A positive correlation between nausea and vomiting and the occurrence of postoperative hematoma was demonstrated in a series of 922 consecutive face lifts during the past 6 years. Intraoperative or postoperative hypertension did not play a statistically significant role in hematoma formation. Establishment of good patient rapport, conservative management of complications, and judicious revision of disfiguring scars are most important in dealing with the inevitable problems which arise following face lift operations.