What can I do about blotchiness 3 months post-op? Described as vasodilation or broken capillaries. Is it permanent? (Photo)

Hi & thanks for your question.  If these issues are indeed from broken capillaries, a vascular laser or IPL can help to diminish or eliminate them.  Speak to your surgeon about this option.Best,

 Thank you for your picture. It is unknown whether this will be permanent. If it truly represents small dilated veins in your face these can be treated typically with laser. I would continue to wait another three months and reevaluate. In the interim slight coverup makeup can help

Thank you for the question. Small areas of damage to the capillaries in the skin can occur after facelift. In many cases, these can be treated with laser or IPL. It depends on the size of the vessels and degree of pigmentation in the surrounding areas.

Thank you for your question and photo.  It appears that you are undergoing neovasularization: a process that can take up to six months.  All the best,Dr. ResultsMiami, FL

A subcutaneous facelift separates the skin from the deeper tissues that nourish it with blood. This can lead to altered pathways creating shallow vascular issues. After all inflammation from the facelift has subsided, at least six months, these can be treated with a selective laser if they have not managed during convalescence.

It’s difficult to determine from the photograph. We tend to look at ourselves more critically after plastic surgery, so it’s possible a certain amount of capillaries were present before facelift surgery. Skin capillaries can be treated with lasers, such as IPL/Vbeam. Three months is still relatively earlier after facelift surgery, so it's possible there may be some improvement on its own. Ultimately, speak with your facelift plastic surgeon to determine best options for you.Best,Dr. Chaboki

This is a fairly common occur with a facelift procedures.  As the skin is elevated and re-attaches the vascular pattern may be altered and capillaries may occur.  There are various laser that treat this very well. Good luck.

It is possible to see discoloration of skin as you report up to several months after face lift surgery. This comes as a result of change in innervation of skin blood vessels as a result of surgical trauma. It will improve within 5-6 months after surgery. If there is a residual dispigmentation by means of localized redness and dilated small veins, laser treatment is very efficient. Follow advice of your plastic surgeon and do not accept any laser treatment at least 6 months after surgery. Good luck.

Great question. This is a common problem after a facelift. Time usually takes care of this problem. IPL treatments also can expedite the re-solution of this problem. Talk to your surgeon about your concerns.Hope this helps,Dr. Gus Diaz

Great question.  Blood supply and vasodilation are often the source of these issues after a facelift.  They are temporary but can be expedited by laser treatment.  The key will be to monitor and see if they are improving as healing continues.  If the improvement slows down or stops, then laser treatment should be considered.All the best,Dr. Remus Repta