The Complication of Middle Facelift Surgery Resulting in Migration of Temporal Augmentation Implant

Abstract

A 66-year-old woman admitted with induration, peri-wound marceration, swelling, and tenderness on temporal area. She had repeated painful tenderness on temporal area for 10 days. In the peri-wound, discharge volume increased when she ate spicy food or drank lemon juice. She had no trauma history and special medical history. But 3 weeks ago, she had midface lift surgery at another local clinic. Initially, the authors had aspiration to swelling spot, checked 50 cc serotic discharge. The authors checked contrast enhance facial computed tomography and found homogenous fluid collection and peripheral enhancing low attenuated lesion in the anterior portion of tragus and inferior aspect of left ear lobe. Also migration of ipsilateral temporal augmentation implant was shown as a result of seroma in temporal fossa. The authors decided to proceed with the surgical removal and diversion of fluid collection. Under local anesthesia, the authors had incision and drainage, inserted drainage tube and bag. After inserting a drainage device, daily discharge was reduced and the condition was treated conservatively with additional drainage and resolved completely in 3 weeks. There were no wound problems such as infection, disruption, and so on.