Hematoma Formation in Deep Plane Rhytidectomy

Abstract

Hematoma formation following rhytidectomy procedure is unfortunately common and one of the more devastating complications that can occur. Various reports have cited the incidence of hematoma formation using the superficial musculoaponeurotic system–platysma technique; but, to our knowledge, no report has specifically addressed the incidence of hematoma formation following deep plane rhytidectomies. We retrospectively reviewed the medical records and deep plane rhytidectomy worksheets of 451 consecutive deep plane rhytidectomies preformed at one institution by one surgeon. The incidence of major hematoma was 2.2% (10/451) and of minor hematoma was 6.65% (30/451). All hematomas that did occur did so in the subcutaneous plane of dissection. There were no facial hematomas.