13 days post op Lower Face Lift. Is this swelling normal? It has a flower in the middle. (photos)

I had a lower facelift plus stem cells 13 days ago. My eyes (both the whites of my eyes and the skin around my eyes) turned blood red from the cells, as well as some areas around the mouth. All of that is disappearing rapidly, but what is concerning me is the swelling on one cheek. It is really bulky, and filled with fluid (but not blood). My surgeon looked at it, and said its ok, just needs some time. In the middle, you can see where the fluid is, since it is not bruised there. What do you think?

Doctor Answers 6

Most Likely a Contained Hematoma

For two weeks after surgery, the degree of swelling and bruising that is present on the photos is abnormal, especially if this is only on the right side and not on the left. This is most likely a contained hematoma and it should be drained. Oftentimes in the first week of surgery the hematoma is still somewhat thick, clotted and difficult to aspirate with a needle. However, by two weeks after surgery, most hematomas will start to liquefy, which may make it easier to aspirate. I would certainly recommend you return to see your plastic surgeon and have him re-evaluate this area for possible needle aspiration. 

Cape Girardeau Plastic Surgeon
5.0 out of 5 stars 6 reviews

Looks Like a Hematoma

Two weeks after surgery with the degree of swelling and bruising you demonstrate is very consistent with a hematoma. It should be drained. Note, that early aspiration of hematomas is sometimes difficult because blood clots do not aspirate well. However, after the second week from surgery, the clots start to liquify, making it easier to aspirate.

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 33 reviews

Is this swelling normal?

At thirteen days postop, the level of bruising and swelling you have is more than usual. The fluid you feel may be a hematoma or a resolving hematoma. You should consult your surgeon and ask if it should be drained.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Facelift and stem Cells

Based on the pictures posted and you feeling a fluid in the face then most probably you have a hematoma that needs to addressed ASAP.
As for the use of stem cells in face lift. This is purely marketing and is not based on science. At the present time we can not isolate stem cells in the office for use in surgery. To isolate stem cells one needs a huge laboratory and cell biologist working full time.
I hope you did not pay much for such unfounded procedure

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Swelling in cheek

an examination is necessary, but it looks like you have a collection of blood (hematoma) in your cheek and would recommend if correct, this gets removed. I would reschedule a visit with your surgeon.

Rick Rosen, MD
Norwalk Plastic Surgeon
5.0 out of 5 stars 22 reviews

Fluid in face after facelift

Hi there, i looked at your photo's. I must admit, the first 3 days would be a bit more concerning to me as I would have drained the fluid to ensure it is not blood. 

If you still have that much swelling and fluid i would highly recommend visiting your surgeon again to ensure this does not need to be drained and that it is not a "hematoma" which is a collection of blood. 

I hope things work out for you, but you should most definetly get it checked. 

James Bonaparte, MD, MSc, FRCSC
Ottawa Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

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.