From the Research
The incidence of hematoma in male facelift patients is significantly higher than in females, typically ranging from 7-9% in men compared to 1-3% in women, as reported in the most recent study 1.
Factors Contributing to Hematoma Risk
The increased risk of hematoma in male facelift patients can be attributed to several factors, including:
- Thicker skin and stronger facial muscles
- Higher vascularity in the face and coarser hair follicles, which can increase bleeding risk
- Higher blood pressure and potential use of medications or supplements that affect blood clotting
Reducing Hematoma Risk
To minimize the risk of hematoma, male facelift patients should:
- Stop taking blood thinners, aspirin, NSAIDs, vitamin E, and herbal supplements like ginkgo biloba at least 2 weeks before surgery
- Undergo meticulous hemostasis techniques during the procedure
- Have careful blood pressure management both during and after surgery, as postoperative hypertension significantly increases hematoma risk
Importance of Blood Pressure Management
The study 2 highlights the importance of stable blood pressure during the peri-operative period, with a mean difference in blood pressure of 7 mmHg for systolic BP and 4 mmHg for diastolic BP when comparing the intra-operative to the post-operative periods.
Key Takeaways
- Male facelift patients are at a higher risk of developing hematoma compared to female patients
- Careful patient selection, meticulous hemostasis techniques, and careful blood pressure management are crucial in reducing hematoma risk
- The use of local anesthesia and prophylactic management of pain, nausea, and hypertension can also help minimize hematoma formation, as reported in 1 and 3.