What are the signs of compromised blood flow? (photo)

If there is any concern you should see your surgeon right away. It is really not possible to definitively distinguish bruising from decreased blood flow in a photograph. If your surgeon determines that poor blood flow is the cause, there may be some measures that can be taken (such as releasing sutures, foregoing ice packs and adding warmth, for example) that may possibly be of benefit. If it is bruising you may have a little bit of excess bleeding that he or she may wish to monitor. But the best course of action is to communicate your concerns and be seen by your surgeon. Good luck!

Looking at the photo you posted, I would have some concern for the skin in front of the ear following a facelift.  It could just be really bad bruising but it could also be early necrosis of the skin.  If you have not already, I would contact your surgeon to be evaluated.  An exam gives more information than a picture.  

Thanks for your picture. You should have your face evaluated by your surgeon. You have not given a lot of information about your surgery, but if you were my patient, I would want to see you in person.

Any mottled skin after facelift is a danger sign of poor skin circulation. This is a very significant risk for smokers, and can also appear if there is bleeding after the procedure. Your photo says it all so keep in close contact with your sugeon.

There are many fine details that help clinicians diagnose infection and compromised blood flow.  While pictures may be suggestive, lighting and camera settings may change important details which can lead to a misdiagnosis.  An in person evaluation is really the only way to accurately determine if one has infection or skin compromise.  If you haven't already done so, please contact your Plastic Surgeon to set up an evaluation to have these questions answered.   

It is very hard, from this photo, to tell if this is bruising or vascular compromise.  Obviously, please see your surgeon immediately to be sure.  He/she will better evaluate your situation.  Best