When you lift the skin of the face for a facelift of any kind two things happen:
- The ability of the skin to remove blood worsens temporarily (venous congestion)
- Blood that remains behind may leave heme (iron) pigment behind, staining the skin
Over time, venous congestion will correct itself as the body makes more tiny veins (neovascularization). The heme pigment problem, however, will need laser treatment to break down the discoloration.
As far as your palpable/visible sutures go, they will have to be removed it they bother you enough. Revision surgery over a MACS lift is not really a problem because your surgeon only plicated, or folded in, your excess SMAS (muscle covering) to tighten your lower face and jawline.
Redoing this same procedure (but without pursestring sutures) or converting to a below the SMAS dissection with absorbable sutures should be discussed with your revision surgeon.
Good luck.
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