Cheek Swelling After Liposuction and Botox Treatment - Plastic Surgery

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The cheeks are swollen (liposuction & Botox)?


I had cheek and chin liposuction six months ago, and the recovery went well without any issues.
Initially, my facial nerves felt a bit numb, but they have completely recovered.
However, for the past two weeks, I've been feeling a slight swelling around my cheeks, although my gums are not inflamed.
The swelling is mild and not painful, and it's not very noticeable unless you look closely, but I can feel it.
Should I schedule a follow-up appointment? Could this be related to the Botox I received last month (in my masseter muscles)? Or should I consult a specific type of doctor?

Abby, 30~39 year old female. Ask Date: 2016/06/16

Dr. Lu Daokuan reply Plastic Surgery


Whether to undergo liposuction or return for a follow-up with the original physician.

Reply Date: 2016/06/16

More Info


After undergoing cheek and chin liposuction six months ago, it’s understandable to have concerns about any new sensations or changes in your facial area, especially if they arise after a period of normal recovery. The swelling you are experiencing in your cheeks, particularly around the jawline, could be attributed to several factors, including the recent Botox treatment you received in the masseter muscles (the muscles used for chewing).
Firstly, it’s important to recognize that swelling can occur for various reasons post-surgery or treatment. In the case of liposuction, while most swelling typically resolves within a few weeks, some residual swelling can persist for months, especially in areas that have undergone significant manipulation. The fact that you are noticing a mild swelling now, which is not painful and does not appear to be associated with any inflammation of the gums, suggests that it may not be a cause for immediate concern.
However, Botox can also contribute to changes in the appearance of the face. When injected into the masseter muscles, Botox can temporarily weaken these muscles, which may lead to a change in how the surrounding tissues settle and appear. This could potentially create a sensation of fullness or swelling in the cheeks, especially if the muscle tone is altered.
Given that the swelling is mild and you are not experiencing pain or other alarming symptoms, it may not be necessary to rush back to your doctor. However, it is always prudent to consult with your healthcare provider if you have any concerns, especially if the swelling persists or worsens. They can assess whether this is a normal part of your recovery or if it requires further investigation.

In terms of which specialist to see, you might consider returning to the plastic surgeon who performed your liposuction, as they would be most familiar with your surgical history and the typical recovery process. If you feel that the swelling might be related to the Botox treatment, you could also consult with the practitioner who administered the Botox. They can evaluate the injection sites and determine if there are any complications or if the swelling is a normal reaction to the treatment.

In summary, while mild swelling after such procedures can be common, it’s always best to err on the side of caution. Keep an eye on the swelling, note any changes, and don’t hesitate to reach out to your healthcare provider for peace of mind. They can provide you with the most accurate advice tailored to your specific situation.

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