Lower Face Lift: Q&A

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What Can Be Done to Reduce Swelling and Lumps After Lower Facelift and Platysmaplasty?

I had a lower facelift and platysmaplasy 9 weeks ago and still have swelling,numbness and lumps. Can I use ice and heat alternately? Can is use Bromelain and Arnica again to help? Is there something else I can do or take? Thank you for any advice that will help.

11 Doctor Answers | Asked by Danielle1231 in California
+4

Swelling And Lumps After Lower Facelift and Platysmaplasty-Try Massage

Thank you for your question. Be sure to see your surgeon for advice. In my experience minor swelling and lumps after Lower Facelift and Platysmaplasty can respond to warm soaks and massage. Ultrasound can also help. It is important to be examined by your surgeon to make certain that there is not a collection of blood or hematoma. Minor swelling and lumps should resolve with time.
+2

Home ultrasound device for lumps after facelift

In my practice I have found that a small home ultrasound devices are very helpful to eliminate the early postoperative lumps that sometimes form.  They cost about $100.
+2

Swelling and lumps 9 weeks after lower facelift and platysmaplasty--what to do?

At just over two months post-op lower facelift and platysmaplasty, numbness is entirely expected and should gradually return to a new "normal" over several months, and reach maximum improvement at about one year. Scars also take 6-8 months (or longer) to completely soften, settle, and fade maximally, but you must avoid ultraviolet exposure (sun AND tanning beds of any kind) until your scars have lost all pinkness in order to prevent unwanted hyperpigmentation. Swelling and... more

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+2

Swelling and numbness associated with lower facelift surgery

Dear Lower Facelift Patient from New Jersey, Healing process varies person to person. As swelling subsides after any facelift surgery, sensory nerves begin to function, therefore numbness will subside. Nine weeks post op majority of swelling associated with facelift surgery should subsided, and the remaining will resolve over next few months. Massage and external ultrasonic treatments are good options. Good luck and good healing.  
+1

Swelling and numbness is to be expected- this is what helps

Here is what I have found to help in many cases: Localized lymphatic massage - your surgeon will demonstrate for you Continued head elevation Ultrasound treatment Low Salt diet No heavy lifting or intense exercise Use of injectables such as steroids are contoversial and should be discussed with your surgeon I don't think alternating ice and heat, Arnica or Bromelain will be of benefit at this stage
+1

Facelift and numbness/swelling associated with it

At nine weeks post-op I would use warmth and massage (gentle) only. Not cold or compression.
+1

Face lift swelling after lower facelift and platysmaplasty

This is not uncommon after 9 weeks. At this point you likely have around 65% of your healing. We usually tell people that they will have 60% of their healing / recovery complete by 6 weeks, 80-90% by 6 months. 100% can take as long as 2 years. This is based on wound healing studies and tensile breaking strength of a heal wound. For the lumps, I would suggest steroid injections, tape and pressure dressings. Bromelain and Arnica will not help at this point in my opinion.
+1

Lumps and swelling after Facelift

Despite meticulous attention to controlling bleeding during a facelift and even using drains, blood can get trapped under the skin flap, without a localized hematoma requiring drainage. Blood products are extremely inflammatory. This can cause unwanted lumps or nodularity after a face lift, particularly in the neck and under the chin where it they might collect from gravity. These are best recognized and treated early. My colleagues and I have found that a dilute concentration of steroid... more
+1

Swelling after Facelift Surgery

It is not unusual to still have swelling and lumps 9 weeks after Facelift surgery, in fact for some it can take many weeks for it to resolve. At this point ice and arnica will have little effect. Massaging may help, and I recommend sleeping with an extra pillow to keep your head elevated.
+1

Treatment of lumps and swelling in face

At nine weeks having some swelling and some lumpiness is not that unusual. This usually gets better with time, but massage may help.
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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.

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