Cheek Discoloration After Face Lift

Without seeing your face, I can't really comment specifically, but several possibilities exist. Most bruising resolves by two weeks, so 45 days of it would be unlikely to be bruising.
In some patients who experience excessive bruising or who develop a hematoma (blood collection), a condition called hemosiderin staining can occur, which can look similar to a bruise but lasts much longer. Hemosiderin staining has no good solution other than the passage of time and can take a year or longer to resolve.
A third cause of prolonged discoloration is a condition known as post-inflammatory hyperpigmentation (PIH), which is the result of melanin deposition (like a tan). PIH can often be reduced with the use of 4% hydroquinone cream or with Tri-Luma cream (both are by prescription only).
Hope this helps,
--DCP

After surgical rejuvenation of the face, discoloration may occur due to small hematomas under the skin. Once the hematoma resolves the discoloration typically improves. Some patients may experience prolonged discoloration due to staining of the skin. Over time these usually improve. New experience with a gently laser 1064 nm yag (Cutera's laser genesis ) has been helpful to improve small areas of discoloration. Be careful with lasers over a fresh facelift.

Discoloration after a facelift is highly unusual 45 days after the procedure.  Possible causes would include:


an unresolved bruise

visible deep permanent suture

area of hyperpigmentation (can be seen with sametime LASER and Peels)

This is slightly confusing. The platysma is generally in the neck and tapers out and nearly disappears by the time it reaches the cheek,
It sounds as if you may have experienced a hematoma. These can be evacuated via a variety of techniques.
Topical massage and arnica may help.

Thank you for your question. Bruising is
generally very common for the first two weeks following surgery, but some
patients may develop hemosiderin staining which is similar to bruising and may
last for about a year. Again, for bruising, time is often the best factor for
healing, but makeup can be worn for camouflage purposes.

The discoloration can be many different things.  You really h ave to give it some time to heal. If you are concerned than you shoudl check with your surgeon.

You describe a situation can be the result of a small blood collection (hematoma) under the skin. You can also have a discoloration of the skin as a result of nerves being cut at the time of surgery. in either case, the color resolves within 6 months from surgery.

I agree with the other consultants that the bluish discoloration may represent a small amount of blood which remained under the skin. Some thin skinned individuals may also note the proliferation of spider veins after this type of surgery. Neovascularization (or the ingrowth of blood vessels) is a normal part of wound healing. Be patient, massage gently and realize that a facelift's results may blossom in up to a year. good luck.

It is very possible to see skin discoloration six weeks after a facelift. This is probably a sign of old blood collected under the skin. Do not be concerned - the body will absorb and disperse this fluid.

It is not normal to have discoloration 6+ weeks after a facelift but it could be some resolving bruising that occurred at surgery.  Arnica  creams, massage and manual lympahtic drainage can possibly help speed the resolution.  It should all go away at some point.