Redness when I am hot or drink hot fluids. Is this typical? (photos)

Question

I am almost 15 months out from my facelift and still have redness when I am hot or drink hot fluids. Is this typical? I am 62 years old next month.

Douglas K. Henstrom, MD · Answer

While this is not typical for every facelift patient, it can happen. It is usually associated with underlying causes, the most common being Rosacea. While it may have been subclinical or not diagnosed before your surgery, the inflammation from the facelift surgery may have made it more active and noticeable. Best recommendation is to follow up with your facelift surgeon, or with a dermatologist to fully evaluate for the cause of the flushing. There are other possibilities that they obviously would also consider. Best of luck, Dr. Doug Henstrom, Utah Facial Plastics

Semih Yildiz, MD, FEBOPRAS · Answer

The photo shows diffuse cheek redness/flushing, and the fact that it is triggered by heat or hot drinks sounds more like a vascular skin response than a facelift healing problem alone. At 15 months, routine surgical redness should usually be much improved, so persistent flushing can overlap with rosacea, sun damage, sensitive skin, visible capillaries, or scar-related vascularity.

A check with your surgeon and, often, a dermatologist is worthwhile to confirm the cause. Treatment may include trigger control, daily sun protection, topical medicines, or vascular laser/IPL if appropriate. If redness becomes painful, warm, swollen, one-sided, associated with fever, drainage, or rapidly worsens, you should be evaluated promptly.

Selcuk Inanli, MD · Answer

Hello ! Thank you for question I do not think that the redness on the skin is related to the face lift surgery, I recommend you consult your surgeon first, and then the dermatologist.
Thank you ! regards

Alan Gonzalez, MD, FACS · Answer

Hello @033198, thank you for your question. After 15 months post surgery it's not common redness. It is important that you see a different specialist such as a dermatologist, because this type of changes when associated with skin may belong to other types of pathologies not necessarily the previous surgery. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Randal Haworth, MD, FACS · Answer

It's not uncommon for redness to persist for some time after a facelift, particularly if you're exposed to heat or consume hot fluids. However, 15 months is a relatively long time frame for redness to persist, and it's worth discussing your concerns with the surgeon who performed your facelift.

In some cases, redness after a facelift can be a sign of inflammation or infection. Your surgeon may want to examine you to rule out these possibilities and ensure that you're healing properly.

It's also possible that the redness is simply a result of increased blood flow to the face, which can be more noticeable when you're hot or consuming hot fluids. Your surgeon can help you determine whether this is the case and whether any further treatment or follow-up is necessary.

In any case, it's always a good idea to discuss any concerns you have with your surgeon, as they are the best resource for understanding your unique situation and ensuring that you're healing as expected.

Connie Hiers, MD, FACS · Answer

You probably turned red when drinking hot liquids or getting hot before your lift and this is related to your type of skin and hormones and not surgery.

Redness when I am hot or drink hot fluids. Is this typical? (photos)

Answers (6)

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