What Can Be Done About Facial Asymmetry That Results from Hematoma?
asked 11 months ago by marcyb35 in Kansas City, MO
Latest answer by Aaron Stone, MD
Question viewed 209 times
Tags: asymmetry, accident, hematoma, options
During a car accident in 2007, face hit dash board. Large hematoma developed on right cheek. End result: 1 cheek that is way larger than the other. It is very noticeable when I smile and in photos. Some scarring on the skin where it burst open from pressure and on the inside of mouth there is scar tissue that effects facial expressions. It’s really bad to hate your own face. I just want to know where I can get some help in this area from someone who knows what they are talking about. Thanks
3 answers to What Can Be Done About Facial Asymmetry That Results from Hematoma?
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Treatment of chronic organized hematoma
Your posted photos corroborate your concerns. This is most likely an organized hematoma that will not go away on its own. If it was elsewhere on the body and superficial its removal would be straightforward. It is more complicated in the face because of the likely proximity to and difficult separation from muscles and nerves of facial expression. You will need an MRI to assess these spatial relationships and allow planning for surgery. From just the photo it is impossible to know if the...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Facial asymmetry from a hematoma.
Marcy
Presumably you were assessed at the time of the accident for fractures of the facial bones. Generally the hematomas spontaneously resolve. It is interesting how you do have a much larger right cheek. It would be helpful to review photographs of you prior to your accident to see if this asymmetry existed prior to your accident. Either way, I would recommend being assessed by a board certified general plastic surgeon or a fellowship trained facial plastic surgeon...
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+1
Hematoma
This a very complex problem. I suggest you contact and consult several facial plastic and plastic surgeons for opinions. Your doctor needs to see feel and perhaps scan the area to see what can be done without risking fascial nerve damage
