I might have a slight infection. What do you think? Do I need antibiotics orally? (photos)
Doctor Answers 9
Slow healing behind the ear after Facelift
You certainly should not be alarmed. You appear to have a little loss (slough) of skin accompanied by light scabbing. This is very common behind the ear after facelift because the blood supply is limited in this area. The increased redness of the surrounding skin does not necessarily indication infection, however, the small white bumps toward the bottom of the photo are sometimes associated with certain bacterial infections such as Staph. In my practice, I would recommend soaking the entire area behind your ear (including the occipital hairline incision) with a low strength acetic acid solution made from water and white vinegar. I would recommend that you soak it several times a day for about 5-10 minutes at a time. The acetic acid solution can help break down the crusty scab and has a well known anti-bacterial effect. After soaking or bathing, I would apply a generous amount of antibiotic ointment. I would not do any of this, however, without first consulting with your surgeon. He/she will want to keep a close eye on the situation and may prescribe antibiotics if you worsen or fail to show definite signs of improvement.
Open wound after surgery behind the ear
My answer depends on the cause of the problem and the procedure.
If the ear cartilage was involved in your surgery, e.g. an ear setback, I would prescribe antibiotics to protect the cartilage. If it was skin surgery, I would only treat it locally unless the redness was spreading or you had pain, fever or increasing odor, drainage or fatigue.
Your surgeon, not the nurse, should see you.
This is a surgical complication which s/he needs to personally direct.
Always see a Board Certified Plastic Surgeon.
Hope this information is helpful. Best wishes!
Infection after surgery
You aren't sure its getting any better but is it getting any worse? Its essential to continue following the advice of your plastic surgeon over the next two days and then an assessment can be made by your surgeon about oral antibiotics at your post operative appointment. If you begin to feel unwell or the wound appears to get worse then you should advise your surgeon.
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Postoperative healing after facelift
Because an infection is a risk that is very, very important to avoid, most surgeons would want to err on the side of safety when it comes to treating. Because there is a small open area, however, at least any potential infection could drain.
The wound care instructions you received are helpful. I would put safety first and see your surgeon in person, so they can make the diagnosis firmly and treat as appropriate.
Wound crusting and reddness
Do I have an infection?
One of the key guideleines I give is that I want to know if you think there is a problem. The surgeon who performed the procedure is the one to offer advice, and would rather know of your concerns sooner than later.
I suggest give them a call and ask their advice.
Healing after surgery
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.