Puzzling post-facelift complication - can you help? (photo)
Doctor Answers 11
Infection Is Likely the Cause
Post op swelling and redness in one area after facelift
Please return to your surgeons ASAP to discuss your face.
Problem After Facelift
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Face lift - puzzling complication
- Thank you for the photo. You are right to be concerned.
- The first thing you need is a diagnosis. .
- These will require routine and special cultures for bacteria, mycobacteria and fungi - and a tissue biopsy.
- You may also benefit from an infectious disease consultation before the cultures are done to be sure that all necessary specimens and tests are collected.
- The infectious disease specialist may also want you off all antibiotics before any culture - antibiotics can suppress growth of many bacteria so they don't appear on a culture but remain active in your body.
- If the area is over an internal suture, you may need surgery to remove the sutures -
- It is rare for sutures to carry infections - but when they do the infection persists until the suture is gone.
- Your surgeon also needs to alert the surgery center where you had surgery to check their sterilization procedures and report back any problems at once.
Best wishes - Elizabeth Morgan MD PHD FACS
Post facelift infection
Infection After Facelift- Could There Be an Infected Foreign Body?
Infection after facelift
Based on your description and the photo, I think all of us will agree that infection seems most likely. Obtaining a culture of any infection directly from that area will be extremely helpful if that has not already been done.
As others have mentioned, a consultation with an infectious disease specialist may also be useful. Your surgeon has done the right thing with antibiotics, but rarely we see infections with atypical organisms requiring a choice of antibiotics that is not the first choice for the typical bugs.
Best of luck to you. This is a stressful situation without any doubt, but you are already on the right track with seeking treatment from your own surgeon and the advice of other experts.
Other options would include an infection to the suture used during the procedure, which could be removed, if this is the culprit.
Puzzling post-facelift complication - can you help?
Based on your pictures and description it would appear as if you are experiencing an infection. If permanent sutures were used in your lift and they have become infected, it can be difficult to get rid of that infection. If there is any fluid collection or if one area feels softer, I would consider putting a needle in to get a specimen. I would also consider consulting with an infectious disease specialist for an extended course of antibiotics. I have not had one of my own facelift patients have something like this, but I have treated a patient from another surgeon who had recurrent staph infections that looked similar to what you have. It did take a while but with the assistance of an infectious disease doctor we were able to clear her infection without any problems.
I hope this helps and good luck.
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.