Swelling 2 Weeks and 2 Days After Facelift, When Can I Expect this to go Down?

Swelling after a facelift is normal and expected. On average, patients can be presentable (with makeup) in 14 days. I don't recommend video appearances for 21 days and flash photography for 3 months. These are averages and so there are patients on either sides of these numbers. In general, if you have a fuller face, you have more soft tissue than most so you'll hold on to fluid longer and have swelling after facelift longer. If you tend to bruise easily, your body has to clear the bruising so that will increase swelling in the area of the bruise more than average. Patients who have a robust immune system and heal well sometimes will swell even more because it's trying to do it too quickly and it will then take the fluid, from the increase in resources over a short period of time, time to dissipate and increase swelling after facelift. Thicker skin individuals, such as african-americans, asians, hispanics, and oily caucasians, will sometimes take longer to return to normal as well since thicker skin is like having a thicker sponge so swelling takes longer to resolve. Each person is different, but, on average, most people can plan on 14 days for noticeable swelling after facelift and to be presentable, with makeup.You can improve swelling after facelift by keeping your head elevated the first 2 weeks, applying cool compresses religiously the first week, minimizing activity after surgery, minimizing salt intake 2 weeks before and 2 weeks after surgery, using a steroid pack from your doctor, using a prescription version of arnica montana, and minimizing medications that can make you bruise 2 weeks before and 2 weeks after surgery such as aspirin, ibuprofen, herbal supplements especially green tea, gingko biloba, flax seed, fish oil, and multivitamins, especially those containing Vit E. Participating in lymphatic massages 10 days after the facelift can also help mobilize the fluid and minimize swelling; have a lymphatic massage once a week until the swelling has resolved.

Although most swelling after a facelift will be gone within the first few weeks after surgery, some element of swelling will continue to be present for many months and simply takes time to resolve. I have seen in my own facelift patients that their results continue to improve for a full year and that at 12 months after surgery, they look significantly better than at 3 months after surgery.
Keep in mind also that numbness of the cheeks and/or neck will give the sensation of being swollen, but often patients do not look swollen at all to the casual observer. Always be sure to discuss any post-operative concerns with your surgeon.
All the best,

#Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen.If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

The majority of swelling in most of my patients resolves after 14 to 28 days, although it can take up to six months for swelling to resolve 100 percent. In the meantime, there are steps you can take to help minimize swelling, such as sleeping with your head elevated and sitting upright as much as possible. Good luck!

Thank you for your question for sharing your concerns with us. Swelling and lumpiness 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. 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.

Swelling
following facelift surgery varies from patient to patient and depends on the
surgical technique and wound healing characteristics of the patient. The
majority of swelling usually resolves in about two weeks following facelift
surgery. At this point, most patients can return to work and resume normal
activities. In most cases, total resolution takes about three months. In rare
cases, swelling may persist for up to a year following surgery.It’s important to realize that more
aggressive facelift procedures cause more swelling, which can last for longer
periods of time. Elevation of the head and decreased salt intake may help
decrease swelling after surgery. Swelling is normal following surgery, but
persistent or extreme swelling should be evaluated by your surgeon, especially
if it’s accompanied by bruising.

Two month afterfacelift surgery most of swelling and numbness should be resolved. Initialhematoma or seroma formation can lead to distortion of lymphatic drainagecausing prolonged tissue edema beyond two months period. Warm compress followedby deep massage, as well as anti-inflammatory medications will help to reduceedema followed by facelift surgery.

The rate of swelling really depends on the extent of surgery and your recovery rate. Once the majority of swelling goes away, residual swelling subsides very gradually and most patients don't notice when it's totally gone because it's so gradual. This generally takes about a year. 

   Lumpiness and swelling should improve over the next several weeks.  Kenneth Hughes, MD Los Angeles, CA

Two weeks post surgery is still very early for you to judge the results of your surgery - be patient and follow up with your surgeon