Infected or allergy around incision after facelift? 3 weeks post-op. (Photos)

The redness is limited to your incisions so it might be due to a reaction to any ointment you are placing on the incisions. If you are using a neomycin containing topical ointment, that might be the cause. It’s best to see your doctor to have this checked.

Thank you for your question.The right side incision is healing a little slower and along the wound edge you have some eschar. The redness is confined to just the incision, which could be just a reaction to ointment that you are using. I would keep the area clean and dry, also avoid picking at the eschar on the would to decrease the chance of scarring.

These are good photos and I think that likely on your right side you have had a little epidermolysis or loss of the top layer of the skin which is why it is more dark/crusty on that side.  This can happen because the blood supply to the skin is very challenged during facelift and the edges furthest from the blood supply (where it is dark) can sometimes just not have enough blood supply and slough.  This creates extra redness because your body is trying to heal that area under the crusting.  This same process creates itching as well.  The good news is that even if the top layer of skin has died, it usually looks great in 3 months or so and in this location, your hair can hide it until then.  I think it is unlikely you have an infection or skin reaction.  I recommend you keep aquaphor ointment on the dark/scabby areas until they look like skin again.  Keeping it covered with ointment usually decreases the itching as well.  

Your photos show areas which have at least epidermalysis and possibly some mild skin necrosis.  This is manageable but needs to be seen by a physician and evaluated to determine best management.  An experienced plastic surgeon would be ideal but an evaluation by any physician for whether there is an infectious component is needed.

Based on the photo, the incision does not seem to be infected. It might be due to an allergic reaction or local tissue necrosis due to compromised blood supply. Either way, it would be best to have this checked by your surgeon.