How long does it take for a facial hematoma to heal? Does it need to be drained if it hasn't gone down within 2 weeks? (Photos)

Question

I was in a accident two weeks ago today and I sustained a anterior maxilla fracture to my face.All of the bruising has almost subsided except for massive haematoma that is hard to the touch.. it is compressing on my facial nerve and my teeth on the right side of my face as well as my gums and lips are numb. The haematoma does not seem to be going down.Do you think it needs to be drained? Will scar tissue form if I don't have it drained as soon as possible?

Garrett Griffin, MD · Answer

coco: If there is a liquid hematoma, it can be aspirated with a needle in the office, and this may help the bruising resolve more quickly.  The numbness is more likely related to nerve trauma from the fracture, not necessarily the hematoma.  See a plastic surgeon, they can assess whether or not the hematoma has liquefied...this usually takes about a week; at first it is clot and can't be sucked out.  Another reason to have it aspirated is to prevent infection...bacteria from your cheek sinus love blood as a growth medium and it theoretically could turn into an abscess, though this would be unlikely.

Ernest Robinson, MD · Answer

Sorry about your injury.  Continue to have follow up with your surgeon.

Some maxillary injuries may require surgery if you are experiencing visual, bite or nasal difficulties.  Many heal without the need for surgery. 
Soft tissue injuries may been laceration and or simple abrasion care using Aquaphor ointment.  
In your case your pictures show a great healing response. I would expect continual healing. In one to two years it may be difficult to see any sequela.

I'm glad you are alive.

How long does it take for a facial hematoma to heal? Does it need to be drained if it hasn't gone down within 2 weeks? (Photos)

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How long does it take for a facial hematoma to heal? Does it need to be drained if it hasn't gone down within 2 weeks? (Photos)

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Everything you need to know about Facial Reconstructive Surgery

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