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Is There Anything else to Do at Home for Possible Hematomas, Besides Massaging?

I had a facelift 4 weeks ago and have a couple of lumps in the cheek area. Still have bruising, possible hematoma and both sides of my face, close to my ears feels very firm, thick, numb and I can see a somewhat line close to my jaw line. Doctor says it is bruising and did use a needle in a few areas to see if he could get fluid out but without success. Doctor said to keep massaging and I go back to the doctor in 1 month. How much should I massage daily and how much pressure should I use??

Doctor Answers 10

Lumps after facelift

We used to call these silver dollar hematomas . They are the size of a silver dollar but they are the late scar resulting fom under skin bleeding. I recommend dilute kenalog onjection 2.5 mg in 1 cc of fluidevery 3 weeks. I recommend pressure with cold spoons (spoons in the freezer for an hour) four times a day for 10 minutes.I have used endermology and ultrasound and both help/ The real treatment is tincture of time

Los Angeles Plastic Surgeon
5.0 out of 5 stars 19 reviews

2080 Century Park East
Los Angeles, CA 90067

Possible Hematoma After a Facelift

Generally speaking, the likelihood of a hematoma at 4 weeks post procedure (in an area that has been unsuccessfully aspirated) is pretty low.  It is totally normal to feel areas that are firm, slightly thickened, slightly bruised, and/or numb at 4 weeks after the procedure.  I do not advocate aggressive massage, because it may accelerate the process of inflammation. I ask my patients to try a gentle fingertip (lymphatic massage), and allow for a tincture of time.Stay in close touch with your Surgeon, and remember that this will resolve over time.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

9407 Cypress Lake Drive
Fort Myers, FL 33919

Is There Anything else to Do at Home for Possible Hematomas, Besides Massaging?

Eventually a steroid injection may be necessary. Massage will help and you can be somewhat firm in your massage. This will resolve in 4-6 months.

Kurtis Martin, MD
Cincinnati Plastic Surgeon
5.0 out of 5 stars 50 reviews

6355 East Kemper Road
Cincinnati, OH 45241

Facelift Hematomas

Sometimes it may happen that you have significant bruising following a facelift and quite normal for the skin to feel numb or even tense around the ears. These symptoms do improve over time, however unless there is a significant collection of blood, which would be unusual, I would refrain from aspirating with needles. With regards to massaging, regular massaging can help soften the areas of bruising. 

Teanoosh Zadeh, MD, FRCSC
Montreal Plastic Surgeon
5.0 out of 5 stars 5 reviews

1 Westmount Square
Montreal, QC H3Z 2P9

Hematoma and both sides of my face after a face lift

Pictures would really help me to give you more of an opinion. Hematomas if significant should be removed. You can do some suctioning early to improve this. But at 4 weeks I would have your doctor follow you more closely. Steroid injections done thoughtfully could be important as well as some careful application of pressure and massage.

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.5 out of 5 stars 43 reviews

1810 116th Ave. NE
Bellevue, WA 98004

Is There Anything else to Do at Home for Possible Hematomas, Besides Massaging?

It sounds to me like both you and your surgeon are doing exactly what is appropriate in the circumstances.  Unfortunately, bruising, swelling, numbness and yes, even hematoma, are all part of the postoperative potentials, and must be dealt with on an individual basis.  Rarely have I had a facelift patient who did not have at least minimal swelling, bruising and numbness, and of course it would be ideal if no one ever had a hematoma. 

Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD
Boca Raton Plastic Surgeon
4.5 out of 5 stars 9 reviews

670 Glades Road
Boca Raton, FL 33431

Is There Anything else to Do at Home for Possible Hematomas, Besides Massaging?

 Honestly, I've performed Face Lifts for over 22 years and you should only be following the advice of your Face Lift Surgeon at this post-op period.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

8500 Wilshire Blvd
Beverly Hills, CA 90211

Do not massage

Bruising takes time to resolve. It is to be expected and massage can hinder, rather than speed, the healing. Keep on touch with your plastic surgeon, avoid the sun, excessive alcohol, cigarette smoking, etc and give it time. The numbness may persist for several months until it gradually abates.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 17 reviews

112-03 Queens Blvd
Forest Hills, NY 11375

Residual Lumps after Hematoma Following Facelift

      Residual lumps may respond to massage but time will be the best treatment.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 334 reviews

435 North Roxbury Drive
Beverly Hills, CA 90210

Massage not indicated for hematoma of the face after facelift.

Massage of the skin, particulary vigorous massage, will not help dissipate a hematoma.  As a matter of fact, it can release histamine in the subjected tissues which will actually increase inflammation.  Check with the surgeon and follow his instructions.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

365 East Paces Ferry Road, NE
Atlanta, GA 30305

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.