Aesthetic Plastic Surgery

, Volume 34, Issue 4, pp 502–507

Prevention of Acute Hematoma After Face-Lifts

  • G. M. Beer
  • E. Goldscheider
  • A. Weber
  • K. Lehmann
Original Article

DOI: 10.1007/s00266-010-9488-8

Cite this article as:
Beer, G.M., Goldscheider, E., Weber, A. et al. Aesth Plast Surg (2010) 34: 502. doi:10.1007/s00266-010-9488-8


Acute hematoma remains one of the most frequently encountered complications after face-lift surgery. Several risk factors inherent to the patient and omission of certain intraoperative regimens are considered to cause hematoma. Significant risk factors include high blood pressure and male gender. Possible intraoperative regimens for the prevention of hematoma include tumescence infiltration without adrenaline, clotting of raw surfaces with fibrin glue, usage of drains, and application of compression bandages. However, little attention has been paid to postoperative measures. To examine whether different regimens in the postoperative phase can influence the incidence of hematoma, all face-lift patients who underwent surgery by a single surgeon in two different clinics (n = 376) with two different postoperative regimens were evaluated over the course of 3 years. In group 1 (n = 308), all postoperative medication was administered on request including medication for pain control, blood pressure stabilization, and prevention of nausea and vomiting as well as postoperative restlessness and agitation. In group 2 (n = 68), this medication was administered prophylactically at the end of the operation before extubation. The hematoma rate was 7% in group 1 and 0% in group 2. This study showed that the prophylactic use of medications (e.g., analgesics, antihypertonics, antiemetics, and sedatives) during the postoperative phase is superior to making drugs available to patients on request and can decrease the occurrence of acute hematoma in face-lift patients.


Acute hematomaFace-liftPostoperative phaseProphylactic medication

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2010

Authors and Affiliations

  • G. M. Beer
    • 1
  • E. Goldscheider
    • 2
  • A. Weber
    • 3
  • K. Lehmann
    • 4
  1. 1.Clinic of Aesthetic Plastic SurgeryZürichSwitzerland
  2. 2.Division of AnesthesiaAnheggerstrasse 2 D (Römerpark)LindauGermany
  3. 3.Division of General SurgeryKantonspital Appenzell InnerrhodenAppenzellSwitzerland
  4. 4.Division of AnesthesiaKantonspital Appenzell InnerrhodenAppenzellSwitzerland