1 week after facelift & upper lower eyelids. I have necrosis, but doctor is doing nothing. Should I get second opinion? (photo)
Doctor Answers (8)
Healing after facelift
Possible necrosis after face lift
Necrosis is death of the skin - it has no blood flow.
Necrosis can develop over time. If concerned, removing sutures may help.
Otherwise the area is observed until it heals or dies.
Your photos also show a small tissue separation under the eyelid, eyelid sutures ready to be removed and what looks like a small bunching of eyelid skin. None are of concern now.
See your surgeon as often as needed - when concerned I see patients at least once a week.
I see no need for a second opinion for now.
Bruising or Necrosis after Facelift
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Healing issues are the responsibility of your own surgeon.
Do I have necrosis
Do I have necrosis after a facelift?
Is a second opinion needed?
You don't have necrosis.
If your tissues exhibited ischemia in the first few hours after surgery, there are a number of maneuvers than can be considered. These do not apply one week after surgery.
I hope you are not smoking, using nicotine of any kind (patch, spray, gum, or e-cigarette), or are exposed to second-hand smoke. Any of those CAN cause late necrosis, but only if tissues are compromised in their circulation from the early post-op period.
Please feel free to get a second opinion, but I'm concerned about the source of the misinformation that led you to think you might have necrosis in the first place (friend? online research? doctor who is not an ABPS-certified plastic surgeon?)
You trusted your choice of surgeon to operate on your face and eyelids! Please trust his judgement now, as I see no reason to question him at all. He is allowing your tissues to heal and I'm sure he gave you some instructions and limitations. Follow them.
Best wishes! Dr. Tholen
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.