Is consistent visible swelling only on one side of face normal 3 weeks after a Facelift?

Question

I had a full face and neck lift w/fat grafting to upper cheeks and marionette lines 3 weeks ago. I did not have much overall swelling and virtually no bruising but am consistently swollen on one side of my face from cheek to jaw, with some on upper neck. That side of my face and mouth seems a bit lower with some lines still remaining. I'm concerned about one side being visibly different than the other. Could this be normal because that side needed more work? Could this be permanent?

John Bitner, MD · Answer

The swelling at 3 weeks after a facelift and fat grafting should be gradually but progressively getting better at this point.  By 6 weeks after surgery you should be 90-95% of the way there, but it may take 3 months before the swelling is completely gone.  Generally, the swelling is the worst right in front of the upper part of the ear and down in the neck right below the ear lobe.  Asymmetry to your face is common both before and after surgery, but should never be dramatic or noticeable to the casual observer.

Anil R. Shah, MD · Answer

Asymmetric swelling is not uncommon in any surgery.  It is important to note these asymmetries to your surgeon and help determine why there is a difference.  It may take 6 months to a year for your face to fully heal so be patient if necessary.

Vincent N. Zubowicz, MD · Answer

It's impossible to say from your description but significant asymmetry of swelling should be reported to your surgeon. Nobody  heals symmetrically but your surgeon can reassure you that this is a variation of normal and not a collection of subcutaneous fluid that should be drained.

Kevin Sadati, DO · Answer

You're in early stages of healing process and it is not unusual to have asymmetrical swelling after facelift and fat grafting. communicate your concerns with your surgeon he will provide you with better answers.

Miguel Delgado, MD · Answer

This is a commonly asked question.  The left and right face is very different and plastic surgery may not and will not make them perfectly symmetrical.  The swelling and how you sleep play a major role. Lets give it some time.

Is consistent visible swelling only on one side of face normal 3 weeks after a Facelift?

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Is consistent visible swelling only on one side of face normal 3 weeks after a Facelift?

Answers (10)

Answer: Swelling after facelift

Answer: Swelling after facelift

Answer: After Facelift the two side look different

Answer: After Facelift the two side look different

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Recommended reading

Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.