6 weeks post Facelift: Black mark appeared under the skin in my temple wound, is this spitting stitches? (photo)

Dear Nige54Thank you for your question and photo!  Congrats on your surgery.  Please review with your surgeon.  The area looks ok in general.  The spot could be a suture, or hair follicle.With Warm RegardsTrevor M Born MD

Throughout the #facelift #healing process you should be seen frequently by your doctor and one of their registered nurses to ensure you are following instructions properly and your recovery is going well. The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. #Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen.However, in this particular situation, it may be best to call your board-certified surgeon or their medical staff and discuss this concern.

I can't say with any certainty what this is just from a photograph. It could be a spitting stitch. I would recommend that you contact your surgeon and let them know about this. More than likely, it will go away with a little antibiotic ointment.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

This looks like a suture starting to come out through the skin.  THis can create a little bleeding which is why you have a scab.  See you doctor and they should be able to pull it out.   

This black mark is likely to be an extruding permanent suture or a small area of blood surrounding an entrapped hair follicle.  This is an issue that your Surgeon can quite easily address in the office.

It is a bit difficult to tell, from just a photograph, what might be causing the black mark in your temple 6 weeks after your facelift.  It is possible that it could be due to a suture under the skin, or it could be a small collection of blood under the skin.  It could also be a small area of skin necrosis, but this would be unusual to occur 6 weeks after your surgery.  I would contact your surgeon so that you can be evaluated in person to determine what the cause is and your surgeon should be able to improve the issue for you.  

Yes, this appears to be a spitting stitch. Schedule an appointment to see your surgeon to have it removed. Kindly,Kouros Azar

A suture is likely but given the size of the pigmented patch in the area I wonder if retained hair might also be the cause. either way, a drop of local anaesthetic will allow your surgeon to rectify the problem.Hope that helps. Adam Goodwin

Your scar is still very immature. This dark bump in the scar probably represents a suture abscess and needs to be treated with drainage and topical antibiotic. If indeed there is a stitch in the tissue this will have to be removed in order for the infection to clear.