Developed a hematoma 6 days post Lower Face Lift, am I overreacting if I want to go in earlier then my follow-up appt? (photo)

Question

I developed a large hematoma 6 days post lower facelift. I saw my doctor and he said we should 'watch it' and to come back 2 weeks post surgery. Today is 9 days post-surgery and it's much bigger and harder. I reached the doctor (weekend via phone) & he thinks I should wait 14 days post surgery to see if it resolves, but I said I'd feel better going in on Monday. He sounded like he thought I was over-reacting. Am I over-reacting? I'm very worried and frightened.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Dear MrsClooneyThank you very much for your question. I believe you should see your surgeon earlier if it is causing you concern and it is getting larger. It is not unreasonable at all.I wish you all the best.

Brian K. Machida, MD, FACS · Answer

Any time you are uncomfortable with your doctors answer, you should seek follow up earlier to at least answer your questions and allay your fears.  Although its hard to tell from your photograph, I don't really see a "large" hematoma.  Regardless of the size, these can still be needled or suction evacuated in the office if necessary.  If you feel the need to see your doctor sooner, you should make an appointment to have it rechecked.

Jason Emer, MD · Answer

No, since there has been changes in shape and firmness, I recommend following up and getting an evaluation. See an expert. Best, Dr. Emer

Victor Chung, MD · Answer

Facelift is a surgery to improve the contours and sagging skin of the lower face and neck. A blood collection or hematoma is a risk to anyone who has a facelift procedure. We try to minimize the risk by avoiding aspirin. In surgery, the goal is to stop any bleeding before closing the skin. Despite our best efforts hematomas can still happen. Small stable hematomas may be watched, but many surgeons choose to drain it with a needle to help it heal faster. Larger, growing hematomas may need to go to the operating room.If you're uncomfortable, I would call your surgeon again to be safe. Safety comes first.

M. Dean Vistnes, MD - Account Suspended · Answer

You should insist on being seen in person. Schedule his first available appointment. Best of luck!Dean Vistnes, MD.Vistnes Plastic SurgerySan Francisco Bay Area#realself #drdeanvistnes #lowerfacelift

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facelifts over the past 30 years.  You should see your Facelift Surgeon if you are concerned about your progress or healing following your facelift.  That's not unreasonable at all. These types of complications can happen with the more invasive type facelifts which is why the minimally, invasive SMAS facelift is the most popular facelift that I perform.Hope this helps and best of luck to you.

Robert E. Zaworski, MD (retired) · Answer

Absolutely, I would insist on visiting with my operating surgeon immediately.  Hematoma can delay healing and cause complications.

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