I am concerned after having facelift I have lymphedema. I had facelift by surgeon uses deep technique called a paramedian lift

10 days post op I had rupture of superficial temporal artery and had to have surgery to have evacuation of fluid and tie off the artery. Its been 6mo & tight feeling in neck & jowls seems to be worse. swelling in face is better but still present. I am concerned this could be lymphedema? If so, how to confirm? And am I headed for much worse disfigurement ie. fibrosis, cellulitis etc. in the future? Im so scared. Could this be that the swelling just needs more time to subside like possibly a year?

Doctor Answers 5

I am concerned after having facelift I have lymphedema. I had facelift by surgeon uses deep technique called a paramedian li

I do not think you have what is classically referred to as lymphedema.  You do  have obvious swelling.  Lymphatic massage by a qualified physical therapist or message therapist may well be a bit of benefit to you.  Certainly you should speak to your operative plastic surgeon.  Some face lift techniques may result in more prolonged swelling than others. 


Naples Plastic Surgeon
5.0 out of 5 stars 22 reviews

Facelift

Since you had the complication from the hematoma evacuation, you will likely experience more swelling than usual.  This should resolve completely.  Lymphedema of the head and neck is usually related to surgery for cancer with concomitant radiation therapy.  A facelift procedure should not lead to this complication. 

Facelift #faceliftrecovery #fatgrafting #beauty #tmbcosmeticsurgery #woundhealing #fillers #jowls

Dear Realself7116

Thank you for your questions!  I am sorry you are experiencing difficulty with your recovery.  It is hard to assess and advise without photos or an examination. The healing can take up to a year and a half.  Please see your surgeon for the answers or seek another opinion.

With Warm Regards

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 107 reviews

Lymphedema after facelift

Usually by six months after a facelift most of the swelling has resolved. However,if you had to have reoperative surgery shortly after your initial procedure, the swelling and firmness may be more prolonged. The fact that the swelling is improved is a good sign. I recommmend frequent massage to assist in the process. It may take as long as a year for the tissues to settle and soften. It is unlikely that you are headed for a worse outcome.

Swelling post facelift

Generally the deeper the lift is performed usually the more swelling there is and then to boot you had a torn temporal artery with a hematoma so you healing phase will be longer so massage and heat may help.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 56 reviews

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