Of course there are patients who don’t receive the benefit they were looking for from a facelift (either because they had unreasonable expectations or the surgeon promised more than was possible) and there are patients who experience surgical complications, but a truly “botched” procedure where the surgeon did something incompetent is pretty rare. In this piece we’ll explore the different issues that might make a facelift patient unhappy including situations where the surgeon may have done too much or too little. Finally, facelifts don’t last forever so some patients may be unhappy because the beneficial effects from a facelift are starting to loosen up and disappear.