Bruising is common after facelift; however, your history and picture suggests a hematoma.
Typically, bruising after face lift is apparent in the first day or two.
The acute onset of bruising at day 4 suggests that you may have had some bleeding and a hematoma has formed. This can happen if your blood pressure has been elevated during activity, or a small blood vessel may have opened.
It is important to address this immediately. If you have a hematoma, your doctor can easily drain the blood and wash out the area so that minimal blood is left behind in the tissues.
If a hematoma is left undrained, a lump can form which can take months to dissolve and may leave a permanent swelling and affect your final result.
Call your doctor, don't wait.


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