Facial contusion and swelling from a car accident?
Hello doctor, I was in a car accident last July, and the right side of my face sustained a significant impact.
My cheek was completely bruised and swollen.
After two days, it started to turn purple.
Now, there are no visible bruises, but I still feel a foreign sensation in my cheek.
When I smile, my face appears asymmetrical.
Pressing on my cheek and zygomatic bone causes a tingling sensation and mild pain.
There is a small hard lump when I pinch my cheek.
Should I see a plastic surgeon for this?
Lin Zhi Yu, 20~29 year old female. Ask Date: 2023/05/16
More Info
After experiencing facial injuries from a car accident, it is crucial to seek appropriate medical care to ensure proper healing and to address any ongoing concerns. Given your symptoms, including persistent swelling, asymmetry, and discomfort in the cheek area, it is advisable to consult with a plastic surgeon or an oral and maxillofacial surgeon. These specialists are trained to handle facial trauma and can provide a comprehensive evaluation of your condition.
When to See a Plastic Surgeon
1. Persistent Symptoms: If you are experiencing ongoing symptoms such as a sensation of foreign body presence, asymmetry when smiling, or localized pain and numbness, these could indicate underlying issues that may require surgical intervention. A plastic surgeon can assess whether there are structural problems, such as fractures or soft tissue injuries, that need to be addressed.
2. Hard Lumps or Masses: The small hard lump you mentioned could be a hematoma (a localized collection of blood outside of blood vessels) or scar tissue. A plastic surgeon can determine the nature of this lump and whether it requires treatment, such as drainage or excision.
3. Facial Asymmetry: If your facial symmetry has been affected, a plastic surgeon can evaluate the extent of the asymmetry and discuss potential corrective procedures. This may include surgical options to realign the facial structures or non-surgical options like fillers or Botox to improve appearance.
4. Pain Management: If you are experiencing pain upon pressing certain areas of your face, it is essential to have this evaluated. Pain can be a sign of nerve damage, infection, or other complications that may need medical attention.
Additional Care Recommendations
- Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential. They can monitor your healing progress and make recommendations based on your recovery.
- Pain Management: Over-the-counter pain relief medications, such as acetaminophen or ibuprofen, can help manage discomfort. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.
- Wound Care: If there are any open wounds or sutures, follow your doctor's instructions for care. Keeping the area clean and protected is vital to prevent infection.
- Physical Therapy: If you experience restricted movement or function due to your injuries, physical therapy may be beneficial. A therapist can provide exercises to improve mobility and reduce discomfort.
- Nutrition: A balanced diet rich in vitamins and minerals, particularly vitamin C and protein, can support healing. Foods like fruits, vegetables, lean meats, and dairy products are excellent choices.
- Avoiding Sun Exposure: Protect your healing skin from sun exposure, as this can lead to hyperpigmentation and worsen scarring. Use sunscreen and wear protective clothing when outdoors.
Conclusion
In summary, given your symptoms and the nature of your injuries, it is highly recommended to see a plastic surgeon for a thorough evaluation. They can provide tailored advice and treatment options to help restore your facial appearance and function. Early intervention can significantly improve outcomes, so do not hesitate to seek the care you need. Remember, your health and well-being are the top priority, and addressing these concerns promptly will aid in your recovery.
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