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!
I agree it is way too early. I would wait a minimum of 6 months. Usually these areas will resolve themselves with time and patience. This does happen and I have seen it before. It is very hard to be patient especially when it is your face. What your surgeon means is that later, if need be he is talking about elevating the skin and trying to re-drape it more smoothly if needed.
It sounds as though you are taking appropriate measures with massage, heat and ultrasound. Next
Most 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.
At 2.5 months out, it is way too early. I agree as below to give it a god 6 months or longer before considering having anything done.
You are still very early in the healing phase. The hematoma will slow things down on that side, and it would not be unusual to have some irregular areas. With time these will improve. Heat and massage are also helpful. If this doesn't help, you could try some ultrasound. I would wait at least 6 months before trying any surgical intervention, and from the way you look now, doubt you will need it.
Sometimes, the hardest thing a person can do is wait! But, honestly, this may heal without noticeable lumps. I don't know what type of facelift you had (mini vs more extensive), so the best advice to follow at this point, is your surgeon. You are only 2.5 months post-op and the body has a wonderful ability to heal.
I'm sorry to hear your surgery was complicated by a hematoma. Everything you describe are possible solutions, but I would suggest waiting up to a year if you can. It takes a long time for everything to heal and settle down. You may still get some improvement as the healing process evolves, scar tissue softens, muscles and nerves start working again, fat and old hematoma absorb, swelling goes away...
You wouldn't want to fix something now that was going to get better on its own anyway.
Also, there is no sure fire to fix your problem now, so why risk it.
Finally, anything that can be done will technically be easier on a surgeon the further out you are from the original surgery giving him/her a better chance at fixing things as best possible.
Another way to have managed your result would have been to lift up the flap early, remove all blood and hope for smoother healing. This is a judgement call by the surgeon. I have treated a person like you whose doctor did the same as yours. She had scar tissues long term in the cheeks and it looked similar to what you look like now. I was able to lift her cheeks back up and smooth them out some but this was after her doctor tried three times surgically himself. I'd seek some local second opinions.
Thank you for your question about your face lift.
I am so sorry you had a hematoma after your face lift.
- It will take six months for the swelling to subside.
- After a hematoma, the swelling can persist indefinitely.
- The swelling causes the lumpiness.
- Your surgeon's advice sounds reasonable - you may need a revision to correct the internal scarring.
- Your massage and ultrasound sound a good plan for now but are unlikely to resolve things without surgery - but let's hope I'm wrong.
This surgery is generally called a face lift revision, or a redraping of the skin or a secondary face lift.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
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.