Steven L Ringler, MD

 Bruising after a facelift can be minimal, but it depends on the approach. Bruising and even hematomas are more likely with more invasive facelift techniques such as a SMAS lift or a deep plane facelift. These are much less likely with a MACS lift, since there is less undermining of the skin where most vessels are. I have many patients with very little or no bruising after a MACS lift, and have not seen a hematoma in over 200 patients. However, hematomas are not very common after any facelift, since all surgeons try to minimize this risk during surgery. Factors that increase your risk of this include, high blood pressure and blood thinning medications and some dietary supplements. You should always talk to your surgeon prior to surgery about what you can do to minimize any risks associated with your surgery.