i expect side effects would be pain but what about swelling and others from the face lift?
What Are Potential Facelift Side Effects?
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Doctor Answers 28
Face lift side effects will depend on the type of...
Face lift side effects will depend on the type of facelift that is performed. Face lifts exist on a continuum from the mini-facelift which can be performed rather quickly and with minimal morbidity to more extensive face lifts for more extensive aging changes. Though the risks are generally the same with any face lift, the degree of the risk varies with the more invasive the face lift.
- Infection - anytime that the skin is broken and surgery is undertaken infection is a risk. Infections risk in the face is generally minimal and most surgeons will place their patients on antibiotics for a time around surgery to help prevent this complication.
- Bleeding - there will be bleeding with any face lift procedure but generally is not severe enough to warrant blood transfusions or other such interventions. There is a bleeding risk anywhere from the day of surgery to several days after. At times, if bleeding occurs after surgery, the wound will have to be reexplored and the bleeding stopped. At other times, a bruise may form which may prolong healing but generally does not change the overall cosmetic result.
- Scar - anytime that the skin is broken, a scar is created. By making the incisions in areas which hide them, face lift scars generally will heal without being able to be seen.
- Redness of the incision lines - while healing, the inicison lines can be red for a time period. Generally, this can be hidden after the initial week or two of recovery.
- Facial nerve injury - depending on the extent of the facelift, injury to the facial nerve can occur up to 1-2% of the time. The facial nerve is the nerve that provides motion for the face. Should injury occur, a temporary or possibly permanent asymmetry to the smile and facial expressions may occur.
- Numbness - numbness can be expected in the areas operated on and the ear. This numbness is generally temporary, though it can be permanent.
- Change in ear position - changes in the position of the earlobe and tragus have been reported after face lift surgery.
- Nausea and vomitting - these can occur for the first day or two after surgery depending on the type of anesthesia administered.
- Pain - pain does occur but is generally minimal. Most surgeons will prescribe narcotic pain medicine for several days after surgery. Most patients though describe the pain to be minimal to moderate after 1-2 days.
- Hair loss - hair loss in the incision lines can occur. This is generally temporary but can be permanent.
As always consultation with an experienced surgeon is necessary as there are variations in the risks with each procedure and with each patient.
Facelift Informed Consent
Choosing a local reputable surgeon board certified by the American Board of Facial Plastic and Reconstructive Surgery or the American Board of Plastic Surgery is a good start in having a good experience and an excellent outcome.
Informed consent is part of any procedure and involves a thorough explanation of common and rare complications associated with a procedure. The first point I discuss with my patients is the perioperative phase, which involves swelling, bruising, sutures, and wound care. Pain is typically minimal after Facelift. Nausea vomiting: we minimize use of narcotics in the intraoperative and postoperative phase, we avoid use of inhalational gases in surgery, and encourage patients to take emend (anti nausea: expensive but worth it) both before and after the procedure to minimize nausea. These are not complications, but are an inevitable part of the initial healing process.
The possibilities of bleeding, infection, and scarring are discussed. In Facelift surgery, no major blood vessels are encountered and there is minimal blood loss. Infection is very rare. A local reputable Facial Plastic Surgeon will consider your result his/her billboard and has a vested interest in minimal scarring and your satisfaction with the result. Hematoma (a clot that can occur under the skin flaps) can and does happen, even in the best of hands. If addressed promptly, it is only a temporary setback. If not addressed, adverse scarring can occur.
Facial nerve injury is the one complication that makes every patient sit up in their chair during the discussion. The analogy I describe to patients is that of the Florida Power and Light engineer that comes out to my house knowing where the power line is...... and he/she stays away from it. I give the same respect and consideration to the facial nerve, which is in a very deep plane and fairly easy to avoid injuring.
Numbness or loss of sensation in the neck and around the ears can be expected for several weeks and up to several months. Return of sensation is usually heralded by a sense of itchiness or fleeting sensations. Loss of hair in or around incisions is a possibility but should not happen with delicate tissue handling and appropriate skin tension.
