Dimpling and lumpiness after deep plane face lift with filler removal (Photo)

5 weeks post op. deep plane facelift 5 weeks ago. i have dimpling when i smile (internal scarring from hematomas i developed on both side of cheeks). i am more lumpy on one side (hard and soft lumps). i am mostly worried about how i look when i smile (thick lower face and dimples). i have internal scar tissue that i am treating with steroid injections, warm massage and ultrasound. am i swollen, am i dimply bc of internal scar tissue or imply doomed? help!

Doctor Answers 6

Dimple after facelift

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A deep plane facelift can cause more swelling that takes longer to resolve . By 12 weeks post op 95% of this should be resolved but can take up to 10 months for final result . 

Naples Plastic Surgeon

Facelift and filler removal

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Usually it is impossible to remove 100% of injectables, even with a deep plane facelift.
Scar tissue will always be an issue and yes, it will become softer over time, but it always could cause dimpling or irregularities, hopefully it will become less noticeable over time.
Keep in touch with your doctor and give it time, seems you are doing all that is possible at this point.
Good luck.

Carlos Castaneda, MD
Mexico Plastic Surgeon
4.7 out of 5 stars 31 reviews

Healing after facelift

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Dimpling and asymmetry are normal after facelift and usually resolves in 1-3 weeks. However, you may still be able to feel deeper swelling/ irregularities which are not visible and will continue to improve. Follow up with your surgeon to express your concerns. 

Roy A. David, MD
San Diego Facial Plastic Surgeon

Swelling and Lumps Post Facelift

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Some degree of firmness or lumpiness under the skin is normal after surgery and will resolve with time. Local massage will speed resolution of this problem, which normally takes 2-4 months to disappear completely. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Dimples after a facelift.

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Five weeks after a deep plane facelift is not a long time.  The hematomas further complicate the healing.  This will improve over time as the swelling and scar softens.  I would be careful with the steroids at this early stage because too much can cause other problems.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Expect several months of recover for secondary face surgery.

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You apparently had a significant facelift complicated by removal of foreign body.  Expect contour and expression issues to persist for months as swelling will be lingering.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.