Many reasons can lead to skin discoloration after facelift

Philip Young, MD answers: Skin discoloration after a MAC facelift

I had a mid-face lift in Argentina last year and they used the "MAC" or "MC" procedure. For almost 1 year I had discolorations that ran along both sides of my cheeks and down to just under my chin -- I imagine this is the path of the "purse stitches" used.

Mid-way through this healing period I went to another plastic surgeon, and he recommended a retinol topical cream -- but I can still see the line of the stitches.

Is there any way to correct his. What should I do from here? I will NEVER go offshore for another surgery -- but that is a whole separate story!

Philip Young, MD
11 months ago

There are many reasons that can lead to skin discoloration after a facelift. Inflammation can cause increased blood vessel formation, which can lead to a red or bluish discoloration depending on the level of the vessel and whether they're due to an arterial or venous source.

Other reasons include iron deposits that can happen after bruising, and can leave a dark discoloration. Due to the inflammation, your skin becomes more sensitive and can develop a reactive process that can lead to post inflammatory hyperpigmentation and abnormal skin tanning. Each process can benefit from different treatments.

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