MACS lift scars after surgery very red and hot. Is this normal? (photos)

You have developed a hypertrophic scar.  This is not a keloid but an inflammed scar which can occur after a surgery.  The best way to treat this is with injections of steroid and 5-FU every 2-3 weeks.  The silicone should also help.  There are some lasers that are helpful too - for both the color and texture.  6-8 weeks post surgery is the best time to start with the laser treatments.  

I understand your concern with redness around the ear scars after your facelift.
 Since it is I lateral usually caused by allergic reaction to something. This could be caused by  deep sutures in the area that were used or the cream you’re putting on it.  First thing you do is stop all topical cream‘s and see if it improves. 
 Occasionally using a topical steroid cream can speed up the resolution 

So those scars look a little too red to me at six weeks. Silicone is an option but i think anti-inflammatories might also be considered and if the scars are painful, maybe antibiotics. This doesnt look like an infection but it as I say it is unusual so covering a few bases is not a bad idea. Hope that helpsAdam Goodwin

As I understand it you have been instructed to put a "cream" of some sort as well as silicone gel and sheets on your normally healing scars. Every chemical you describe has caused an allergic reaction in fresh scars that I have personally witnessed. Your redness is likely the result of an allergic reaction and will go away if you stop applying these products.  The products are probably great for some patients, but you appear to be reacting to them. I always recommend my facelift patients use a Eucerin product called Aquaphor. At this point you may need to just stop anything and everything.  Be sure to avoid cigarette smoke including second-hand smoke, and avoid the sun including tanning beds even if you cover your face. 

Thank you for your question. I agree, your scars are a bit more red than usual - but it almost looks reactive. I have some patients who are allergic to the silicone sheeting. You may want to just massage the area daily and stop applying anything topical for a week or so to see if you notice a change. Also, at 6 weeks typically the scar is as red as it's going to be - so you're in that timeframe and usually things start to settle after that. There are some lasers, like IPL, that can help to improve the overall redness and scar pigment. So, you may want to consider that - especially if you're plastic surgeon offers these services. Best of luck!