I am 9 day post MACS facelift, upper eyelids and fat transfer to face. Will the bunched up skin improve? (Photo)

Sorry you are in this predicament vrich1. I suspect this is going to need revision. It should improve a little in the next few weeks but there is a lot of skin excess to "lose". This is why I am not an advocate of the short scar facelifts. 

I understand your concerns, but you are way to early to judge anything. Yes likely the pleating will undoubtedly get better as well as the tightness and dimpling. The hardest thing and the bet thing to do is have patience and talk to your doc. I hope this helps.Ritu Chopra MD

Contour irregularities after facelift surgery can be seen regardless of technique. Fortunately, it  is an often forgiving surgery and minor contour irregularities and bunching usually improve with time. This often results from an attempt to limit incisions, which is a noble goal. Nevertheless, some degree of bunching can be seen in short scar facelifts because the skin is not allowed to optimally redrape. In this case, the bunching will improve, but I would be prepared for some minor skin revision.

You are still very early after surgery and way too early to determine your final results. If you have reasonable elasticity most if not all of your observed concerns will resolve on their own. With swelling, edema, the ear lobe will stand out, but this too will resolve. 

You are still very early in your postoperative recovery and I would recommend that you give yourself more time before you judge results. That being said, it does appear that you already have a significant amount of excess skin still present and may need a revision. 

It's too early, your face will go through a lot of changes.  I don't think 9 days after surgery is enough for you to see the final results.  YOu may or may not need a touch up, but I would allow things to heal for at least three months before jumping into a revision.

Hi. It is still early days. The trade iff for a shorter scar facelift is some bunching and you will be amazed at how well it settles down. You will be thankful for the tight neck with time and it will soften. Regards

Swelling will exacerbate the appearance of the skin being gathered up but I think this is going to be a permanent problem for you without a surgical revision.

Your skin has gathered up behind your ears more than usual.  However it definitely will improve with time.  Your surgeon may need to revise this to obtain the best contour and scars.  

This could be a problem or not but too early to tell.  Bunching of the skin can happen from the short scar that tends to happen less from the regular scar facelift..it is an issue of geometry in my opinion.  I would wait and see how this plays out but remember that some folding of the skin can have a natural appearance once all the healing is complete.Good luckDr VasishtSouth Shore Plastic Surgery Voorhees, NJ