At What Point Should Facial Seromas Be Drained and What Caused Them? (photo)

Question

My jaw and neck were refined with Facetite, and fat removed from lower cheeks. After 8 months, my jawline is tighter but neck red and two seromas at sides of my mouth. My ps says the lumps will reabsorb. They have reduced slightly but are still very visible. The skin of the lumps has a yellow tint and the tip of a nail makes a dent. Is my sugeon correct to wait this long when they are not resolving? What can happen if they are not drained soon?

Phillip Dauwe, MD · Answer

Seromas following this treatment are uncommon, especially in the area that you show in the photos. I would recommend asking your treating surgeon to evaluate these areas.

Kenneth Hughes, MD · Answer

An exam would be necessary to determine if the areas were fluid collections or residual tissue or redundant tissue.

Babak Azizzadeh, MD · Answer

Because I am unable to examine you in person, this is a very difficult topic to address. There are ways you can go about resolving your problem, and I suggest you get a second opinion of an experienced facial plastic surgeon.

Nima Shemirani, MD · Answer

Dear kincat,

	
		I looked up Facetite and it looks like it is a non surgical skin tightener using radiofrequency waves
	
		I do not perform this, and my understanding is that since it is non surgical, it either requires multiple treatments or mild to moderate results
	
		These are great for temporary fixes, and you will not get the same results as with surgery
	
		Seromas do not occur 8 months out
	
		The lumps may be from liposuction (depends on the technique he used) and can be treated with injections or removal


	Best regards,

	Nima Shemirani

Stephen Prendiville, MD · Answer

Since I have never heard of FaceTite, it is hard to say what has happened exactly. However, at 8 months this is very unlikely to be a seroma. What the photos appear to show are residual jowls coupled with areas where facial fat appears to be removed, presumably by liposuction. In order to correct these problems, you will need a Facelift

At What Point Should Facial Seromas Be Drained and What Caused Them? (photo)

Answers (9)