is blocked by scarring from the dissection of the facelift. That tissue is stuck from the skin down to the bone and keeps the back of the cheek fat from looking rounded. It looks chopped off. It also looks like you might have fat injected into our face? The way you treat that particular problem is to fill it in, you can use off the shelf fillers or your own fat. Fillers are more reliable.  YOU really can't compare the jowls  because you are smiling in the pre pictures.