What are the complications of facial wrinkle removal? Hematoma is the most common complication after wrinkle removal.

I believe that many women are afraid of getting wrinkles on their faces, but as they age, wrinkles on the face are inevitable, so many people choose facial wrinkle removal surgery at this time.

What are the complications of face lift surgery?

Hematoma is the most common complication after rhytidectomy

(1) Cause

① Increased blood pressure: Increased blood pressure during and after surgery is the most likely cause of hematoma. To this end, various factors that can increase the patient's blood pressure should be avoided, such as intraoperative anesthesia, medication, emotional tension, postoperative pain, coughing, vomiting, etc. ② Incomplete hemostasis during operation. Improper bandaging after surgery: During wrinkle removal surgery, you should be familiar with the areas that are prone to bleeding. Ligation is required to stop bleeding. If there is a lot of bleeding during the operation, inserting a drainage strip or negative pressure drainage tube is a reliable way to prevent hematoma formation. At the end of the operation, a light pressure bandage is required with even pressure. Place appropriate amount of gauze padding behind the ears, forehead and other parts to prevent pressure injuries. ③ The patient has taken vasodilator, anticoagulant and other drugs before surgery: such as aspirin, phenylbutazone, vitamin E, dipyridamole, hormones, etc. Those who take the above-mentioned drugs must stop taking them for 2 weeks before surgery.

(2) Clinical manifestations include increased pain, fullness of the affected side of the face, swelling of the eyelids and lips, and ecchymosis. The bandage should be opened immediately. If there is a significant increase in skin tension, decreased sensation or numbness, there may be a hematoma. Immediately remove several sutures for drainage, or perform puncture and aspiration, and then apply pressure bandage.

2. Skin necrosis

The causes of skin necrosis are as follows: ① Failure to promptly treat hematoma may lead to infection and skin necrosis, so active prevention and timely treatment of hematoma should be carried out. ② If the skin flap is separated too thinly, it will damage the blood supply, which may not only cause skin necrosis, but also easily produce deformity changes such as dermal adhesion.

Therefore, the correct thickness of the flap should be determined during the operation, and an appropriate amount of subcutaneous fat should be included according to the requirements and different parts of the body. ③The incidence of skin necrosis in smokers is higher than that in non-smokers. In addition, excessive tension can cause necrosis of the suture edge, and accidental burning of the area by the electric knife can cause punctate necrosis.

3. Baldness

(1) Cause

① The scalp flap is too thin, damaging the hair follicles, or the hair follicles are damaged when using an electric knife for separation. ② Excessive tension will cause scar formation at the suture edges and degeneration of hair follicles. Even if there is no obvious tension, baldness at the suture edges may occur if the margins are too wide or the stitches are too dense.

(2) When preventing scalp separation, it is not advisable to use an electric knife; it is necessary to grasp the correct plane and retain a certain amount of subcutaneous fat (which contains hair follicles). For tension-reducing sutures, the scalp margin only involves two rows of hair, and the stitch length should be about 6 to 7 mm.

There are relatively many complications in facial wrinkle removal, so it is recommended that you try not to choose this method to remove wrinkles, so as not to have adverse effects on our body. Maintain good living habits and a healthy and optimistic attitude in daily life. I believe that we will become younger and younger. I hope my description is helpful to you. I wish you good health.