Subcutaneous hematoma due to submental liposuction: a case report

TL;DR

A young woman developed a large hematoma after submental liposuction, leading to breathing issues, but recovered with treatment and proper medical care.

Contribution

This case highlights the importance of thorough evaluation and expertise in preventing complications during submental liposuction.

Findings

The patient showed significant improvement after treatment with antibiotics, hydrocortisone, and clot removal.

By the 10th day, edema resolved and respiratory symptoms and neck mobility improved markedly.

Proper anatomical knowledge and technique are crucial to prevent vascular damage during submental liposuction.

Abstract

A young woman developed a large hematoma after submental liposuction, causing swallowing and breathing issues. The patient reported shortness of breath (SOB), along with neck pain, swelling, bruising, and reduced range of motion (ROM). Lab tests showed elevated leukocytes [14.1 × 103/μL (4.50–10.00), normal hemoglobin (12 g/dL (12–16 g/dL), normal platelets (270 × 103 U/L (150–450 × U/L)], and positive CRP. Treatment included antibiotics, hydrocortisone, and clot removal. Regular examinations showed significant improvement without lesions. By the 10th day, edema had completely resolved, with marked improvement in bruising, respiratory symptoms, and neck mobility. Thorough evaluation of candidates for submental liposuction is vital. A doctor’s expertise in techniques and anatomical knowledge can prevent vascular damage. Timely diagnosis and intervention can effectively manage complications and enhance liposuction results.

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