Anesthesia risks: Facelift is a procedure for healthy patients. Preoperative screening, and preoperative medical clearance are a good first step. Use of an experienced Anesthesiologist or CRNA will help minimize potential problems. I currently work with a board certified Anesthesiologist for cases requiring sedation.
When considering Facelift, weigh your desires in the face of potential risks, ask questions, and make an informed decision.
Potential side effects from a face-lift can be related...
Potential side effects from a face-lift can be related to the anesthesia, such as nausea and vomiting in the first 24 hours after the surgery.
Other complications include:
- Hematoma or puddling of blood beneath the skin in the neck
- Motor and sensory nerve loss
- Poor healing
Each one of these occurs less than 1% to 2% of the time, and an experienced face-lift surgeon can minimize the potential for this occuring.
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Side effects of a facelift
A facelift acutally causes very little pain. The potential risks have been well described by the other doctors. In the hands of a Board Certied Plastic Surgeon who is a facelift expert, these risks rarely become reality. Make sure you thoroughly check out the doctor and that they have been doing this for a long time as there is a steep learning curve.
Very few significant side effects after facelift
There is obviously some swelling and possibly bruising after a facelift. This is not offensive but a giveaway that an operation has been done. Surprisingly, facelift patients don't complain of much pain. So that's seldom an issue.
The incisions are well hidden and seldom a significant issue. With time, the become almost invisible. Seldom is scar revision needed after a facelfit.
Temporary numbness of the face is inevitable and slowly returns over several months. This is annoying but seldom worse than that.
Infection almost never occurs. Occasionally a hematoma needs drainage. This is not a danger but requires a trip back to the operating room.
Many but rare facelift risks
Facelift is a surgical procedure to improve the visible signs of aging on the face and neck. Every surgical procedure involves a certain amount of risk and it is important that you understand these risks and the possible complications associate with them;
1. Bleeding: it is possible to experience bleeding episode during or after the surgery.
2. Change in skin sensation
3. Damage to deeper structures: there is a potential for injury to deeper structures including nerves, blood vessels, muscles during any surgical procedure.
4. Skin contour irregularities: visible and palpable wrinkling of skin can occur. Residual skin irregularities at the end of the incisions are always a possibility.
5. Skin discoloration/swelling: bruising and swelling, skin near surgical site can appear lighter or darker than surrounding skin.
6. Skin sensitivity: itching, tenderness or exaggerated responses to hot or cold
9. Delayed healing
10. Hair loss
11. Asymmetry: there can be a variation from one side to the other in the results obtained from a facelift procedure
12. Nerve injuries
14. Pain Cardiac and pulmonary complications
All of these are rare but the risk is there. Our role is to keep these risks to minimum.
You should avoid Aspirin and non-steroidal anti-inflammatory medications for the first few days after your surgery. Smoking and exposure to second-hand smoke should be avoided to prevent delays in the healing process.
Once the dressings and drains are removed, puffiness and discoloration may be more pronounced in some portions of the face than others. Do not be alarmed by any unevenness or temporary asymmetry. This is normal. Most swelling is usually noted in the first 24 to 48 hours, and most bruising resolves within two weeks. Concealing makeup is usually permitted after the first week. You may experience numbness to the face postoperatively, which usually resolves within several months.
Some patients find that mild swelling persists for many weeks. Most stitches are removed within a week of the surgery.
Of course, many of our modern mini facelifts, such as the MACS facelift, allow patients to literally be back in public or work in as little as three days with little or no bruising!
Straining, bending and lifting should be avoided during the early postoperative period as these activities may predispose you to bleeding.
We will give you specific instructions that may include caring for the dressings and incisions, directions for your analgesics and other medications, specific concerns to look for, and when to follow up in the office to monitor your healing process. It may take several months for the swelling to fully resolve, and up to six months for the incision scars to fully fade. Avoidance of factors that could reduce the benefits of the surgery, such as excessive unprotected sun exposure and cigarette use, is vital. Best of luck!
Dhaval M. Patel
Double board certified