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.
What Can Be Done to Reduce Swelling and Lumps After Lower Facelift and Platysmaplasty?
Doctor Answers (14)
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.
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 lumpiness is variable with each patient, and is worse if there was some under-the-skin bruising or oozing in the early post-op period. This can occur with vomiting, increased activity, or elevated blood pressure from any cause. Whatever swelling has turned into subcutaneous scar tissue can be reduced by external massage therapy, external ultrasound treatments, and perhaps gentle infrared treatments, (all performed in our office by our massage therapist, and included in the cost of our facelift procedures). You can do this on your own, but don't think you can reverse this overnight--a regular routine of massage and continued head elevation above heart level will help this resolve soonest. Scarring or excessive lumpiness that persists can be further reduced by judicious steroid injections by your surgeon.
At this point in time, Arnica and Bromelain are no longer helpful (though I use Arnica in my patients immediately post-op, and feel that it is a benefit in reducing bruising and aiding re-absorption). Be patient, you still have a way to go to see your final results.
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.
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What can be done to reduce swelling and lumps after lower facelift and platysmaplasty?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Smoothing lower facelift results 9 weeks after surgery
Swelling and lumps after lower facelift and platysma plasty
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
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
Facelift and numbness/swelling associated with it
At nine weeks post-op I would use warmth and massage (gentle) only. Not cold or compression.
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.
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 mixed with 5-FU, a chemotherapeutic injectable medication, act in concert to reverse these inflammatory nodules. Please keep in mind that this an FDA "off label" use. When injected under the skin in sparing amounts into the area of nodularity, we have had good results and no complications. If the patient is willing to accept the theoretical risk of having this injection, I believe it is a good solution to achieving a great result in these cases.