Our Summary
This research paper reviews existing studies on hematoma (a swelling of clotted blood within the tissues) which is a common after-effect of facelift surgeries. The study aims to provide evidence-based advice for surgeons to lower the risk of hematoma. The researchers looked at 478 past studies, but only included 45 in their review, based on specific criteria.
The review found several ways to lower the risk of hematoma. Firstly, managing pain, nausea and high blood pressure before surgery can help. Using a specific type of glue called fibrin to seal tissues, and using local anesthesia rather than putting the patient to sleep completely can also lower the risk. Keeping the patient’s blood pressure under 140 mmHg is also important. A technique called quilting sutures may help some high-risk patients.
Other methods, such as using drains, compression dressings (a tight bandage), certain types of antidepressants known as selective serotonin reuptake inhibitors, and steroids around the time of surgery did not significantly affect the risk of hematoma. The paper concludes that alongside careful patient selection and controlling bleeding during surgery, these additional measures can help reduce the risk of hematoma after facelift surgeries.
FAQs
- What are some measures that can be taken to lower the risk of hematoma after a facelift surgery?
- How can managing pain, nausea, and high blood pressure before surgery affect the risk of hematoma post-facelift surgery?
- Do using drains, compression dressings, certain antidepressants, and steroids around the time of surgery significantly affect the risk of hematoma after facelift surgeries?
Doctor’s Tip
One helpful tip a doctor might tell a patient about facelift surgery is to carefully follow all pre-operative instructions provided by the surgeon. This may include managing pain, nausea, and high blood pressure before surgery, as well as avoiding certain medications that could increase the risk of complications such as hematoma. It is important to communicate openly with your surgeon about any medical conditions or medications you are taking to ensure the safest possible outcome.
Suitable For
Patients who are typically recommended for facelift surgeries are those who are looking to improve the visible signs of aging in the face and neck, such as sagging skin, deep creases, and jowls. These patients are usually in overall good health and have realistic expectations for the outcome of the surgery. Patients with a history of smoking, high blood pressure, or blood clotting disorders may be considered higher risk for complications such as hematoma and may require additional precautions before undergoing a facelift. It is important for patients to discuss their medical history and any potential risk factors with their surgeon before undergoing the procedure.
Timeline
Before facelift surgery, a patient will typically have a consultation with a plastic surgeon to discuss their goals and expectations. They may undergo pre-operative tests and evaluations to ensure they are a good candidate for surgery. The patient will also receive instructions on how to prepare for surgery, including what medications to avoid and how to take care of their skin.
During the surgery, the patient will be put under general anesthesia or sedation. The surgeon will make incisions, lift and reposition the facial tissues, and remove excess skin. The surgery can take several hours, depending on the extent of the procedure.
After the surgery, the patient will experience swelling, bruising, and discomfort. They will need to follow post-operative care instructions, such as taking prescribed medications, avoiding strenuous activities, and keeping their head elevated. The patient will have follow-up appointments with their surgeon to monitor their healing progress and address any concerns.
Overall, the recovery process from a facelift can take several weeks, with final results becoming apparent within a few months. The patient can expect a more youthful appearance and improved self-confidence after the surgery.
What to Ask Your Doctor
- What are the potential risks and complications of a facelift surgery, including hematoma?
- How can I lower my risk of developing hematoma after the surgery?
- What steps will be taken during the surgery to minimize the risk of hematoma?
- Will I need to take any specific medications or follow any special instructions before or after the surgery to reduce the risk of hematoma?
- How will hematoma be treated if it does occur after the surgery?
- Are there any specific factors in my medical history that may increase my risk of developing hematoma after the surgery?
- How common is hematoma as a complication of facelift surgeries, and what is the typical recovery process if it occurs?
- Are there any additional measures or techniques that can be used during the surgery to lower the risk of hematoma specifically?
- What signs or symptoms should I watch out for after the surgery that may indicate the presence of hematoma?
- How long after the surgery should I follow up with you to monitor for any potential complications, including hematoma?
Reference
Authors: Stewart CM, Bassiri-Tehrani B, Jones HE, Nahai F. Journal: Aesthet Surg J. 2024 Jan 16;44(2):134-143. doi: 10.1093/asj/sjad247. PMID: 37540899