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.
What Can Be Done About Cheek Asymmetry After Mid-face Lift with Fat Grafting?
Doctor Answers (19)
Facial asymmetry corrections
Cheek asymmetry after midface lift
At eleven days postop, it is still too early to assess the results of your procedure. I agree with the massage of the affected area to hasten the resolution of the hematoma. But it will take time (measured in months, not in days) and it is important to be patient before coming to any conclusions. I am sure that your doctor will work hard to make sure that you will be happy with your results.
Mid face assymetry
You are still very early in the process. I would certainly wait before making any judgments. Infections, hematomas and seromas can can all dervease fat take when they happen early. Speak with your surgeon and follow his/her direction, but for now wait until things heal.
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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.
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
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 luck,
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.
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.
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.
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 decision can be made.
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