Deep Plane Facelift Scars at 1 Week Post-Op: What’s Normal?

Introduction

A deep plane facelift reshapes deeper facial structures to restore contour, lift and definition. While much attention focuses on the rejuvenating effect, the healing process is equally important. At one week post-op, patients often examine incision lines closely, sometimes with concern. Deep plane facelift scars during this stage can appear more noticeable than expected, particularly when swelling is still present. Understanding what is normal at this early point helps reduce unnecessary anxiety. Early healing rarely reflects the final scar appearance, and patience during this phase is essential for reassurance.

Where Incisions Are Placed in a Deep Plane Facelift

Incisions in a deep plane facelift are typically positioned around the ears, within the natural creases and sometimes extending into the hairline. They are carefully designed to follow anatomical contours so that scars remain discreet long term. This strategic placement allows incision lines to blend naturally with surrounding skin once fully healed. At one week post-op, deep plane facelift scars are still in the early inflammatory phase of healing. Swelling, mild tightness and surface redness are expected. Because the deeper layers were repositioned during surgery, the skin may feel slightly firm. This stage reflects normal tissue repair rather than complication.

What Deep Plane Facelift Scars Look Like at 1 Week

During the first week, redness is common along the incision line, especially around the ear. Mild bruising may extend slightly beyond the edges and can vary in colour as it resolves. Some areas may appear slightly raised or uneven due to internal swelling. Deep plane facelift scars at this stage may look more visible than anticipated, particularly in bright lighting. Stitches or dissolvable sutures may still be present, contributing to texture changes. The skin often feels tight because underlying tissues are adjusting to their new position. These signs are part of the normal early healing process.

Swelling and Bruising Around Incisions

Swelling is typically most pronounced in the first several days after surgery. It begins improving by the end of the first week. Bruising shifts in colour from darker purple tones to lighter yellow shades as healing progresses. Deep plane facelift scars can appear more prominent when surrounding tissue is swollen. As fluid retention decreases, the incision lines often look flatter and less defined. Gentle elevation of the head during rest and adherence to aftercare instructions can support this natural reduction in swelling.

Sensation Changes in the Early Stage

It’s common to experience numbness, tingling or slight hypersensitivity around incision areas. This occurs because small sensory nerves adapt during surgical repositioning of deeper structures. Deep plane facelift scars may feel firm or slightly tender when touched, particularly near the earlobe or hairline. These sensations usually improve gradually over several weeks as nerve pathways recover. Temporary tightness is also normal and reflects internal healing rather than external scarring issues.

Deep Plane Facelift Scars: When Stitches Are Removed

Non-dissolvable stitches are often removed around one week post-op. This depends on healing progress and surgeon preference. This visit also allows evaluation of early scar formation. Once sutures are removed, deep plane facelift scars may look cleaner and smoother along the edges. Mild redness typically remains, as collagen production is still active. Careful cleansing and continued protection support steady improvement.

The Role of Internal Sutures in Early Appearance of Deep Plane Facelift Scars

A deep plane facelift involves repositioning deeper facial layers, not just tightening skin. Internal sutures are used to support lifted structures and maintain tension where needed. At one week post-op, these deeper stitches may contribute to a sensation of firmness or subtle puckering near incision lines. Deep plane facelift scars can appear slightly uneven while underlying tissues stabilise. As swelling decreases and internal sutures settle, the surface typically smooths progressively. This internal adjustment is an expected part of the recovery process.

Ear and Hairline Healing Differences

Incisions often extend around the ear and into the hairline. Each area heals slightly differently due to variations in skin thickness and movement. Deep plane facelift scars behind the ear may feel firmer initially because of constant subtle motion from neck activity. In contrast, hairline incisions may appear faint but slightly pink. These differences are normal and reflect anatomical variation rather than complication. Over time, scars in both locations tend to soften and integrate with surrounding tissue.

Early Deep Plane Facelift Scar Care Recommendations

At one week, scar care focuses on protection and gentle handling rather than active treatment. Keeping incisions clean, avoiding pressure and protecting the area from sun exposure are priorities. Deep plane facelift scars benefit from minimal manipulation. Patients should avoid stretching the skin or applying unapproved topical products. Following specific postoperative instructions encourages optimal healing and supports favourable scar maturation over time.

Deep Plane Facelift Scars: What Is Not Normal at 1 Week

While redness, firmness and mild swelling are common, certain changes require professional review. Increasing pain, warmth, significant discharge or rapidly spreading redness should be reported. Deep plane facelift scars should gradually improve rather than deteriorate. Regular follow-up appointments ensure that healing is progressing as expected. Early communication with the surgical team provides reassurance and guidance.

Why Scars Look More Noticeable in the First Week

During the first week after surgery, the body enters the inflammatory phase of healing. Blood flow to the incision site increases to support tissue repair. This natural response causes redness and mild swelling along the scar line. Deep plane facelift scars may therefore appear darker or slightly raised compared to surrounding skin. The contrast can seem more obvious because facial skin is thin and highly visible. This early prominence does not indicate poor healing. It simply reflects active collagen production and tissue repair beneath the surface.

Conclusion

At one week post-op, deep plane facelift scars commonly appear red, slightly raised and firm due to early inflammation. Swelling, mild bruising and temporary tightness are expected during this stage. This initial appearance does not reflect the final scar outcome. With proper care, time and structured follow-up, incision lines typically soften and blend gradually. Understanding the normal healing timeline helps patients remain confident and reassured throughout recovery. 

For more information about post-surgical scarring, and to book a consultation, visit the ACIBADEM Beauty Center website.