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?
Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing?
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Hard to tell from one photo
Swollen and lumpy three weeks after facelift surgery abroad
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.
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.
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Lumps after facelift
Around the third week, most people start to feel lumps in front of the ear and below the jawline. This is normal collagen deposition from healing of the deeper tissues. Usually, it is felt more than seen though sometimes it can be seen as well. The lumps can get worse for about 6 weeks and then they start to dissipate and look much better around 10-12 weeks. You can help the lumpiness improve by massaging the lumps 20 secs twice a day to apply mild pressure to the area but also to increase bloodflow to help it subside.
In general, if you have a fuller face, you have more soft tissue than most so you'll hold on to fluid longer and have swelling after facelift longer. If you tend to bruise easily, your body has to clear the bruising so that will increase swelling in the area of the bruise more than average. Patients who have a robust immune system and heal well sometimes will swell even more because it's trying to do it too quickly and it will then take the fluid, from the increase in resources over a short period of time, time to dissipate and increase swelling after facelift. Thicker skin individuals, such as african-americans, asians, hispanics, and oily caucasians, will sometimes take longer to return to normal as well since thicker skin is like having a thicker sponge so swelling takes longer to resolve. Each person is different, but, on average, most people can plan on 14 days for noticeable swelling after facelift and to be presentable, with makeup.
Swelling after facelift
Swollen and lumpy 3 weeks postop facelift
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
Lumps and Bumps after Facelift and Neck Lift
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.
Lumps & Bumps May Take Up to 6 Wks to Heal; Your Large Bump Suggests You Have a Seroma or Hematoma - See Your Surgeon ASAP
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.
Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing
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.
Facial swelling after a facelift is normal
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.
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.