Visible Hard Lumps on Face and Neck 14 Months After Tumescent Liposuction

I had revision tumescent liposuction to my face/neck, after 2 previous procedures, 14 months ago. There was significant bleeding during the operation and my face/neck was heavily swollen. Bandages were applied for the first 24 hours, then I wore a compression garment for 6 weeks. Doctor squeezed out blood and left OR, telling nurses to bandage me immediately, didn't delaying 10 mins. Now have hard lumps in pockets under jawline and on cheeks. What is this and how could it be treated?

Doctor Answers (7)

See a plastic surgeon

+1
You will need to see a board certified plastic surgeon to address your concerns. It sounds like you are experiencing complications that have to be addressed. Best of luck. 


Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews

Tumescent

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I recommend you see a Board Certified Plastic Surgeon.  I do not think anyone but a Board Certified Plastic Surgeon should be doing lipo on the face.  There are many things that can go wrong on the face.  A Board Certified Plastic Surgeon can assist you in making the best decisions.

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 9 reviews

Hard lumps after facial liposuction

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Your story sounds frightening and after a year the lumps may be related to the bleeding and scar formed as a result of the liposuction procedure. Unfortunately you will have to seek out another board certified plastic surgeon in your area to help sort things out. As we say to all, do your homework and choose wisely.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 29 reviews

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As others have pointed out, these lumps are not likely to go away. If your doctor will not address them, you should seek out a surgeon who has experience with this type of problem. Depending on what is found on a good physical exam (fat necrosis, scar, seroma), there may be a treatment option (ultrasound, cautious steroid injections, surgical excision). Get a few opinions and don’t rush into anything.

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There are so many possibiilties as to what  may be going on.  An exam would be critical. Possibilites include fat necrosis lumps, fluid collections, and scar tissue to name a few.

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Now that it has been about a year and a half since your liposuction, residual lumpiness is probably related to scar tissue.  Yes, it could be related to hematomas (blood collections) that were present postoperatively that have essentially gone on to scar.  In instances such as this, we have successfully used laser liposuction to soften these hard/fibrotic areas.  Be sure to get an in-person consultation with a Board Certified plastic surgeon and see if this option is available to you.  

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Liposuction to face

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a surgeon who leaves the operating room before his patient is fully stable and all bleeding is well controlled is IRRISPONSIBLE.

fIND ANOTHER PLASTIC SURGEON WHO CARES ABOUT THE WELLBEING OF HIS PATIENTS AND THE SAFETY OF HIS PATIENTS.

wHAT YOU HAVE COULD BE FAT NECROSIS, HEMATOMAS OR FAT COLLECTIONS.

GET ANTHER OPINION

Samir Shureih, MD
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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.