Horizontal ridges on face after facelift - will I need a revision? (photos)

Based on the appearance in the photos it does appear to be swelling. Many of these irregularities following Facelift will smooth out on their own over time and rarely will a revision be needed. This swelling may persist for several months, but it typically does smooth out.

You are clearly still swollen and it’s only been a short time since your surgery. I would give it at least a month for all the swelling to go away

The ridges you describe may be lateral sweep deformities. These are areas of skin that appear to be pulled too tightly in a lateral direction, creating ridges or folds that extend from the outer corners of the eyes to the hairline.

In some cases, lateral sweep deformities can occur as a result of swelling in the early stages of the healing process after surgery. However, if the swelling has not changed in over a week and the ridges remain, it's possible that they may require revision surgery to correct.

It's important to communicate your concerns with your surgeon and have them evaluate the area to determine the best course of action. Revision surgery may be necessary to address the ridges and achieve the desired outcome.

In summary, lateral sweep deformities can occur after facial surgery and may require revision surgery to correct. It's important to communicate your concerns with your surgeon and have them evaluate the area to determine the best course of action.