Hard Swelling and Brusing on Lower Cheek After Face Lift Three Weeks Ago

  I vote that this is probably a hematoma, just like your doctor said, and that it will almost certainly resolve with time (think 3-6 months).  I think you try not to worry, reassure your wife and that continued observation and patience is the answer.

Uniform swelling and some bruising after facelift can be expected.  However, asymmetrical swelling or excessive bruising is unusual and must be investigated.  While hematomas usually occur in the first hours to days, it is possible to have a delayed hematoma.  Your surgeon can drain the fluid in the office.  However, if they are unsure of the diagnosis, then they can arrange for an ultrasound guided drainage. 

 

Good Luck.