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Infection And Skin Slough
Men undergo facelifts less often than do women and are generally less demanding in their expectations. Men have different hair patterns and a larger number of blood vessels because of facial hair.
As a result of these differences, post-operative swelling tends to last longer in men, and the incidence of small blood clots is higher than in women. After surgery men will notice that their side burns are narrower because some of it will have been removed with the redundant skin inBeauty therapy.
What complications can occur?
Scarring: Unless there is a tendency to develop thick scars this will not be a serious complication.
Scarring is an inevitable consequence of a surgical procedure where an incision has been made. Cosmetic surgeons try to hide scars but cannot prevent them.
Scars may form poorly because of an infection, an untreated blood clot, excess tension on the skin, or smoking after the surgery.
If an unsatisfactory scar develops, a surgical scar revision procedure may need to be performed.
If there is a tendency to form a thick scar even though it had healed well, further scar revision surgery will not be beneficial because a similar thick scar will form again with every surgical incision. This is an inherited healing characteristic.
These scars can be flattened with cortisone injections and the redness reduced with a vascular removal laser. Lumpiness may be smoothed out by resurfacing the scar with a carbon dioxide laser in Beauty therapy.
Even if scarring is minimal, a skilled laser surgeon may improve the lines of closure by gently resurfacing these sites 6 to 10 weeks after surgery in Beauty therapy.
Seroma:
Clear fluid may collect under the skin resulting in a seroma. These usually occur in the cheek area ad feel like small firm lumps. In most cases, they reabsorb spontaneously in 4 to 6 weeks in Cosmetic surgeons.
Hematoma:
If blood collects under the skin, it is called a hematoma. The incidence of this is only 2% and tends to be more common in men than in women. Rapid swelling develops progressively on one side of the face with an increasing amount of pain and a feeling of tightness.
If recognized early, it can be treated satisfactorily by removing the clot and stopping the bleeding. If the hematoma remains unrecognized, pressure under the skin might lead to skin loss and result in facial scarring. The increased bruising, swelling and firmness that accompanies a hematoma will prolong recovery from surgery.
Nerve Injury:
It is normal to have some loss of sensation in the face following the surgery. Sensation beings to return within 1 week and complete sensation is usually restored within 6 to 12 weeks. There is, however, a risk of in jury to the nerve that supplies feeling to the ear.
If this nerve is damaged, the sensation over the ear will be permanently decreased and there will be a small painful lump in the upper neck where the nerve was injured. Rarely will the nerve to the muscles that move the forehead and elevate the eyebrows be damaged.
Injury to the muscle in the corners of the mouth is an uncommon occurrence but if it does happen, the result will be a lopsided smile. The incidence of this is about 1 or 2 per thousand cases, and the majority of these recover spontaneously after 3 to 4 months.
Infection and Skin Slough:
Infection is a rare complication in facelift surgery. As a precaution some esthetic surgeons will prescribe an antibiotic. If infection does occur and is extensive, some skin along the incision may die because the blood supply is interrupted.
This can also occur because of excessive tension at the skin closure, a hematoma, or smoking after the operation. Eventually, the wound heals, but a thicker, wider scar will develop in Cosmetic surgeons.
Contour Irregularities:
If small lumps or irregularities occur in the cheek area, they are commonly caused by a small hematoma or seroma. They invariably subside with time (4 to 6 weeks) and do not require any specific treatment. Occasionally, irregularity in the neck region may occur if more fat has been removed from one side than from the other.
This can be corrected by removing remaining fat with liposuction but only after a waiting period of 6 to 12 months. The waiting period is ensuring that the irregularity is not just asymmetrical swelling that resolves without surgery.
Sometimes, the salivary gland beneath the jaw bone is quite prominent. If the gland was prominent before surgery but camouflaged b excess skin and fat, it will become more prominent after the surgery because the excess fat is removed and the skin is tightened.
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