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What Are the Risks Associated with a Facelift?

What Are the Risks Associated with a Facelift

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A facelift is a surgical procedure that rejuvenates the facial structures and skin. You still look like yourself, but more refreshed. Just like any other surgical procedure, there arerisks involved with a facelift that includes bleeding, scar formation, infection, a result that is too tight or too loose, injury to facial structures, or reactions to anesthesia.

The blood flow to the face is excellent, due to many facial blood vessels. However, if excessive bleeding occurs, you can potentially develop a bruise or a hematoma, which is an abnormally large collection of clotted blood. This is a surgical urgency or emergency and you should tell your plastic surgeon immediately. Many times this clot can simply be removed with a needle and syringe. If the clot is too big, then you may require a small surgical procedure to remove it. To avoid this complication, make sure to tell your doctor about any blood thinning medications you are on, such as aspirin, Coumadin, or any other medicines.

Scars are hidden behind the hairline, in front of the ear, and behind the ear. Care of your surgical incisions immediately after surgery will ensure the best result possible for your facelift. Since scars may change appearance over a long period of time, it is important to care for your scars well after your surgery. If your scars turn thicker, wider, or more red after your facelift, you may need sun protection, anti-scar creams, anti-scar bandages, or ever cortisone injections.


The amount of facial skin and structure tightness after a facelift is very subjective and your overall health and your skin's characteristics may affect your results. You do not want a result that is too tight, because it will look unnatural. Also, a result that is too loose may not give you the rejuvenation that you wish for long term. It is important to talk to your plastic surgeon before surgery and show them the result you would like to achieve. You may or may not have realistic expectations of what is possible with a facelift. Your plastic surgeon should be able to show you how tight your facelift can be.

Injury to underlying facial structures is a very rare but is a possible complication. The tissue around the facials structures is what is tightened to give a long-lasting result and this lasts longer than just tightening facial skin. Sometimes excessive swelling or bleeding may put too much pressure on the branches of the facial nerve. This usually goes away with time, but it may take several months for the swelling to no longer put pressure on your nerves.

Reaction to anesthesia is not really a risk with a facelift, but rather, a risk that is associated with your overall medical health and age. Most patients who undergo a facelift are older, and may have preexisting medical illnesses such as diabetes or high blood pressure that need to addressed by the anesthesiologist and your family doctor before your procedure. A reaction to anesthesia is rare, but it usually associated with your overall health and not necessarily with your facelift procedure.
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