I have bruising and skin bunching 3 months after a MACS Facelift. Will it resolve?

   MACS facelift utilizes pursestring sutures and a shorter scar.  The vertical pull and nature of the pursestrings has to be done in a very precise manner to avoid distortion.  Ask your surgoen what can be done.  If you are looking for a revision after about 6 months or so, find a plastic surgeon with ELITE credentials who understands the complexities of many facelift techniques and can move between them.  Kenneth Hughes, MD Los Angeles, CA

You need to make a consultation with a facelift specialist to evaluate your condition. You may need a revision facelift to reposition your SMAS in a correct way.  If you need help please contact our office

The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. #Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. However, if you have certain concerns about the procedures and #healing process, it is best to call your board-certified surgeon or their medical staff and discuss those #concerns.

You should discuss your concerns with your operating surgeon. At 3 months, your bruising should be gone. The other distortions you describe warrant a careful evaluation and if not better with time, may need to be revised.

Without photos and an exam as well as reviewing your surgical note details it is not possible to give accurate opinions or advice. I suggest that you return to your plastic surgeon with your concerns.