Hematoma after facelift? How urgent is it? (Photo)

Hi and thank you for your question. My recommendation is to call your plastic surgeon's office and speak to him/her or another doctor/provider who is answering his/her after hours calls. It is critical to communication with your surgeon regarding anything that feels or looks unusual beyond what was discussed in your preoperative conversation about what can be expected. Your surgeon will likely be able to determine the nature of your concern based on your answers to targeted questions as well as reviewing any photos you might be able to send. He or she may even determine that a visitation is required to get a better sense of what is going on. It is always better to be safe than sorry, and your surgeon should feel the very same way so never think of raising your concerns as an inconvenience to your surgeon. Hope that helped and best of luck! Best, Dr. Roy. 

An area of acute swelling could very well be a hematoma or fluid collection.  This should be considered an emergency and should be seen by your surgeon.  I recommend you get in touch with your surgeon (he/she should have a number you can call to talk to them directly after hours), regardless of whether or not the office is open.  Your surgeon should not be upset if you have concerns and need to be seen even if the office is not open.The treatment of a hematoma or fluid collection is to drain the area under the skin and rinse is out with saline.  You may also need a pressure dressing or head wrap for a few days to ensure that it does not recur.  With close following and prompt treatment, hematomas and fluid collections most often heal well without any negative effect to your final result.Best of luck!