Is it normal for a new bruise to appear 3 weeks after a facelift?

Thanks for your question. While it is not typical for a bruise to appear at 3 weeks out, it can happen. Sometimes deep bruises from the deeper dissection will appear several weeks after surgery. I would let your surgeon know as they may want to see you for a follow up appointment.

Today's SMAS facelifts do undermine facial structures that are below the skin and subcutaneous fat. If there is bleeding in this area a small clot can form. The bruising won't appear until the clot dissolves and the pigment can migrate into the more superficial subcutaneous tissue. That might take 2-3 weeks to occur. However, any unexpected postop bruising or bleeding should be with your surgeon.

Thanks for your question. I wouldn't say that is particularly common, but I doubt it's anything major to be concerned about. I would check in with your surgeon for him/her to take a look in person. Best wishes.

Any unusual bruising should be addressed to your surgeon.  You may have had bleeding in the area.   Best wishes for a nice recovery.