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Hard Asymetrical Swelling After MASC Lift Could It Be Deep Hematoma?

asked 4 months ago by miyoki32 in London
Latest answer by Julio Garcia, MD
Question viewed 207 times
Tags: 1 week post-op, hematoma, MACS, swelling, uneven

I am 7 days post-op MACS lift,my PS removed the bandages yesterday and i finished a course of antibiotics as of lastnight my PS said that my stitches are healing very well, however there is this really hard asymetrical swelling on my left cheek, my face looks rasymetrical and i am hoping this is due to the swelling. Is asymetrical hard swelling common after MACS lift, i havent had any bruising whatsoever after the op, how long would it take for this hard swelling and asymmetry to resolve?

12 answers to Hard Asymetrical Swelling After MASC Lift Could It Be Deep Hematoma?

Hard Asymetrical Swelling After MASC Lift Could It Be Deep Hematoma

It can be due to swelling or blood in the area. It also might be that the MACs suture on the larger side caused more bunching of the tissue when it was tightened. It should get better in time though.

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Swelling after facelift

Severe asymmetry after a facelift is uncommon. Some swelling and firmness is normal but usually its rather symmetric. If nothing has changed since you last saw your plastic surgeon then I would say you are probably alright but as with most plastic surgeons on realself if you have a question or concern that is bothering you enough to write it here I would ask your surgeon directly as I personally would rather have a happy but swollen and newly educated patient about signs of... more

Mahlon Kerr, MD
Austin Plastic Surgeon

Asymmetric facing swelling should be evaluated.

It is normal to have some swelling 7 days after a facelift and the areas worked on may feel firm. However if only one side is like this, you should return to your surgeon to be evaluated for possible collection of blood or fluid on that side. Your surgeon knows exactly what was done at your surgery and is in the best position to properly evaluate you.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

7 days post-op

Each situation is unique and only your surgeon knows the specific details of your procedure and should be the person commenting on post-operative questions such as - call or follow-up with your PS

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Facelift - Hard Asymetrical Swelling After MASC Lift Could It Be Deep Hematoma?

At seven days it is common to have asymmetry and hard areas. These most likely represent collections of fluid, either discretely (in a space) or diffusely (spread throughout some tissue, such as if you had a sprained ankle). In general, these resolve well on their own; rarely, small collections need to be aspirated (have the fluid withdrawn with a needle). You should, of course, stay in touch with your surgeon. I suspect that this will settle down well on its own... more

Alan Engler, MD
New York Plastic Surgeon

Asymmetric Swelling After Facelift

As described, asymmetric firm swelling after a facelft is not typical and always represents a blood and or serum collection beneath the skin. It usually occurs within the dissection level of the facelift so the answer to the question of depth depends on the type of facelift performed. If this was a standard facelift dissection a swelling life the one described usually will require needle drainage to expedite healing. If a component of the swelling is blood, it may be necessary to... more

Paul S. Howard, MD
Birmingham Plastic Surgeon

Asymmetrical swelling after a MACS face lift 7 days after the procedure

There are times when the swelling is asymmetric. Most likely it is due to some fluid accumulation. One thing to remember is that everyone is asymmetric and you should look at your preoperative photos to assess this. But I would have your doctor consider aspirating the swelling. Then you will have to do some judicious followup, wrapping, taping, steroid injections etc.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Status Post MACS

Thank you for your question. It is possible to have normal swelling on one side of the face or a hematoma. Without an evalutation, it is impossible to tell.

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Hard Asymetrical Swelling After MASC Lift Could It Be Deep Hematoma?

It could be a deep tissue bruise or something else. It's best that you ask your Face Lift Surgeon this question after a close examination of the area.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Hard swelling

Although not typical there a number of possible explanations. This early in your post op course your own surgeon is in the best position to explain, advise and treat you.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

It may very well be a small hematoma.

No hard swelling is not normal but it certainly could represent a hematoma. That is a fancy name for a significant bruise. Occasionally these are large enough that your surgeon might consider draining the hematoma. When they are not so large, time is probably the best course. The worst part is that bruising delays healing. You will heal, it will just take longer. Please be certain to address this question to your plastic surgeon.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Asymmetric swelling after facelift

Firm swelling after a facelift may be due to a hematoma especially if it is only present on one side. It is impossible to say without seeing at least a photo. I would contact your surgeon and ideally be seen in order to make sure this is not the problem. There is usually more bruising associated with a hematoma. There may very well be swelling which is asymmetrical which will go on to resolve. Thank you for your question and best wishes.