Still Have Swelling and Bruising 4 Weeks After Facial Procedures

Question

I had surgury 4 weeks ago I am 59 which included fat transfer, lip augmentation, fat transfer, liposculpture to facial areas, endoscopic browlift, upper skin removeral of upper and lower lids, facial rejuvenation mid and lower face, neck and jowls.I am still really swollen and brused under the chin it feels really tight, lumpy and numb I am still having problems with focusing my eyes I am really swollen when I wake up,I am sleeping on the wedge. Is this normal and what can I do to reduce swelling?

Sarmela Sunder, MD · Answer

Four weeks after surgery is still relatively early in the recovery process especially since multiple procedures were performed, including fat transfer. It is normal to have residual swelling and bruising four weeks after such extensive surgery. Without photos, I cannot comment as to whether the amount of swelling that you have is normal, however. One thing that may help with the swelling when you wake up is to make sure you keep your head elevated well above your heart when you sleep at night. Sometimes the wedge is not high enough.  If you are concerned, and it sounds like you are, I would recommend calling your surgeon to have him/or her evaluate you, especially for your concerns with focusing your eyes. Hope this helps. Good luck!

	Dr.Sunder

Sean T. Lille, MD · Answer

Dear Good news,

	Not to worry. Everyone has different levels of swelling and bruising after face lifts. You had a lot done and the swelling and bruising can be expected, although I do not have a picture to give an accurate evaluation. Lumps and bumps over the skin can occur and usually even out over 3 - 4 months. You may want to massage the area to help the healing process. Remember, stay patient.

	All the best,

	Dr. Lille

Kenneth D. Steinsapir, MD · Answer

The fat grafting is just a procedure that take many months to quiet down.  One month after surgery is a very short time.  I suspect that your bruising has only just begun to clear.  Bruising directly contributes to swelling.  As the bruising resolves many of the lumps and bumps will calm down.  The numbness will also take time to resolve because in some cases the actual nerves need to regrow.  WIthout an exam, it is of course impossible to know that every thing is "normal."  However, it sounds like a very typical recovery from this much surgery.

Still Have Swelling and Bruising 4 Weeks After Facial Procedures

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Still Have Swelling and Bruising 4 Weeks After Facial Procedures

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