Swelling After Facelift and SMAS Lip Augmention? (photo)

You are still in the early period of early post-operative swelling and inflammation, so there is nothing out of the ordinary in the photographs you have posted. In my experience using SMAS grafts to the lips, one does need to over-correct the lips quite a bit to compensate for the loss of volume they will experience with the passage of time, since most of the SMAS graft does not take.

 

You do not say whether your surgeon performed concomitant fat grafting of the face at the time of your facelift. Again, in my experience, this can significantly increase the degree of swelling patients experience in the immediate post-operative period. The good news for you, is that, with time, the swelling of your face will abate, and your lips will assume mortal proportions once again.

Thank you for your question for sharing your experience and photos with us. The degree of swelling and bruising shown in your pictures appear fairly normal at the stage of healing.  Swelling and firmness in the tissues will return to normal as time passes by. Between the first and second week, much of your swelling and bruising will dissipate, but will still persist in milder forms.  It may take more than a month or two for your tissues to fully soften and any residual swelling to resolve. Lymphatic massage maybe an option to help clear the swelling and firmness at a faster pace. I would make sure that you continue to follow up with your plastic surgeon during this period of time.

      Facial swelling and bruising at your stage is masking your final result and your lips will reduce in size as well.