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Cheek Discoloration After Face Lift

I had a Face Lift 45 days ago. Where the plastic surgeon pulled the platysma on my cheeks, I now have about 1" of discoloration. It looks like a light bruise, but deeper than the surface. There is no pain. What is happening? Will this correct over time? What can I do to accelerate healing process?

Asked 35 months ago by NewMexico lady in Los Alamos, NM
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+2

Bruising After Facelift Surgery

It is very possible to see skin discoloration six weeks after a facelift. This is probably a sign of old blood collected under the skin. Do not be concerned - the body will absorb and disperse this fluid.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+2

What color is the cheek discoloration? It may be hemosiderin.

Without seeing your face, I can't really comment specifically, but several possibilities exist. Most bruising resolves by two weeks, so 45 days of it would be unlikely to be bruising. In some patients who experience excessive bruising or who develop a hematoma (blood collection), a condition called hemosiderin staining can occur, which can look similar to a bruise but lasts much longer. Hemosiderin staining has no good solution other than the passage of time and can take a year or longer to... more
David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
+2

Blue Cheeks after a Facelift

I agree with the other consultants that the bluish discoloration may represent a small amount of blood which remained under the skin. Some thin skinned individuals may also note the proliferation of spider veins after this type of surgery. Neovascularization (or the ingrowth of blood vessels) is a normal part of wound healing. Be patient, massage gently and realize that a facelift's results may blossom in up to a year. good luck.
Lavinia Chong, MD
Orange County Plastic Surgeon
+2

This should resolve

It is not normal to have discoloration 6+ weeks after a facelift but it could be some resolving bruising that occurred at surgery.  Arnica  creams, massage and manual lympahtic drainage can possibly help speed the resolution.  It should all go away at some point.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+2

Bluish discoloration after a facelift

This is slightly confusing. The platysma is generally in the neck and tapers out and nearly disappears by the time it reaches the cheek, It sounds as if you may have experienced a hematoma. These can be evacuated via a variety of techniques. Topical massage and arnica may help.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Discoloration After A Facelift

Discoloration after a facelift is highly unusual 45 days after the procedure.  Possible causes would include: an unresolved bruise visible deep permanent suture area of hyperpigmentation (can be seen with sametime LASER and Peels) see video
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Skin discoloration after a facelift

The discoloration can be many different things.  You really h ave to give it some time to heal. If you are concerned than you shoudl check with your surgeon.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Hematomas can take months to resolve

You describe a situation can be the result of a small blood collection (hematoma) under the skin. You can also have a discoloration of the skin as a result of nerves being cut at the time of surgery. in either case, the color resolves within 6 months from surgery.
Robert M. Freund, MD
New York Plastic Surgeon
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