Deep scar tissue after facelift and consequent hematoma. What are my options?

Question

6 wks post op. had a deep plane facelifet. developed hematoma symmetrically on both sides day after. Drained nearly every day. now i am left with two thick bands of sar tissue inside my cheeks affecting especially my smile ( my face puffs up if i smile). i also have bumps and dimpling on one side more noticeable when i smile where hematomas were drained. my ps is giving me steroid injections (1 so far...no much difference)ultrasound treatments, do massage and warm compresses. what about scar revision? i

Scott K. Thompson, MD · Answer

Greetings,Scar tissue is almost a universal result of a hematoma.  It probably seems rock hard and as if it will never change right now, but be patient.  The cure for this is time.  Your body will break down the scar tissue and gradually return your skin and soft tissue to a normal consistency and feel.  Good luck!

Evan Ransom, MD, FACS · Answer

Thank you for your question and sharing your story.  I'm sorry to hear about your post-op difficulties.  In most cases, however, the lumps and bumps that you feel after a hematoma is drained will resolve. It's still very early in the process! Try to be diligent with the compresses, massage, etc.  Steroids shots are also helpful and generally are given every 6 weeks -- sometimes four or five times. Most importantly, stay in touch with our surgeon throughout this process. Best of luck!

Vincent N. Zubowicz, MD · Answer

Hematomas occasionally occur With facelifts. Prompt treatment should allow for near normal recovery. It six weeks there is still sizable inflammation that will improve with time. There's no indication for interventional treatment at the present time.

Roy A. David, MD · Answer

Swelling and lumpiness can be normal after any facelift. Follow up with your surgeon to express your concerns or consider a second opinion if you are not satisfied. Good Luck!

Steven Wallach, MD · Answer

At this point, you need to follow closely with your surgeon, but usually things get better with time as the swelling subsides and the tissue relax.

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Deep scar tissue after facelift and consequent hematoma. What are my options?

Answers (10)

Answer: Scar Tissue after Facelift

Answer: Scar Tissue after Facelift

Answer: 6 weeks post facelift

Answer: 6 weeks post facelift

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Everything you need to know about Facelift

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