2 .5 months post op. have internal scars (hematoma on my cheeks which was milked 14 times).now i have hard and soft lumps . the skin on my whole cheek area seems to be stuck to the underlying structures. looks lumpy if i smile.A dr told me at the 6 month mark may have to open flap and separate the skin mechanically. What is this surgery called? Could it stay forever attached to the underlying tissue (i do massage, ultrasound and kenalog)? also the soft lumps are not diminishing. could be fat?
Answer: Skin adhesions after a facelift It is possible to have some skin irregularities after a facelift. Most of these lumps and skin lines disappear without a trace within 6 month of the procedure. On those extremely rare occasions when some irregularities persist, fat grafting might be a good alternative to additional surgery. Ask you surgeon about his opinion on fat grafting at your 6 month follow up visit.Best of luck!
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CONTACT NOW Answer: Skin adhesions after a facelift It is possible to have some skin irregularities after a facelift. Most of these lumps and skin lines disappear without a trace within 6 month of the procedure. On those extremely rare occasions when some irregularities persist, fat grafting might be a good alternative to additional surgery. Ask you surgeon about his opinion on fat grafting at your 6 month follow up visit.Best of luck!
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CONTACT NOW Answer: Lumps after a facelift I am sorry you had a hematoma. This is a common complication. I would give the area time to heal and be very careful with steroid injections. The area of the fullness could also have a prominent buccal fat pad that may be contributing to what you see. Try and be patient and your PS will take you through the process. Good luck
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CONTACT NOW Answer: Lumps after a facelift I am sorry you had a hematoma. This is a common complication. I would give the area time to heal and be very careful with steroid injections. The area of the fullness could also have a prominent buccal fat pad that may be contributing to what you see. Try and be patient and your PS will take you through the process. Good luck
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April 29, 2014
Answer: Give It Time, But Revision May Be Necessary I'm sorry to read about your complications. Unfortunately after hematoma (collection of blood), some residual blood may be left after "milking" blood out, and so there is increased inflammation with scarring underneath the skin, resulting in the kind of unevenness that you have. I would expect some improvement over the course of a year, but if it is severe enough, reopening the incisions (revision facelift) should result in a smoother surface. If the soft lumps indeed are not getting smaller, then they could be fat that has been pushed into lumps by the forces of scar contraction underneath the skin, or perhaps they are secondary to fat grafts if those were performed at the time of your surgery. I would continue to consult with your surgeon, but if secondary surgery is recommended, consultation with another surgeon might give you additional perspective on the best approach. For now, continued conservative measures will likely give you considerable improvement — and hopefully complete resolution. Best wishes.
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CONTACT NOW April 29, 2014
Answer: Give It Time, But Revision May Be Necessary I'm sorry to read about your complications. Unfortunately after hematoma (collection of blood), some residual blood may be left after "milking" blood out, and so there is increased inflammation with scarring underneath the skin, resulting in the kind of unevenness that you have. I would expect some improvement over the course of a year, but if it is severe enough, reopening the incisions (revision facelift) should result in a smoother surface. If the soft lumps indeed are not getting smaller, then they could be fat that has been pushed into lumps by the forces of scar contraction underneath the skin, or perhaps they are secondary to fat grafts if those were performed at the time of your surgery. I would continue to consult with your surgeon, but if secondary surgery is recommended, consultation with another surgeon might give you additional perspective on the best approach. For now, continued conservative measures will likely give you considerable improvement — and hopefully complete resolution. Best wishes.
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April 21, 2014
Answer: Lumps after facelift hematoma usually resolve with time It sounds as though you are taking appropriate measures with massage, heat and ultrasound. NextMost irregularities beneath the skin caused by hematoma will resolve but this can often take 6 months.Personally I would wait a year before considering any surgical intervention if the lumps last that long.I agree that steroid injections can cause atrophy and should be used judiciously.
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CONTACT NOW April 21, 2014
Answer: Lumps after facelift hematoma usually resolve with time It sounds as though you are taking appropriate measures with massage, heat and ultrasound. NextMost irregularities beneath the skin caused by hematoma will resolve but this can often take 6 months.Personally I would wait a year before considering any surgical intervention if the lumps last that long.I agree that steroid injections can cause atrophy and should be used judiciously.
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April 4, 2014
Answer: Revision Facelift Surgery I would advise against early surgical intervention. The lumpiness will change over time and may even resolve without further surgery. Personally, I would be very careful with Kenalog injections as they may produce their own issues. Patience is of essence.
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Answer: Revision Facelift Surgery I would advise against early surgical intervention. The lumpiness will change over time and may even resolve without further surgery. Personally, I would be very careful with Kenalog injections as they may produce their own issues. Patience is of essence.
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