Had a SMAS lift and ended up with some skin necrosis. Got it under control, but now I'm worried that MY lumps and bumps may be fat necrosis vs the usual lumps and bumps. Is it more likely when one has necrosis of the skin? Is there any way to tell? I'm still looking swollen, asymmetrical, had issues with healing, and had skin necrosis I treated with HBOT. I am not happy with my resuts, as I don't look 'natural' or refreshed... but instead, I think I look 'worked on'
How Do I Know That my Lumps and Bumps (3.5 Weeks Post Op of a Facelift) Are Normal and Not Fat Necrosis?
Doctor Answers 3
Lumps and bumps at 3.5 wks after facelift
At 3.5 wks after a facelift, it is too early to see the final results of the facelift. Give it a few months to settle down. Good luck.
Without photos, it is difficult to comment on your complex situation. The SMAS generally has a robust blood supply, even when the skin flaps don't. Fat necrosis in the face is quite rare compared to other areas of the body. You are very early into the post-operative period and the tissues are still definitely re-modeling at this point. I wouldn't judge any contouring issues unless they were persistent and unchanged through three months.
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