Normal for intermittant swelling around the ears 6 months p.operative? I have swelling in the area where the SMAS was lifted sometimes more than others. It has been 6 months and although no one els may notice I feel it.
Intermittant Swelling 6 Months After SMAS Lift
Doctor Answers (10)
Intermittent Swelling following SMAS lift
Intermittent swelling near your ears may be due to parotid gland swelling but often regardless of the cause tends to resolve on its own in most. You should see your plastic surgeon either way for an exam and opinion.
Everyone wants an immediate result - including surgeons! Unfortunately this just isn't how we heal. four months is just too early to tell and I would NOT do anything surgical at this point. Your specific area of fullness is typical for certain types of SMAS lifts such as the MACS lift or others that suture in this area.
There are many predictable portions of the healing process that ALL PATIENTS EXPERIENCE. Although both doctor and patients would like to not have this happen, it is part of the healing process. Massage can some times be of benefit during this time period These Side effects refer to what you will be experiencing from the facelift healing process: Here are some of the common things you will experience. The common side effects include: swelling which is maximum 2-3 days later, bruising (highly variable), numbness which takes several months to resolve, tightness takes several days to months to resolve, discomfort chewing (technique dependent), discomfort (generally mild with this surgery, nausea (variable) and in some patients emotional lability in some. Although most of the visible edema resolves in 2-3 weeks in mini-lifts and 3-4 weeks in traditional facelift approaches, residual firmness (edema you feel but don’t see) can linger for several months. Skin suppleness also takes a while to return as does scar maturation. I tell my patients it takes up to a year for final resolution of the healing process. In my experience, the above rough time table is usually delayed in smokers, when multiple procedures are performed together and when resurfacing procedures are done at the same time as the lift. The same is true if complications occur such as infection, hematoma, skin loss or compromise, etc. Facelifts and all surgical procedures for that matter share several possible complications - such as excessive bruising or bleeding (e.g. hematoma), injury to deeper structures, anesthetic complications and so on
Swelling after SMAS Facelift
At six months postoperatively your swelling should pretty much be resolved. There may be some small areas that are still swollen. I would recommend that you follow up with your surgeon to make sure there is nothing bad going on.
Swelling after a facelift is normal.
The swelling may take up to 12 months to totally resolve. Just make sure you keep following up with you plastic surgeon to make sure there is no excess fluid collection or infection.
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Intermittenet swelling after SMAS
Certainly, you may have some swelling after a facelift depending upon your acitivity level that may persist even for a year or more.
Swelling after a facelift
It is usually the case that patients are very presentable at 2 weeks after surgery. The complete healing process takes 4-6 months though as the nerves and lymph channels regenerate slowly to regain feeling and reduce subtle swelling. Not infrequently patients may "feel" something nobody can see. Time and gentle massage usually take care of that. This is not a problem.
Swelling 6 months after SMAS facelift
It is still possible to have some residual swelling and tightness after a SMAS facelift. The swelling could be due to several factors such as salt intake, hormones, and altitudes and air pressure changes and is just the normal healing process. Have your surgeon consider placing some dilute solutions with cortisone into that area that feels tight and swollen.
Facelift healing, swelling
You could get swelling in different areas after any surgery until all the healing occurs which is usually one year or so after a procedure. This swelling can also be because of excess salt intake, menstrual cycle. A SMAS procedure does not by itself cause more swelling but it usually improves the results and helps with the scars.
I do believe a good exam by your surgeon is in order just to make sure all is OK.
Most probably you are OK and need more time. You could have had a more aggressive face lift
Swelling 6 months after facelift.
You should not have abnormal local swelling at this late date. See your surgeon to examine this and tell you if it is just a "feeling" or if there is swelling there.