Face lift/Vector lift 26 days ago. Wondering if some obvious flaws will resolve with time. (Photos)

Thanks for the great question. The tissue excess should settle with time. There is a trade off between limiting the length of the scar up the hairline of the sideburn and the redraping of excess skin. The longer the scar the easier it is to redrape the skin and avoid bunching. A small degree of bunching is not bad thing as small amounts of bunching will almost always settle and your Surgeon has likely kept the length of the scar to a minimum . If there is too much bunching then it may not all settle. keep in regular contact with your Surgeon.

Thank you for your photos and I am sorry to hear you are having some concerns post op. It is unfortunate that you were made to feel that way with your surgeon when you were addressing your concerns. It is important to be able to communicate openly with your surgeon in regards to any concerns especially during your healing process. Everyone is different and healing times vary. If a revision is necessary you must be healed first, so waiting five to six months post op sounds reasonable. If in doubt, visit another Board Certified Plastic Surgeon for help.  Thank you for your questions and best wishes!

The appearance of the face shortly after a facelift ( eg 26 days) could be worrisome to some patients: swelling, bruising, wrinkles, pink scars etc are usually common at this stage but improve as the healing happens. Patients with questions and concerns about their facelift healing process should follow up their plastic surgeons advice and be patient with the (sometimes slow) healing process. 

Dear Lisa,Thank you for providing good photographs.  You are definitely over reacting.  It is not uncommon after a facelift to have minor skin irregularities around the incision line.  Most of the time these type of skin pleats go away without any further intervention.  Occasionally a minor surgical correction might be required.  I would not call it a revision, though.  It could be done under local anesthesia and should not take much longer than 15-20 minutes.  So, in the worse case scenario you would end up getting a small touch up procedure to correct these skin irregularities.  Best of luck,Dr. Konstantin

This will likely not improve much and I would recommend you revise it.  The incision would need to be extended up along your hairline further to take up the gathered skin.