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Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing?

i have just had face lift and necklift 3 weeks 5 days ago .  i am home from surgery abroad and my jawline looks amazing but hae quite a large lump at the side of my right neck.does not eem to be going down any and. have noticed little lumps appearing under chin aswell. is this normal healing process i do know swelling can take months?

Doctor Answers (16)

Swollen and lumpy three weeks after facelift surgery abroad

+2

  It is likely that this represents routine swelling, and routine lumps and bumps after surgery, all of which will resolve with time.  But no one on this forum can say for certain that you have nothing to worry about without seeing you in person.  Certainly, this is the problem when patients visit other countries for their surgery.


Saint Petersburg Oculoplastic Surgeon
4.5 out of 5 stars 36 reviews

Surgical lumps

+2

We see this routinely at this stage. Years ago we would inject with steroids and massage. These lumps would go away in 3-6 months. The injections would hurt and massage would loosen skin. Now we do not inject or massage (or very little). They still go away in 3-6 months! Best to do nothing. I would still follow up closely with your plastic surgeon.

Timothy Fee, MD
Jacksonville Plastic Surgeon
4.5 out of 5 stars 23 reviews

Swollen and lumpy 3 weeks postop facelift

+1
  It is normal at 3 weeks to have some degree of swelling and lumpiness underneath the chin and over the cheek areas. These usually represent small seromas/ fibromas that tend to dissipate over the first few months after the surgical procedure. It's always best to check in with your original surgeon, but since you've had this performed out of the country, it might not be a bad idea to check in with a local surgeon to make sure your healing adequately.
 For many examples of what can be accomplished with a facial rejuvenation in our practice, please see the link below to our facelift photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

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Lumps and Bumps after Facelift and Neck Lift

+1

In the healing process, it is not uncommon to have some fullness or lumpiness after facelift and neck lift. These are generally in the lateral neck , below the ears, or immediately under the chin. The thing to watch out for is pain, increasing swelling, warmth, and fever. These can be signs of a hematoma, seroma, or infection. In my practice, I recommend some massage to the area, and in some cases, warm compresses. Minor irregularities typically resolve in 3 to 4 months. Make sure to follow up with your surgeon, if at all possible.
 

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
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Lumps & Bumps May Take Up to 6 Wks to Heal; Your Large Bump Suggests You Have a Seroma or Hematoma - See Your Surgeon ASAP

+1

Lumps and bumps following facelift surgery are not uncommon. These usually result from areas of tissue indurations, small blood clots and scar tissue. They typically respond to massage and show significant improvement in the first six weeks following surgery. The vast majority have resolved in about three months.

The large bump on the right side of your neck represents an area of particular concern. This could be a seroma or hematoma and might require aspiration. It’s important that you discuss this issue with your plastic surgeon. Your surgeon will be able to help you manage this problem. Be patient, you may ultimately have an excellent result.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 73 reviews

Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing

+1

Swelling could be normal but examination would be needed to tell if it was edema vs. a hematoma.  Only a surgeon could tell with accuracy. If it is edema (soft tissue swelling) then observation is needed. However, if it is a hematoma then drainage is indicated and possibly a drain.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 37 reviews

Facelift/necklift swelling suggestions

+1

It depends on what type of facelift was done, but in general swelling 3 weeks after facelift is not normal.  It could be a hematoma or a seroma in the area, and the fluid could be going down into the chin area to create swelling there.  Treatment is indicated, usually aspiration and possibly placement of a drain for a couple of days

James Carraway, MD
Virginia Beach Plastic Surgeon
4.0 out of 5 stars 4 reviews

Facial swelling after a facelift is normal

+1

It takes around 6 weeks for facial swelling to subside after a facelift.  It is helpful to massage the face or have a massage therapist or Endermologist do it for you.  If you have a fluid collection, it will need to be drained or you will have a persistent problem in this area with scarring.

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 45 reviews

Lumpiness 3 weeks after Face Lift

+1

The swelling and lumpiness, in your photo, seems typical at 3 weeks post op from a traditional Face Lift.  This can last up to a full year but will ultimately resolve.  I personally don't place incisions in the siadeburn area or in front of the posterior hairline but rather place each several inches within the hair bearing scalp to hide them from plain sight.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Lumps and bumps after facelift

+1

Having lumps and bumps (and swelling throughout the face and neck) after facelift is not unusual.  Being patient during this time is a difficult time, but almost always, the swelling, lumps, and bumps will go down over the next few weeks to months.

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.