Seroma and Keloid after facelift, any advice?

It appears that the skin never healed after the surgery which is unusual after 8 months. With a seroma, you get a collection of fluid under the skin. IT is usually pretty obvious, and the patient often states that they can hear the fluid when they move the head. I have never seen one drain on its own but that may be because I drain them. You will need to have the wound opened and reclosed in this area. And old scar will be removed at the same time. A keloid is a very wide and raised scar, usually either red or white. It does not look like this.

Fluid collection after a faceliftSeromas are quite uncommon after a facelift, especially 8 month later.
Your presentation suggests a reaction to some type of a permanent suture used
during your facelift. Ask your surgeon to get a culture test, to assess for a
low grade chronic infection.

This actually looks like a non healing wound or a wound not completely healed. I would agree that you find a surgeon who is willing to help you with some local wound care until the wound has healed. You may consider laser resurfacing over the next few months, before cutting the scar out and starting over. Light skin resurfacing can significantly improve the apperance of poorly healed wounds

I am sorry you had to go through this. At this point I would want to make sure you are not having an ongoing infection. I would wait 6months after everything as settled and offer a revision. Either changing the colour with a laser or cutting out the old scar with revision surgery

You need to have your face evaluated by another surgeon to make sure the infection has resolved. Once that is taken care of and the wounds are well healed, not draining, and mature you could consider a revision of the scarred area. Good luck. Donald R. Nunn MD Atlanta Plastic Surgeon.