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Post-Facelift Hematoma: Prevention and Management

Understand hematoma in facelift. Risk factors, how to prevent, difference between normal bruising and complicated hematoma.

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Dr. Roberio Brandao

Creator of Modern Face

Updated December 1, 2024

Ecchymosis vs Hematoma

Ecchymosis (superficial bruising) is expected and resolves in 1-2 weeks. Hematoma is a collection of blood that forms volume, can cause pain, and sometimes requires drainage.

Risk Factors

  • • Poorly controlled hypertension
  • • Use of anticoagulants/antiplatelets
  • • Supplements (omega-3, vitamin E, ginkgo)
  • • Early physical effort
  • • Post-anesthesia nausea/vomiting
  • • Surgical technique (inadequate hemostasis) Advanced techniques like [Endomidface use direct vision to ensure meticulous hemostasis, significantly reducing these risks.

Prevention

  • • Strict blood pressure control
  • • Suspension of medications/supplements as guided
  • • Absolute rest in first 48h
  • • Head elevated while sleeping
  • • Avoid effort, bending down, carrying weight

Complications Guide

A broader look at safety and complication management.

Swelling & Edema

What to expect regarding normal swelling vs. hematoma.

Post-op Numbness

Understanding sensory changes during recovery.

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