Delayed Superficial Temporal Artery Pseudoaneurysm Following Minor Trauma in a Post-facelift Patient

A 37-year-old woman with a history of facelift surgery presented with a painless temporal mass after surfboard trauma. Physical examination revealed a 1 cm pulsatile mass, and ultrasound confirmed a superficial temporal artery pseudoaneurysm. Surgical excision was complicated by adhesions from previous facial surgery and steroid injections. Histopathology showed vessel wall disruption and fibrosis consistent with pseudoaneurysm. This case highlights the potential risk of vascular complications in patients with prior aesthetic procedures, emphasizing the need for careful evaluation of persistent swelling in this population. Surgeons should exercise caution during temporal region procedures and maintain vigilance for delayed vascular complications in previously operated areas.