I am a 63 year old woman and had a facelift and necklift almost 5 months ago. There was always some swelling on left side under jaw which surgeon thought would go away and didn't. Then this week I was painting my ceiling and looking up a lot. I felt a sharp burning streak down same left side from ear to jaw and now see additional swelling & sagging and feeling of inflammation. Could I have separated the platysmal muscle? and if so, how do I correct this so I have a better result. Thank you.
Answer: Neck laxity after facelift surgery Thank you for sharing your photo and asking your question. Based on your personal history of the events and the image you provide I feel that you would require a revision neck lift procedure. There is excess skin, the appearance of platysma separation, and maybe submandibular gland fullness. The burning along the left side of the neck does not represent the mid-line treatment of the platysma, but most likely represents the release of a scar or part of the outer attachment of the platysma. If you did not develop bruising in the region after pain and burning, then you do not/did not have a hematoma (blood collection). The lion's share of swelling is resolved by 6 months so I would not point to this as the culprit of your concerns either. I am sorry that you have these concerns and I am certain that your surgeon would want to address them. I advise that you contact your primary surgeon to express your concerns. If they are not addressed, then I would recommend obtaining a second opinion. I hope this helps you in finding your answer.Be healthy and be well,James M. Ridgway, MD, FACS
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CONTACT NOW Answer: Neck laxity after facelift surgery Thank you for sharing your photo and asking your question. Based on your personal history of the events and the image you provide I feel that you would require a revision neck lift procedure. There is excess skin, the appearance of platysma separation, and maybe submandibular gland fullness. The burning along the left side of the neck does not represent the mid-line treatment of the platysma, but most likely represents the release of a scar or part of the outer attachment of the platysma. If you did not develop bruising in the region after pain and burning, then you do not/did not have a hematoma (blood collection). The lion's share of swelling is resolved by 6 months so I would not point to this as the culprit of your concerns either. I am sorry that you have these concerns and I am certain that your surgeon would want to address them. I advise that you contact your primary surgeon to express your concerns. If they are not addressed, then I would recommend obtaining a second opinion. I hope this helps you in finding your answer.Be healthy and be well,James M. Ridgway, MD, FACS
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CONTACT NOW Answer: Hope this helps! At the typical six-week mark after surgery, the healing process is generally well underway. It's important to note that the likelihood of inadvertently disrupting your surgery at the five-month mark is relatively low. However, it's possible that some tension or movement may have affected the platysmal muscle or scar area, leading to discomfort and swelling. To provide you with the most accurate guidance, I recommend scheduling a consultation with your plastic surgeon. During this assessment, we can thoroughly evaluate your condition and discuss the appropriate next steps. Depending on our evaluation, a revision may be recommended to ensure the best possible outcome. Please rest assured that addressing concerns like these is a normal part of the healing process. We are here to support you in achieving the optimal results you desire. Feel free to contact our office to arrange a consultation, where we can address your specific situation and chart a path forward that aligns with your goals. If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.
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CONTACT NOW Answer: Hope this helps! At the typical six-week mark after surgery, the healing process is generally well underway. It's important to note that the likelihood of inadvertently disrupting your surgery at the five-month mark is relatively low. However, it's possible that some tension or movement may have affected the platysmal muscle or scar area, leading to discomfort and swelling. To provide you with the most accurate guidance, I recommend scheduling a consultation with your plastic surgeon. During this assessment, we can thoroughly evaluate your condition and discuss the appropriate next steps. Depending on our evaluation, a revision may be recommended to ensure the best possible outcome. Please rest assured that addressing concerns like these is a normal part of the healing process. We are here to support you in achieving the optimal results you desire. Feel free to contact our office to arrange a consultation, where we can address your specific situation and chart a path forward that aligns with your goals. If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.
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November 17, 2019
Answer: Burning after neck lift Thank you for posting your picture and questions. it seems that something has pulled away and cause some bleeding under the skin. Although that fullness will resolve in time there is probably some laxity (looseness )of the platysma muscle in that area. It is always best to have the original surgeon evaluate you and formulate a revision treatment plan. Always always choose a board-certified plastic surgeon and preferably one with a lot of aesthetic surgery experience. Hope this helps. Dr B
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CONTACT NOW November 17, 2019
Answer: Burning after neck lift Thank you for posting your picture and questions. it seems that something has pulled away and cause some bleeding under the skin. Although that fullness will resolve in time there is probably some laxity (looseness )of the platysma muscle in that area. It is always best to have the original surgeon evaluate you and formulate a revision treatment plan. Always always choose a board-certified plastic surgeon and preferably one with a lot of aesthetic surgery experience. Hope this helps. Dr B
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April 6, 2016
Answer: Platysma separation after facelift Based on your photo, and on your history, it is unlikely that a suture came undone or your muscle was pulled apart 5 months later. It seems you may need to have the muscle reapproximated. Sometimes removing too much fat centrally can create a similar deformity and sometimes the submandibular glands can contribute to that appearance. Partner with your plastic surgeon to see what can be done.
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CONTACT NOW April 6, 2016
Answer: Platysma separation after facelift Based on your photo, and on your history, it is unlikely that a suture came undone or your muscle was pulled apart 5 months later. It seems you may need to have the muscle reapproximated. Sometimes removing too much fat centrally can create a similar deformity and sometimes the submandibular glands can contribute to that appearance. Partner with your plastic surgeon to see what can be done.
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August 20, 2014
Answer: Revision of platysma plastic might be necessary to improve the appearance. The symptoms you described don't add up to a specific diagnosis but the photograph looks as though some revision of the platysma muscle might be of benefit. One would also want to examine the sub mandibular glands carefully to see if they are large.
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CONTACT NOW August 20, 2014
Answer: Revision of platysma plastic might be necessary to improve the appearance. The symptoms you described don't add up to a specific diagnosis but the photograph looks as though some revision of the platysma muscle might be of benefit. One would also want to examine the sub mandibular glands carefully to see if they are large.
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March 3, 2015
Answer: 5 months after a facelift the best thing would be to be seen in person by your surgeon who can examine you to determine what is going on. If this happened 5 months after, you may have a fluid or blood collection that developed. It is unlikely that a muscle tear would create this appearance.
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CONTACT NOW March 3, 2015
Answer: 5 months after a facelift the best thing would be to be seen in person by your surgeon who can examine you to determine what is going on. If this happened 5 months after, you may have a fluid or blood collection that developed. It is unlikely that a muscle tear would create this appearance.
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