3 weeks post op, When Do You See Final Results from a Facelift?

In most facelifts the usual time period for studying your results is about 3-4 months.  In laser assisted face lifts where additional skin contraction can improve later results the time frame is 6 months. If your jowls continue to be a concern after 4-6 months laser assisted (smartlifting) techniques can be effective in reducing jowl volume and position.

Swelling after a facelift is normal and expected. On average, patients can be presentable (with makeup) in 14 days. I don't recommend video appearances for 21 days and flash photography for 3 months. These are averages and so there are patients on either sides of these numbers. In the end, the lymphatics, or drainage system, of your face has been interrupted by the surgery and recreating all these small vessels takes time and, in general, most people feel they look they're best around 3 months. Having said that, you are presentable at 14 days as almost 60% of the swelling is improved by then and 70% will improve by 6 weeks and then 80% around 3 months, on average Healing tissue takes a full year to mature in any part of the body so the last 20% will take 6-12 months depending on the person. You can improve swelling after facelift by keeping your head elevated the first 2 weeks, applying cool compresses religiously the first week, minimizing activity after surgery, minimizing salt intake 2 weeks before and 2 weeks after surgery, using a steroid pack from your doctor, using a prescription version of arnica montana, and minimizing medications that can make you bruise 2 weeks before and 2 weeks after surgery such as aspirin, ibuprofen, herbal supplements especially green tea, gingko biloba, flax seed, fish oil, and multivitamins, especially those containing Vit E. Participating in lymphatic massages 10 days after the facelift can also help mobilize the fluid and minimize swelling; have a lymphatic massage once a week until the swelling has resolved.

You are very early in the healing process, so I would not be concerned at this point.  It really takes about three months before you can step back and say that everything is done healing, etc.  Just be patient.

Most of the swelling is gone 2 months after a facelift, but some patients do persist longer. Jowl swelling can be prolonged if aggressive jowl liposuction is performed. I would wait 6 months before deciding on revision work.

You won't see the final results for 6-12 months. This is probably swelling and will decrease monthly. Don't worry about this for at least 3 months.