Why Did This Happen After my SMAS Facelift? (photo)

It appears (based on the photos provided) that there is some skin loss on both cheeks. This can happen for a variety of reasons, including bleeding under the skin (hematoma), smoking, a thin skin flap, etc. This is a rare complication, and requires very close follow up to achieve the best long-term result. Healing will take time and will require supportive wound care.
Best,

Local wound care, hyperbaric oxygen, and time will help you get through this process. Scar treatments afterwards can help improve skin texture. Best, Dr. Karamanoukian