What causes dents in hollow of cheek after facelift?

That is an excellent question. I have noticed in occasional cases a small dimple in the mid cheek after a facelift. No one has given me a good explanation what causes it (yes, it is a mystery to me even after performing nearly a couple thousand facelifts). There is no depression in the underlying tissue, so I really don’t have an explanation. I do know that contour irregularities like this do go away within a few weeks

Thank you for your question. It is difficult to figure out what could be causing the contour irregularities you are describing without a physical exam or pictures. Often times, contour irregularities are due to fat, scar tissue, sutures, etc. Your surgeon should be able to give you more information. Hope that helps! 

It is hard to understand what you are trying to ask without the benefit of any photos. During a facelift procedure, I aim to redistribute the fat in areas from where it has dropped or lost in volume, using the SMAS contouring facelift technique, to give the face a youthful appearance that it once used to have. It might be best to discuss your concerns with your plastic surgeon.