It's been a week since facelift. Is this necrosis? (Photo)

Dear Christine12001,I am sorry to hear and see that you are having some difficulty with healing. Based on the picture provided, I can't tell exactly what is going on, but it looks like there may be some degree of necrosis. Be sure to stay in close touch with your Surgeon as you get through this process.Thank you for your question, and please let us know if you have any other questions or concerns!Sincerely,Dr. P Daniel Ward

This could be indeed severe skin suffering with early ischemic changes. Tension relief, topical antibiotic cream and some blood thinning measures can help mitigate possible damages.Christian Drehsen, M.D.