Why Do I Have Ridges on Cheeks After Facelift? (photo)

The cheek swelling you have appears to be fairly large. I would guess that this represents a seroma, or fluid collection, related to your surgery. Only an exam by your surgeon can confirm this. Its fairly typical to have some ridges and irregularity to the facial skin a few weeks after facelift surgery, but these issues smooth out with time. 

   If this is bilateral, this would be extremely unusual but would speak to something technical as a part of the surgery and less likely a random fluid collection or hematoma.  This does look like a parotid outline, but only a physical exam will help to explain the results in your case.  Kenneth Hughes, MD Los Angeles, CA