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Lower Facelift and Platysmaplasty 8 Weeks Ago and I Still Have Lump Under my Chin

asked 1 year ago by Danielle1231 in California
Latest answer by Richard H. Tholen, MD, FACS
Question viewed 1,178 times
Tags: chin, lumps

Is this normal or do I need liposuction? Prior to surgery my PS didn't think it was necessary and I didn't either(I am slender w/ good skin elasticity). When I saw him last we discussed the neck bands still present and the lump. He said that he should have done liposuction. I am not so sure although the neck bands are still there. I just think this may be a seperate issue and I don't want to have any extra unnecessary surgery. I am reading that these lumps are not so uncommon. Thank you

7 answers to Lower Facelift and Platysmaplasty 8 Weeks Ago and I Still Have Lump Under my Chin

+2

Lump under chin after lower facelift and platysmaplasty

If you and your surgeon didn't feel a need before surgery to address this area, the swelling and fullness you see now under your chin should improve over time, though this will take several months to completely settle. I'm sure both you and your surgeon will agree that nothing was "added" to this area other than post-operative swelling and perhaps some fluid or blood. The latter can cause increased scar fibrosis and result in subcutaneous firmness and persistent bulging in... more
+2

Facelift with Platysmaplasty

The lump under your chin can be caused by a number of things.  First, being you are only 8 weeks out the fullness under the chin may represent a fluid collection, a hematoma(collection of blood), or generalized inflammation or induration.  Fortunately, when recognized and addressed each of the above situations can resolve over time with proper minimally invasive managment.  Other reasons for fullness under the chin can be lack of fat removal when treating the neck or... more
+2

It depends on a couple of things, the type of platysmaplasty and whether or not you had a hematoma afterwards

Hi Nicole1031, Good question, but it really needs more clarification in order to say whether or not this it normal after surgery or whether you need more surgery. First, a platysmaplasty can also be a lateral platysmaplasty, where the surgeon doesn't operate on the muscle bands from the area under the chin.  If a "real platysmaplasty" AKA corset platysmaplasty or midline platysmaplasty was performed, then usually there is an incision at least 3/4" to... more
+1

8 Weeks After Platysmaplasty

Although it is totally normal to have some degree of swelling 8 weeks after a Facelift, the residual presence of neck bands is not.  These findings can only be evaluated by your Surgeon and should be examined.
+1

Swelling under chin after lower face lift

Dear Lower Facelift Patient from New Jersey, According to your description, you might have bunching of platysma band and skin, fluid collection, or generalized edema (swelling). Eight weeks post lower face lift is too soon to judge the long term outcomes. Talk to your Surgeon, or you can get a second opinion in two months if the issue persists. Good luck and good healing  
+1

Lump in neck

A lump under your chin after platysmaplasty may be the bunching of the plastysma or could be fat or could be fluid. It is hard to say without an exam.
+1

Face and neck lift

After face and neck lift it not uncommon to have lumpiness nd eneveness because of swellingand the healing process. it all depends on what was done to the neck. Even though you are slim you still could have excess fat under the muscle that causes full neck. the bands are the platysma muscle seperated and causing bands which is repaired by Platysmaplasty and that involves suturing the edges of the muscle in the midline and weakining of the muscle. Consult a BOARD CERTIFIED... more

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