Revisiting Hematoma Rates In Male Patients After Facelift Surgery: A Matched Cohort Analysis.

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Surgery
• Surgical Outcomes Research

Background:

• Previous studies suggest higher hematoma rates in male facelift patients due to physiological and lifestyle factors.
• This study investigates gender-based differences in facelift outcomes, focusing on hematoma rates.

Purpose of the Study:

• To compare postoperative hematoma rates and overall outcomes between matched male and female facelift patients.
• To evaluate the effectiveness of standardized hematoma prevention protocols in reducing gender-based disparities.

Main Methods:

• Retrospective analysis of 541 facelift patients (2014-2024).
• Patients were matched by age, BMI, procedure type, local tranexamic acid (TXA) use, and comorbidities.
• Comparison of operative characteristics and postoperative complications between matched male and female cohorts.

Main Results:

• No significant difference in minor hematoma rates between genders (0% in males vs. 2.0% in females).
• Males experienced longer operative times and higher estimated blood loss (EBL) compared to females.
• Overall complication rates were similar between matched male and female facelift patients.

Conclusions:

• Standardized surgical protocols and tranexamic acid use mitigate the historically higher hematoma risk in male facelift patients.
• Modern surgical techniques can lead to comparable outcomes for male and female facelift patients, reducing gender-based disparities.