Can I have surgery to release skin adhesion to underlying structure of the face after facelift? (Photo)

It is possible to have some skin irregularities after a facelift.  Most of these lumps and skin lines disappear without a trace within 6 month of the procedure.  On those extremely rare occasions when some irregularities persist, fat grafting might be a good alternative to additional surgery.  Ask you surgeon about his opinion on fat grafting at your 6 month follow up visit.Best of luck!

I am sorry you had a hematoma. This is a common complication. I would give the area time to heal and be very careful with steroid injections.  The area of the fullness could also have a prominent buccal fat pad that may be contributing to what you see. Try and be patient and your PS will take you through the process. Good luck

I'm sorry to read about your complications. Unfortunately
after hematoma (collection of blood), some residual blood may be left after "milking"
blood out, and so there is increased inflammation with scarring underneath the
skin, resulting in the kind of unevenness that you have. I would expect some
improvement over the course of a year, but if it is severe enough, reopening
the incisions (revision facelift) should result in a smoother surface. If the
soft lumps indeed are not getting smaller, then they could be fat that has been
pushed into lumps by the forces of scar contraction underneath the skin, or
perhaps they are secondary to fat grafts if those were performed at the time of
your surgery. I would continue to consult with your surgeon, but if secondary
surgery is recommended, consultation with another surgeon might give you
additional perspective on the best approach. For now, continued conservative
measures will likely give you considerable improvement — and hopefully complete
resolution. Best wishes.

I would advise against early surgical intervention. The lumpiness will change over time and may even resolve without further surgery. Personally, I would be very careful with Kenalog injections as they may produce their own issues. Patience is of essence.

It may be necessary to revise the facelift. There is still active swelling this should be allowed to resolve before pursuing any correction.

Only time will help and it is difficult to be patient while u have this. NO surgery for at least 1 year. 

You are still very early in the healing phase. The hematoma will slow things down on that side, and it would not be unusual to have some irregular areas.  With time these will improve.  Heat and massage are also helpful.  If this doesn't help,  you could try some ultrasound. I would wait at least 6 months before trying any surgical  intervention, and from the way you look now, doubt you will need it.

I agree it is way too early. I would wait a minimum of 6 months. Usually these areas will resolve themselves with time and patience. This does happen and I have seen it before. It is very hard to be patient especially when it is your face. What your surgeon means is that later, if need be he is talking about elevating the skin and trying to re-drape it more smoothly if needed.

Time and further healing will make the adhesions/lumps/bumps you see after your facelift improve more than what you see now. Whether they will improve enough to avoid a release remains to be seen. But you need to give it a full six months before determining whether any intervention is needed.

Unfortunately, a hematoma can slow down the healing process. It sounds like you have been doing all the right things to encourage healing. Two and a half months is far too early in the healing process to consider any type of revision work. I agree with your surgeon. Wait at least six months, allow the inflammation to settle, and you may not need any revision work.