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Hardening and lump after hematoma evacuation on cheeks following a facelift. Will this go away?

2 1/2 weeks post op. i developed hematoma day after a facelift. blood was drained for ten days (it was serum mixed with blood at the end). my face would appear thinner after drainage (my face is thin). they stopped draining because (no more fluid). however, days later the sides of my face hardened and my face is now thicker and lumpy where the hematoma/seroma was. so at 2. 1/2 wks. it looks worse! the two lumps at the side of each cheek make my face look thick. no bruising.. help!

Doctor Answers (12)

Dr. Jeffrey Epstein Answer

+3
These areas of hematomas can take time to heal up. I find that a combination of massages, application of heat pads, and occasional steroid injections can help this process along.


Miami Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Be patient!

+3
When you get a hematoma, there is more inflammation and swelling, so the side with the hematoma will always be a week or so behind in healing than the other side (so it will seem firmer and bigger).  However, in my experience, the tissue will soften and in the end, probably heal just fine.  So try to be patient and as the weeks and months go by, I predict that you will do very well.  Most importantly, speak to you surgeon about these concerns.

John Frodel, MD
Atlanta Facial Plastic Surgeon

Lump after Draining Facelift Hematoma

+2
Hematoma under the facelift flap is an uncommon but well-known complication. In the majority of cases, this can be treated in the office with needle drainage.  In rare cases, the incision must be opened.  Regardless, with attentive care, the area should heal without issue.  The healing may be a little slower in this area, and occasionally there may be some subtle bumps.  These can be treated with massage or small doses of a steroid injection.  Most all, be patient and stay in touch with your surgeon!

#San Francisco Facelift

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

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Hematoma after facelift

+2
A hematoma can be an unfortunate complication following facelift surgery. The tissue inflammation that results can create swelling and hardness that delays the healing process. While frustrating, a hematoma rarely affects the long-term result. Be patient and make sure to be compliant with your surgeon's instructions. 

Dr. Miller

Todd C. Miller, MD
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Facelift Hematoma

+2
Facelift hematomas are an uncommon complication of facelift surgery.  Although uncommon, they can occur and when treated they usually will heal without consequence. 

Most hematomas can be drained by the facelift physician in the office to decompress the area. This may or may not  necessitate several drainage sessions. Once the hematoma has resolved it is possible for that area to have some hardening and/or even dimpling. Fortunately this tends to resolve completely. Massage of that area and/or steroid injections can help facilitate a quicker resolution. Discuss this with your surgeon.

Jacob D. Steiger, MD
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Seroma after face lift

+2
Your face lift tissue lumpiness after the hematoma is a natural part of healing after infection or hematoma.
It will take months to improve. Steroid injections may help - but can make the face lift tightening looser. 
Sorry about your complication. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
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Scar Tissue After Hematoma Treatment

+1
Sorry to hear that you had a hematoma but it sounds like it was treated appropriately.  The hard lumps most likely represent healing tissue that will resolve over time.  Tissue massage in that area may help but frequent follow up with your PS will be you most affective treatment at this point.

Earl Stephenson, Jr, MD, DDS, FACS

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

Give it time

+1
You are early in the healing phase, give it more time (say 4 to 6 months) to get an idea if the area is improving.  Usually the hematomas are taken care of by local drainage but sometimes you need to take the patient back to the operating room to correct/repair such complications.  Speak to your doctor and find out what his/her recommendations are.

Andre Aboolian, MD
Beverly Hills Plastic Surgeon
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Postoperative hematoma can create a lump that will take weeks to go away even after evacuation.

+1
What you are describing is fairly common after evacuation of the hematoma. This will gradually resolve over time but you should be seeing your surgeon fairly often so he can chart the course of your convalescence.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 7 reviews

Hardening After Hematoma

+1
Unfortunately this stuff happens. The good news is that you had it drained which was the right thing to do. Developing a hematoma can cause lots of inflammation and swelling. This is where you will have to exhibit patience. It will take many months but things will slowly settle down over time.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
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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.