I Have What Looks Like A Rope Around My Neck Following Facelift/Necklift

asked 10 months ago by Patrons1 in Henderson, NV
Latest answer by Sam Naficy, MD
Question viewed 348 times
Tags: asymmetry, droopy, 1 month post-op, options, scar

I had a face lift and a neck lift a month ago. As a result, I now have what appears to be a small rope around 1/2 of my neck. Additional my right side of my face is far more doopy than my left, ( which is good). I go back to the Dr. in 10 days for my 6 week evaluation. Is this something that he should fix?

10 answers to I Have What Looks Like A Rope Around My Neck Following Facelift/Necklift

It can be corrected if not better in 3-6 months

The bands that you see under the neck is because of limited undermining at the chin and too much fat removal from under the chin. This can be seen also in patients with poor skin tone . You need to see your surgeon as soon as possible to start you on Endermologie or lymphatic drainage message. If this is not resolve in 6 months ,revision can help. You need to start message ASAP before too much scar formation under the chin.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Disappointing facelift/necklift results!

This area of subcutaneous scar fibrosis causing "banding" in the neck is usually the result of undrained hematoma or seroma. Did you have a drain? Was it removed only after the drainage had diminished? Did you wear an elastic chin strap and limit activities in the first 2 weeks after surgery? Did you have a lot of swelling and bruising after surgery? All of these play a role in any such occurrence, but when I have seen this, re-operation is almost always necessary, but not sooner... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Definitely worth discussing with your surgeon.

This is a bit unusual. However, swelling and lumpy fullness following facial surgery can remarkable works its way out with time. Your surgery should recognize if he or she did some type of manipulation that resulted in this roll or if you had a hematoma or seroma that accounts for this appearance. I would encourage you to call your surgeon and be seen earlier than what you are currently scheduled for. This concern should be evaluated by your surgeon. It is... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Rope around neck

This almost looks like an endotine ribbon which can be used to lift the neck. If so they dissolve over 6-9 months. If not it may just be persistent edema demarcated in an isolated area. see what your doctor thinks. He/she is in the best position to know exactly what was done and what the prognosis is.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

Male face lifts take time to settle in

Most necks (and faces) are uneven to begin with and the difference in the two sides usually represents both differences in early healing and what might have been done differently on each side to adjust the neck. Regarding the thickening in the neck - that also may be due to what was done in the underlying structures of the neck. It also may be due to a prior collection of fluid in the neck (seroma or Hematoma) which also usually will settle out, but may require some... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Ropy swelling on neck

I agree with others that this is likely the result of a hematoma. You should see your surgeon sooner than later and consider steroids injections and masage

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

The neck rope looking things look like where the drains used to be

This condition can occur if the drains are taken out too early and there is fluid in the drain tracks that form scar tissue. At this point, there is likely some scar tissue there and may be hard to remedy. You could use some steroid injections. If there is still fluid, I would express them out through a small incision or with a needle and syringe. Hopefully that is all you need. These tend to resolve though. see video

Philip Young, MD
Bellevue Facial Plastic Surgeon

www.drphilipyoung.com

Resolving "Ropey" appearance

It has been approximately five weeks since the procedure and generally at this time healing issues, bumps and lumps and “ropey” appearance problems have resolved. However in a small percentage of individuals this can be a persistent manifestation. Bumps and lumps and ropey appearance can last longer than five weeks, even into the three month mark. Generally, according to the appearance of the picture, there is no evidence of infection and this is simply an area... more

David Q. Santos, MD
Seattle Facial Plastic Surgeon

Rope around neck

It is difficult to say exactly what is the cause of your issue. what does your surgeon say? most issues do get better with time. if you do need a revision wait at least 6 months from the initial surgery

Jonathan Saunders, MD
Newark Plastic Surgeon

Rope

Wow. I have never seen this except in patients who have had some sort of sling sewen into the neck. You needto ask your surgeon how he did your procedure. As to the swelling, you need more time for evaluation.