Lumpy tender swollen neck 3.5 months after Facelift and Neck Lift and Platysmaplasty (with hematoma)
Doctor Answers 6
Unhappy with face lift result after hematoma
It is very hard to tell from a description as to what to expect.
To get a reliable answer, you might need a second opinion.
- Fluid is unlikely to be present, but an ultrasound can make sure if you think there is.
- Hematomas are such a problem - the blood makes the tissues hard and swollen.
- Low dose steroids may help.
- But it is also normal to have a slight fullness under the chin after a platysmaplasty - it swelling and it does go down on its own.
- You have months of continuing improvement
- But if you don't know if to trust your surgeon, consider a second opinion.
Hope you found this answer helpful. Best wishes.
Treatment of Hematoma After Facelift
Bleeding in the form of hematoma sets off an inflammatory process that can lead to unpredictable contour irregularities and scarring of the skin. Most of the time, visible or palpable blood clots should be removed quickly either by a return to the operating room or by forcing the blood clot out between sutures. Needle aspiration is another technique that can be used once the blood clot has liquefied. In this case, you surgeon judged that your bleeding was minor and did not require treatment. However, looking back with the benefit of hindsight it seems that your surgeon may have underestimated the significance of your bleeding.
The next stages of healing will likely take a number of months but you will get better! The remaining bumps and lumps are scar tissue that must be broken down and then reorganized by your body. You may help this process along with things like massage, therapeutic ultrasound, and the occasional low strength steroid injection. Any squishy areas should be aspirated to check for liquefied blood or seroma. Hopefully you are continuing to see your surgeon on a regular basis in an effort to achieve the best possible outcome. If not, you might consider seeing someone in your area for a second opinion. I wish you the best and I am sorry that you are having a difficult time right now.
Thank you for your question.
Without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of any further treatments it is difficult to be comprehensive.
Hematoma formation can lead to extensive inflammation in the tissues which can lead to the findings you are describing.
The firmness can be buildup of scar tissue and could be injected with steroids to improve and soften these areas in addition to the compress and massage you are doing.
I would followup with your surgeon or obtain a second opinion.
Best of luck,
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#Facelift - Lumpy after hematoma
At this point, though, there really isn't much for you to do. But the good news is that it will most liklely not stay like this. It can take a long time - months and months - for all of te swelling to go down after a procedure and event like this. The blood that is left behind can organize into scar tissue, in addition to the hoped-for process of liquefaction and subsequent absorption by the body. Massage and ultrasound can help break up the lumps, but if any areas feel soft and squishy (not a medical term) it may be appropriate to have then aspirated to see if there is any liquefied blood in there. If you have additional questions you can seek second opinions from surgeons near you to see if there are any other suggestions.
Agan, I'm sorry for the problem. I hope this has helped, and good luck,
Dr. Alan Engler
Member of RealSelf100
Lumpy neck post-op
Hematomas after a facelift should be surgically evacuated.
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.