Facelift: Q&A
Ask a QuestionWhat Can Be Done About Cheek Asymmetry After Mid-face Lift with Fat Grafting?
At 11-days post-surgery, I developed a hematoma on my right cheek. Due to the hematoma, my R cheek felt rigid. Massage has helped to soften the tissue. Now 5-weeks post-surgery, I still have some lumps/bruising. My L cheek is plumper vs. my R. Did the hematoma cause lower fat "take"? Before the fat completes the process of developing a blood supply, is there anything to be done to lower the viability on the L (for symmetry)? I don't want to go through any future fat grafting procedures.
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16 Doctor Answers |
Asked by
Charlene7
in Los Angeles
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5 weeks postop
5 weeks postop is still very early in the healing process. 6 months and thereafter post surgery is when you can consider a surgical revision or other procedures to revise the results. Continue to communicate with your surgeon, and follow his/her post operative instructions as best as you can.
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5 weeks post-op
5 weeks is still relatively early in healing process after your surgery. There are still irritated nerves and tight muscles. Be patient and continue to follow up with your surgeon as directed. The final take rate of the fat will be evident at 6 months
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Facelift - What Can Be Done About Cheek Asymmetry After Mid-face Lift with Fat Grafting?
It's all in the timing.
At 5 weeks post-op, it is still much too early for you to consider a revision - and I don't know of a way to "increase" the take after a fat graft at any time. Bruising is, as noted elsewhere, common with surgery, with facelifts and with a mid-facelift.
I think that, at this point, you need to continue to let the surgery resolve on its own. And, of course, stay in touch with your surgeon.
I hope that this helps and good...
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Face Lift
You are still healing and will have to wait until all is smooth again to assess the symmetry. Unfortunately, a hematoma can take some time to absorb and feel normal again. Work with your Board Certified Plastic Surgeon and they will assist you in management of the healing phase.
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Wait at least 6 months
You really need to wait at least 6 months before you consider doing anything to fix cheek asymmetry. If you are still unhappy after 6 months, there are options.
see video
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Time
Time is on your side. Wait, do not rush into anything. It will undoubtedly improve and you certainly do not want to make anything worse.
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Hematoma after face lift
It is not uncommon to develop a hematoma after a mid-face lift. Depending on the amount of the hematoma it can be treated conservatively or it needs to be drained. As far as I can see in the photo, your hematoma was not too severe, looks almost like bruising. At this point, it has been five weeks since surgery; it is still very early to evaluate symmetry of the results of a face lift. I would recommend the patient to wait around six months, then at that point things can be reanalyzed and...
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Cheek Asymmetry after Fat Grafting
Post-op swelling after fat grafts to the cheeks can be asymmetrical and persist for several weeks when there is a hematoma. Massage and ultrasound may accelerate your recovery. Hopefully you will not need additional grafting.
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Facelift and Fat grafting hematoma
I feel like others, in that you will ultimately be fine. Your hematoma is resolving and will eventually be completely gone. I agree that external ultrasound is a beneficial treatment for softening the induration after the blood has settled in the tissues. Do tno blame the fat transfer, it could also have been the facelift portion. You may need a little additional fat added down the road some. Certainly leave the left side alone, dont create two problem areas potentially. Be patient.
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Asymmetric cheeks after Face Lift and fat transfer
Sorry to hear about your issue. I have performed many, many Face Lifts over the past 20 years and IMHO, hematomas create several things that prolong the post Face Lift healing time.
The blood within the tissues, of the face, is very irritating and causes increased inflammation, swelling and scar formation. This eventually subsides, but can take as long as 6-12 months.
The increased pressure of the hematoma can stretch out the SMAS layer and or the skin resulting in...
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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.
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