I have a ridge/line near jaw after MACS facelift. Any suggestions? (photo)

I wouldn't be too worried about it just now (although I appreciate that you are).  These types of issues come up from time to time especially with facial surgery, but it typically shakes out within a few weeks.  Hang in there.

 It is early in your postoperative period and contour irregularities can be seen in facelifts of this type. It is important to remain patient and allow for healing to occur. Discuss with your surgeon whether or not massage is recommended at this time. Some surgeons will clear patience for massage after a few days to a few weeks. In time the majority of these irregularities soften and become more natural looking.

Thank you for the picture.  This may represent a slightly tighter area that has be accentuated by swelling.  You should have a re-evaluation by your plastic surgeon.  This should soften over the next several months.

At 4 days post-op it is not uncommon to have irregularities under the skin.  This will be due to uneven swelling. Give yourself time to heal and most of these will resolve.  IT would be unusual to have anything in that area that would cause permanent creasing.     

What it could be... its likely due to how the skin was repositioned. If to much tension is placed on one area of the skin flap...it will result in a band where the skin is taunt in the direction of pull and looser above and below it, thus creating the line or band appearance. The way to avoid it is to put even distribution of the tension on the skin flap...or to put less tension in that particular area that caused the band. You are still very early and edema can create abnormal forces on the skin. I would not get discouraged this early.... I would wait until the swelling decreases and your skin relaxes which can take a few weeks. 

A well executed facelift will not use the skin to support the facelift. This can create tension and unwanted lines. As swelling subsides this may improve but probably will not go away altogether.

It is normal to get contour irregularities at this stage and they will resolve over the coming weeks. You need to ask your PS about massage regimes but most of these type of contour issues resolve.

Patience!  It has only been 4 days!  It is very common to have contour irregularities immediately after facial surgery.  These depressions will lessen with time and will likely be gone soon.Good luck!

Plastic surgeons know that patients want to look great immediately.  This has led to the development of less invasive procedures.  The MACS lift is one of these.  While faster recovery is nice, the downside is that temporary contour deformities are more likely.  This is such a common issue with the MACS lift that the authors specifically discuss it in their textbook.  Correction is time and massage.  

A MACS facelift is one of a continuum of face lifting technique styles which have progressed over the last 50 years. There are 3 basic layers of tissues to be "lifted" in the face:the skinthe SMAS (a fascial corsette underlying the skin which keeps the tissues tight and together)the soft tissues including muscles, fat, nerves and blood vessels. Most facelift techniques use the first 2 layers to perform the lifit.the skin is most recently redraped in a superolateral (upward and outward) rather than backward direction and the excess is trimmed.the SMAS is pulled and tightened in a superior (upward) direction and the excess trimmed or doubled over to add more volume.the soft tissues maybe volumized to fill, soften and change the contours and folds of the face. For example, fat or filler maybe used in the cheeks, temples or nasolabial and marrionette folds. During the initial healing process, swelling and pulling of the skin or deeper tissues can cause this wave form you present in your photo (thanks for sharing it with us). Other considerations are redraping the skin or pulling the SMAS in a backward direction. My suspicion is that the tissue tightness will relax during the next few weeks as the swelling diminishes. In approximately 3 months with some appropriate massage, you will observe a more natural appearance.It is best that you return to your surgeon and review with him / her your concerns so he / she may instruct you as to what to do and provide his / her experience in managing this issue. I hope this was helpful. I wish you the best!