Recovery GuideLast Updated: January 2026

Pleats Behind Ear After Facelift

What Are These Folds Behind My Ear After Surgery?

Pleats behind the ear after a facelift are small folds of skin that can appear along the incision line. This puckering is a normal part of the healing process for about 15-20% of patients and occurs as the skin settles into its new, lifted position. These pleats typically flatten out on their own within 6-12 weeks as healing completes.

  • Pleating is temporary and resolves in 6-12 weeks for most
  • Caused by skin settling after being lifted and redraped
  • Gentle massage after 3 weeks can help smooth the area

Understand pleating and puckering behind the ear after deep plane facelift surgery.

2-3 wks
Initial Recovery
3-6 mo
Full Results
1-2 wks
Peak Symptoms
95%+
Success Rate

What Should You Expect?

Understanding what to expect during recovery helps patients prepare mentally and physically for the healing process. Deep plane facelift recovery is generally well-tolerated, with most patients experiencing manageable discomfort that improves significantly within the first two weeks.

Your surgeon will provide detailed post-operative instructions tailored to your specific situation. Following these guidelines carefully is essential for optimal healing and results.

Recovery Timeline

Days 1-3
Most swelling and bruising. Rest with head elevated. Take prescribed medications.
Days 4-7
Swelling begins to decrease. May remove drains if placed. Light walking encouraged.
Week 2
Sutures typically removed. Bruising fades. Can usually return to desk work.
Week 3-4
Most social activities can resume. Residual swelling continues to improve.
Month 2-6
Final results emerge. Scars continue to mature and fade.

When to Contact Your Surgeon

Seek Immediate Medical Attention If:

  • • Severe or sudden increase in pain
  • • Excessive bleeding or drainage
  • • Signs of infection (fever, increasing redness, pus)
  • • Difficulty breathing or swallowing
  • • Sudden asymmetry or facial weakness

Frequently Asked Questions

What should I expect with pleats behind ear after facelift?

Recovery varies by individual, but most patients can expect gradual improvement over 2-4 weeks with full results visible at 3-6 months. Following your surgeon's post-operative instructions is key to optimal healing.

Medically reviewed by Op. Dr. Yakup DumanWritten by DeepPlane Editorial TeamUpdated January 2026

How long does recovery take?

Initial recovery takes 2-3 weeks, with most patients returning to normal activities within 3-4 weeks. Final results may take 3-6 months as residual swelling resolves and tissues settle into their new position.

When should I contact my surgeon?

Contact your surgeon immediately if you experience severe pain, excessive bleeding, signs of infection, difficulty breathing, or any concerning symptoms. When in doubt, always err on the side of caution and reach out to your surgical team.

Common Misconceptions

Myth: Pleats indicate surgical error

Fact: Some puckering is normal during healing. It often results from skin adjustment to new contours.

Myth: Pleats are permanent

Fact: Most pleats smooth out within 3-6 months. Persistent issues can be corrected with minor procedures.

Myth: Massage makes pleats worse

Fact: Gentle massage as directed by your surgeon can help smooth pleats. Follow specific instructions.

Medically Reviewed

Op. Dr. Yakup Duman

Op. Dr. Yakup Duman

Plastic, Reconstructive & Aesthetic Surgery Specialist

MDPlastic, Reconstructive & Aesthetic Surgery SpecialistBoard Certified

Board-certified Plastic & Aesthetic Surgery specialist with 20+ years of experience. Specializes in deep plane facelift at Merkez Prime Hospital, Istanbul. Medical Reviewer for DeepPlane.com.

Turkish Plastic Reconstructive and Aesthetic Surgery Association
Last reviewed: March 2, 2026
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