Arlington Heights, Ill. -- A report by the American Society of Plastic Surgeons (ASPS) notes that men are twice as likely as women to develop hematoma after undergoing facelifts. This is especially true in men with high blood pressure.
Because men have thicker skin, with more hair folicles and more vasculature than women, their incidence of post-procedure hematoma is greater. The tendency toward hematoma is exacerbated by hypertension. In the study reported by ASPS, when men's blood pressure was treated prior to surgery, the incidence of hematoma dropped from 8.7 percent to 3.97 percent.
Both men and women are encouraged to have their blood pressure under control before undergoing invasive cosmetic surgery, and all patients are also encouraged to discontinue any medication that could promote bleeding, such as aspirin, St. John's wart, gingko and NSAIDs.