Improved or not? Behind the ear facelift incision healing troubles. (Photo)

It appears that you are having poor healing due to poor blood flow to the edge of the wound.  The unhealthy tissue and scab will need to be removed from the wound and caraeful wound care will be needed.  I would advise having your surgeon look at the area and manage this for you.  Best regards

If left alone, this area would most likely eventually heal. However, that yellow-brown tissue is a form of scab. It's an area where the subcutaneous tissues have been exposed to air, desiccated, and are now acting like a scab. Without cleaning up these tissues, this area will take 6-10 weeks to heal. As well, the gap forming in that area means additional healing time.I would strongly recommend revisiting your surgeon, not his/her nurse, and having that area "debrided ". This can mean scraping it with a curet, trimming that yellow scab with scissors, or excising it with a knife. Personally, I would follow this up with a few stitches to tack the ear back down to speed the healing process and to minimize any cosmetic concerns. Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA