Bruising or hematoma after Facelift?

I had a facelift on 4/13. All seemed fine, then about 4 days ago, I developed a very dark bruise or hemotoma on my left cheek. There's no pain, but should I be concerned or is this part of the normal healing process? Thanks.

Bruising or hematoma after Facelift?
Sort: Date | Helpful
8 answers to “Bruising or hematoma after Facelift?”

A: Some bruising, some skin loss, and a possible hematoma

Shahram Salemy, MD

It's difficult to know without examining you, but from your photo you certainly have some skin loss and some bruising, and my guess is a small hematoma as well. I would see your surgeon ASAP as I am sure he would want to treat this in some manner, be it local wound care or drainage of the hematoma. ... more

A: Looks like small hematoma with a little skin loss.

George J. Beraka, MD

Hi.   From the one picture and from the timing, I think you have a hematoma that should be looked at right away, because it could affect the result.  I cannot tell you what treatment you need (most commonly, the blood clot is removed under anesthesia), but see you surgeon right away!

A: Likely a bruise

Scott E. Kasden, MD

This dark area looks like a bruise.  A hematoma may be possible but it is associated with localized fullness, pressure/tightness, and pain or discomfot.  Make sure you keep in contact with the doctor. sek

A: See your surgeon

Darrick E. Antell, MD

While one photo clearly does not tell the whole story, I do think that you should see your surgeon for advice. It appears that the skin at the top, just in front of the ear, is looking compromised. Topical antibiotics, or other treatment may enhance your outcome.

A: Get this checked

Marcus L. Peterson, MD

In order to protect the skin, this needs to be checked.  There are some simple things that can be done to help your situation that may have long term consequences.  You want to prevent the skin from breaking down and forming scars.  If there is a hematoma, the blood can be removed to reduce the... more

A: Call your doctor to check for hematoma after Face Lift

Brooke R. Seckel, MD

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... more

A: Please see your surgeon!

Kenneth D. Steinsapir, MD

 Dear JPierce Some times patients are very considerate of their busy surgeon's:  "I didn't want to bother you so I am waiting for my one week appointment."   Please be aware that this hematoma potentially constitutes a threat to the facial skin over the area of the bruise.  If you... more

A: Cause for concern

Robin T.W. Yuan, MD

Of course you should be addressing these concerns to your own surgeon. From your photos, there appears to be an area of dark skin above your ear where your sideburns should be. If it is black, this is not normal. Your skin of the cheek area in front of your ear is quite dark and could very well indicate a... more

Ask your question:

IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.