Female, 38. Had a mid anterior face lift and a lower lid pinch bleph (no fat removed just small amount of skin). I am 8 weeks post surgery. I still have pockets of swelling on the bottom of my lower lids right lid worse, edema settled in the dreaded malar area. My surgeon said these are not malar bags and that the swelling will dissipate in time. I am now getting worried that this swelling will not go down. It looks worse under light, like malar bags. Will it go?How long do you reckon?! Thanku!!
Swelling or Malar Bags After Facelift?
Doctor Answers 5
Swelling of malar region
Sometimes patients have malar edema and do not appreciate it until after surgery. At eight weeks swelling can be persistent give it more time to resolve.
Swelling common following midface lift, massage often helpful
Significant swelling can result from midface lifting. From your description this seems to be one of the procedures that you've undergone. You have healed enough that massage will likely be of benefit to you. I recommend massaging both cheeks in circular motion while lifting the cheeks in an upward direction. This will support the desired tissue movement from the midface lift and help reduce the edema that you're likely experiencing. Try to be patient as you need time to heal. I would withhold judgement for several months until your swelling has completely resolved.
Stephen Weber MD, FACS
Swelling and/or Malar Bags after Facelift
Whether you have swelling or malar bags after your surgery it should go away over time. Gentle massage may help. Sometimes malar bags can be "uncovered" by mid-facial or eyelid surgery. The malar bag is an area that is anatomically predisposed to swelling or puffiness. When you have had surgery there is always some swelling in response the trauama of the surgery. While you may not have seen a distince malar bag prior to your surgery, they may now be more visible or puffy due to some residual swelling following your surgery and can take quite a while to resolve.
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Swelling or Malar bags 8 weeks after facelift and Blepharoplasty-wait another month to decide
Check your pre op photos. Malar bags are never caused by surgery. If you had swelling below the eyelids on the cheek bone you may have had malar bags which have now been made more obvious by the Blepharoplasty. This certainly does happen not infrequently but usually only after eyelid fat is removed during lower eyelid Blepharoplasty-which was not the case for you.
If there was no puffiness or swelling below the eyelid on the cheek bone before surgery then the swelling is most likely post operative edema and swelling and will go away with time. Ask your doctor if it is OK to massage the swelling pushing out towards ear. This can help speed the reduction of swelling
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