Prior to discharge, the flaps are checked for any signs of postoperative hematoma. Patients then are examined at 6 months postoperatively and then yearly. Patients are encouraged to call if they have any problems or concerns and will be examined for any unusual problems in the healing period. Postoperative photographs are used to document postsurgical changes. As with any rhytidectomy technique, postoperative hematoma may occur and should be evacuated immediately to prevent slough of the flaps and wound healing problems.
Patients usually complain of severe unilateral pain.
Any unusual pain in the postoperative period should be investigated. The incidence of wound healing problems is as much as 12 times higher in patients who smoke than in patients who do not smoke. Monitor sloughing of skin flaps closely. Usually, sloughing is treated conservatively. After healing by secondary intention has occurred, scar revision may be necessary.