Been 2 weeks since facelift and parodit gland leakage. Has progressively getting worse Taking ropanul have drain in and compression I missing work i need this to end asap have been conservative and no results What my next course of action
Answer: Parotid secretions and skin swelling post #facelift: rare and often self-resolving Thank you for your question as it will help many patients.Parotid fistula is very rare but can occur with deeper plane types of facelift. Most resolves without surgery.Apply pressure over the parotid area when eatingAim for liquids and soft foods - Avoid solid foodWhen eating soft foods, choose those that do not require a lot of chewing such as mashed potatoes, scrambled eggs, milk shakes, oatmeal, etc.No chewing gumsFacelift compression garment can help if they apply a slight pressure over the parotidAim for a bland diet- no sour, tart, extra spices. A bland diet decreases the risk of saliva collections Needle aspiration might be indicated a few times.If all persists, a small drain can be inserted for several days.Hope this helps! Best regards,Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon
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Answer: Parotid secretions and skin swelling post #facelift: rare and often self-resolving Thank you for your question as it will help many patients.Parotid fistula is very rare but can occur with deeper plane types of facelift. Most resolves without surgery.Apply pressure over the parotid area when eatingAim for liquids and soft foods - Avoid solid foodWhen eating soft foods, choose those that do not require a lot of chewing such as mashed potatoes, scrambled eggs, milk shakes, oatmeal, etc.No chewing gumsFacelift compression garment can help if they apply a slight pressure over the parotidAim for a bland diet- no sour, tart, extra spices. A bland diet decreases the risk of saliva collections Needle aspiration might be indicated a few times.If all persists, a small drain can be inserted for several days.Hope this helps! Best regards,Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon
Helpful 1 person found this helpful
March 20, 2016
Answer: Parotid drainage following facelift surgery. FacelfitT surgery may involve the parotid gland, especially during deep plane dissection around the inferior part of the gland. On occasion this may lead to weeping and collection of saliva into the soft tissues around the gland. This is generally not a major problem in the long run but can pose a nuisance in the short term. If the collection is significant, then it may need to be drained with needle aspiration or a temporary in-dwelling drain may need to be placed. Non-surgical treatment includes application of pressure, a bland non-stimulating diet, medications to decrease saliva and Botox injections. In most cases these measures will result in resolution within 2 to 3 weeks.It would appear that your situation is one of the few cases with high volume saliva production persisting despite conservative measures above. These may benefit from surgical treatment which is best discussed with your surgeon.Mario J. Imola, MD, DDS, FRCSC, FACS.
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March 20, 2016
Answer: Parotid drainage following facelift surgery. FacelfitT surgery may involve the parotid gland, especially during deep plane dissection around the inferior part of the gland. On occasion this may lead to weeping and collection of saliva into the soft tissues around the gland. This is generally not a major problem in the long run but can pose a nuisance in the short term. If the collection is significant, then it may need to be drained with needle aspiration or a temporary in-dwelling drain may need to be placed. Non-surgical treatment includes application of pressure, a bland non-stimulating diet, medications to decrease saliva and Botox injections. In most cases these measures will result in resolution within 2 to 3 weeks.It would appear that your situation is one of the few cases with high volume saliva production persisting despite conservative measures above. These may benefit from surgical treatment which is best discussed with your surgeon.Mario J. Imola, MD, DDS, FRCSC, FACS.
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March 18, 2016
Answer: Parotid fistula Be patient. These usually resolve over a few days or weeks with pressure and bland diet and elevation. Ask your surgeon about botox injections to decrease salivary output. I would generally not recommend surgery until several weeks of conservative measures have failed.
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March 18, 2016
Answer: Parotid fistula Be patient. These usually resolve over a few days or weeks with pressure and bland diet and elevation. Ask your surgeon about botox injections to decrease salivary output. I would generally not recommend surgery until several weeks of conservative measures have failed.
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March 18, 2016
Answer: Leakage after Facelift from the Parotid Sorry to hear about your difficulty. As others have mentioned, this is a problem that will stop, but patience is the key. I give my patients the following advice if this very rare event happens. 1) When eating, put pressure on the site of leakage over your parotid gland, firm pressure2) See your surgeon regularly to assess the amount3) consider Botox to reduce saliva production.typically, after a few weeks #1 will stop it.
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March 18, 2016
Answer: Leakage after Facelift from the Parotid Sorry to hear about your difficulty. As others have mentioned, this is a problem that will stop, but patience is the key. I give my patients the following advice if this very rare event happens. 1) When eating, put pressure on the site of leakage over your parotid gland, firm pressure2) See your surgeon regularly to assess the amount3) consider Botox to reduce saliva production.typically, after a few weeks #1 will stop it.
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March 17, 2016
Answer: Parotid leak Like others, I would advise patience. I realize this is easier said than done, but to try to jump to some intervention is premature at this point. And, could potentially make things worse. Like others have mentioned, in addition to the medications which dry secretions, drains, compressions, bland diet, and Botox are the mainstays of treatment. Keep in close contact with your plastic surgeon, wear your garments, and statistics say that this should in all likelihood get better with time.Best of luck! Dr. Subbio Board-Certified Plastic Surgeon Newtown Square/Philadelphia, PA
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March 17, 2016
Answer: Parotid leak Like others, I would advise patience. I realize this is easier said than done, but to try to jump to some intervention is premature at this point. And, could potentially make things worse. Like others have mentioned, in addition to the medications which dry secretions, drains, compressions, bland diet, and Botox are the mainstays of treatment. Keep in close contact with your plastic surgeon, wear your garments, and statistics say that this should in all likelihood get better with time.Best of luck! Dr. Subbio Board-Certified Plastic Surgeon Newtown Square/Philadelphia, PA
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