I routinely use another preparation of fibrin sealant (Artiss) rather than Tisseel, because it is easier to use, but both products are different preparations of fibrin made by the same company with different concentrations of thrombin so they polymerize or "set" at different rates. In my hands Artiss decreases bruising somewhat. Prospective randomized studies have demonstrated a reduction in drainage if suction drains are used, but the evidence for a reduction in bruising is less clear. It is particularly useful in patients who may be prone to bleed more from a variety of conditions including low platelets.
Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. Tisseel can be used during a facelift in order to decrease swelling/bruising in theory. There are other factors which are much more important than just tisseel, such as operative tehcnique of your surgeon, which is by far the single most important aspect of your healing and end result. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The mostimportant aspect is to find a surgeon you are comfortable with. I recommendthat you seek consultation with a qualified board-certified plastic surgeon whocan evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon