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How Long After Facelift Surgery Should Bruising Be Expected to Appear or Spread?

I had surgery Thursday and today I noticed the bruising that was on my chest had leeched all the way to the bottom of both of my breasts and now this evening I am seeing bruising on the inside of my lower lip and on my chin. Is this acceptable?

Doctor Answers (22)

How much bruising after a face lift is ok?

+2

 Bruising after any surgery, including face lift, is highly variable from patient to patient.  What you describe sounds typical as long as the skin remains supple...and not taught with increasing pressure which would indicate bleeding under the skin.  As always, it's best to ask your face lift surgeon about your particular case and surgery.


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Facelift bruising

+2

Bruising is completely normal following a face lift . Bruising will be most obvious in the first two weeks of recovery after a face lift.  It will be pronounced around the eyes. Bruising may also appear in the lower neck or upper chest area (if a neck lift was performed) as blood will settle lower down due to gravity.  So don't be surprised if you have bruising in areas that were not direclty operated on.  While most bruising will disappear in a couple of weeks, full healing may take 3-4 weeks (longer if you have hematomas - larger collections of blood). However, you will notice marked improvement every day following the first week of your face lift procedure.  Just be patient - easier said than done.

Carlos Cordoba, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 6 reviews

Bruising & Swelling Following Facelift

+1

It’s not uncommon for patients to experience bruising following facelift surgery.  Bruising typically lasts about one to two weeks and is more likely to occur with more extensive surgical procedures.  It’s not unusual for discoloration to drift downward onto the chest and change color with time.

In most cases bruising is a normal phenomenon.  When bruising is accompanied by significant swelling this may indicate the presence of a hematoma.  Under these circumstances it’s important to contact your surgeon as soon as possible.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 73 reviews

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Bruising After Facelift Surgery

+1

Bruising can last for a week or two and as it dissipates it will go through multiple phases of the rainbow and this can also descend into the neck area which should be gone in 10-14 days in most cases.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 15 reviews

Bruising after Facelift

+1

Bruising is normal following face lift surgery. It will be most
obvious in the first 2 wks. This however will vary by client.

"Dr.D"

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

Bruising after face lift

+1

It is very common for bruising to appear in patches after a face lift and it can track under skin for long distances - follow up with your surgeon to make sure you don't have a hematoma

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 130 reviews

Bruising after facelifting.

+1

All patients get some degree of bruising after facelift and eyelid surgery, some to a greater and some to a lesser degree.  It may be evident soon after surgery or may show up several days later.  As long as there is not increased swelling of the tissues at the same time of the bruising ( indicating ongoing bleeding) this should be self limiting and your body will eventually resorb it.  Gravity causes the blood to settle downward and this explains the bruising settling down your chest.  Follow your surgeons advice and avoid Asprin, NSAID's, red wine, vit E, etc, as these can make the problem worse.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 32 reviews

Bruising on chest after facelift

+1

It sounds unusual that you have bruising spreading down to the bottom your chest after a facelift.  I'd advise you see your plastic surgeon so he/she can examine you in person.  If you recently had surgery, I'm sure he/she would want to see you if you have any concerns and make sure your post-op course is going smoothly.

Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

Evolution and Resolution of face lift bruising

+1

The extent and color of bruises vary from one individual and range from minimal to extensive with week 1: dark red and purple, week 2: blue and green, week 3: yellow and week 4: normal. Initially swelling is present for 3-4 days in the immediate area followed by gravity directed drainage of the bruise away from the surgical site for the next two days. Therefore if you are sitting up the gravity pulls the buise towards the chest but if you are predominantly lying in bed with your head to the right, the righ side of the face will be more bruised.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

Spreading bruises are common after Facelift.Takes 2-3 weeks to resolve

+1

Your experience is not uncommon following a Facelift. That your bruising is more prominent on the chin and chest area probably indicates that a more extensive neck dissection for a neck lift or Platysmaplasty was done.

The reason Plastic Surgeons have you keep your head elevated is so that swelling and bruising will migrate downward which is a less visible area than your mid and upper face.

Bruising after Facelift usually resolves in 2-3 weeks. Until then wearing a Turtleneck sweater or shirt can help hide the brusing

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.