What Can Be Done About Behind my Ears for Red Skin, Ridges and Scars, Please, Now I Am 7 Months Post Neck/facelift? (photo)

Thank you for the question and your pictures. It seems that the incisions around the ears were closed under a good deal of tension. This can give the tightness and discoloration that you are seeing. Wounds/incisions will remodel (change in texture, thickness, color, etc.) over about a year post-op.  I would recommend waiting until your 12 month visit and then considering a scar revision.

Laser skin resurfacing can be done to soften  and better camouflage the scars. I would wait another few months as you are still having some tightness   Then proceed with surgical revision of the earlobes and the ridges, hopefully the ridges will not need much intervention. 

The wounds are still biologically active in will change. It looks as though the band might require a scar revision but I would advise against it until healing is complete.

Scar revision for ridges and scars after facelift with pixie ears is the best way to correct this problem and re-create a normal looking ear lobe. There must be enough skin laxity in order to do this. See a very experienced facelift surgeon for this revision.

The pleats can be revised as can the ear lobe.  The right ear lobe does not have a pixie ear deformity.  It is not possible to judge the left from these pictures.  Tightness behind the ears can be due to sensory nerve changes related to the surgery.  These often improve over time.  Redness can be removed with IPL if it does not fully resolve on its own.  Unfortunately, to make a great face lift, the work has to be hidden some where.  That where is often behind the ears.  A through discussion of this issue before surgery generally helps people be prepared for this.  Despite these discussions, some are still disappointed with the compromises related with surgery.  This is why there is a tend to smaller incision facelifts when they are appropriate for a given individual.