Lump on face following facelift? (Photo)

I had a face lift 9 days ago. I am healing great and everything looks good to my doctor. Today I had a bout of nausea after eating some frozen yogurt. I threw up and immediately felt something swell in my upper cheek area. I can see s swollen lump there now. I am calling my doctor tomorrow and applying ice tonight. Could I have pulled something?

Doctor Answers 16

Facelift swelling at 9 days

Any straining in the first 2 weeks after a facelift has the potential to cause a blood vessel to open and result in bleeding (aka hematoma). Your surgeon should be able to take care of it in the office by aspirating it with a needle. 

Bridgewater Facial Plastic Surgeon
5.0 out of 5 stars 36 reviews

Lump on face following facelift

It appears that a small blood vessel may have torn and caused some swelling,. Your surgeon can take care of that in the office for you when you see him.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.7 out of 5 stars 21 reviews

You should have seen your surgeon by now

and an aspiration was probably done to remove the bump and find out what it was.  Hopefully its self-limited and will not recur.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 32 reviews


It is possible that the vomiting caused muscle animation that resulted in a small bleed in this area.  Have your surgeon examine you and possibly aspirated this area to help it resolve.  Another option is to open up the incision near the ear and dissect to this area to help drain the fluid.   This can be done with local anesthesia.  Best wishes, Dr. T. 


Hello and thank you for your question. This could be a small hematoma or just swelling.  I recommend returning to your surgeon as soon as possible to have it evaluated.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 67 reviews

Facelift #faceliftrecovery #fatgrafting #beauty #tmbcosmeticsurgery #woundhealing

Dear KIKI825Thank you for your question and photo.  The swelling looks like a small bleed or a parotid collection.With Warm RegardsTrevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 103 reviews

Lump on face following facelift?

This is likely representing a hematoma forming under the skin. Contact your surgeon ASAP.Ron Hazani, MD

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 256 reviews

Facelift lump

A sudden lump over the face after a facelift is caused by a hematoma; in general you should have the hematoma aspirated before it gets firm. Please contact your surgeon.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 41 reviews

Lump on face following facelift?

Swelling immediatly after straining in a postoperative patient is almost always a hematoma. The sooner you see your doctor the better. 

Curtis Perry, MD
Downey Facial Plastic Surgeon
4.8 out of 5 stars 16 reviews

Facelift: lump after vomiting

Facelift is a surgery to improve the skin on the lower part of the face.  Strenuous activity, straining, vomiting, or other activities that elevate your blood pressure may cause a vessel to bleed underneath the skin. This collection is called a hematoma. This will need to be drained by your surgeon. I would recommend seeing your surgeon, so they can examine you and treat you accordingly. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

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.