Subcutaneous hematoma due to submental liposuction: a case report

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.