Hello, I had a SMAS facelift 3 weeks ago. Immediately after surgery the right side of my face was very swollen and almost twice the size of the left side. Now the major swelling has gone, but I see a deep "pull" along with lumps going vertically from my cheekbone down to my neck on the right side and it feels very tight. My left cheek seems to be fine, the tightness almost has gone. My doctor says that there may be a blood clot under the muscle on the right side and eventually it will even out.
SMAS Facelift "Pull" on One Cheek
Doctor Answers (14)
I agree with your surgeon, this will most likely resolve with time. Try to be careful that you don't sleep on that side of your face, that can further exacerbate your swelling. Wearing your compressive facelift garment at night may help as well. You are still early in your postoperative course so I'm sure "tincture of time" will be your best medicine.
You need to have close follow up with your surgeon. If you have a hematoma, it needs to be addressed so that it does not affect your longterm results.
Swollenface after face lift
You have and are suffering the efffects of a hematoma. Idrain these and repair the bleeder asap. Most hematomas resolve but you may have some uneveness on that side. Follow up closely for the next step.
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Possible hematoma after SMAS Face Lift
I have performed Face Lifts for over 20 years and from what you describe and the photos, you may have had a hematoma on the right side of your face after the Face Lift. Typically, when this occurs, part of the incision is opened and the blood clot(s) are removed. Unfortuneately, hematomas do stretch the tightened SMAS and skin, take longer to heal and wind up making the affected side more loose than the opposite side of the face. You should discuss this with your Face Lift surgeon.
"Pull" on one Cheek after SMAS Facelift
On the basis of your history and the pictures submitted this swelling and pulling is probably secondary to a post-op hematoma. Follow your surgeon's instructions. This will resolve; ultrasound may accelerate the healing process.
Smas facelift "pull".
Smas facelift "pull" can be caused by many things. If it is not improving in4-6 weeks, I would ask your surgeon about what to do or get a second opinion. In the meantime use ultrasound to make this go away faster.
From your description, it apperas that you may have a hematoma. These are unfortunate but can happen to all of us. Most hematomas do finally resolve with time. Warm compressors and massage may be helpful.
It seems that you had a hematoma after your face lift.
When heamtomas are RECOGNIZED, some times it is difficult to recognize, the best approach is to explore, clean and close with a drain.
Now you have the effects of a hematoma. It is difficult to predict the final outcome. only time will tell. So you need to be patient and wait a long time, then deal with the situation as it arises.
SMAS "Pull" after facelift
Bleeding after a Facelift
Based on the history and pictures here it looks like you may have developed a hematoma after your surgery. This happens when a small vessel bleeds and then the blood forms a clot under the skin. This can cause all the pressure and tightness you are feeling. Ideally hematomas are treated right away by opening the skin and draining them but sometimes they present later.
Keep following with your surgeon carefully and things like massage and ultrasound therapy may be of great help to you. While a hematoma of your size makes the results you want delayed, they do not in a majority of cases have any long term effect when followed closely.