Lower Face Lift: Q&A

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Swelling Supraclavicular Area 7 Months Post- Lower Facelift

I am 7 months postop lower facelift. I still have an area of soft, "puffiness" above each clavicle, but more pronounced over the left one. It tends to increase with activity during the day, and recedes at night. Is this a probable lymph drainage issue?

5 Doctor Answers | Asked by Justpeachy2 in Vonore, TN
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Long Term Swelling after Lower Facelift

Sounds like a Lymph drainage issue at this late date. Very unusual senario as I have been doing facelifts for 25 years and have never had this problem. You must see your surgeon and get the problem checked out, perhaps steroids will help....do not know.
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Swelling over each clavicle after face lift / neck lift

At this point you likely have around 80% 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. What I have experienced based on doing more than 1200 face and neck lifts is that the swelling could be related to old fluid accumulation. The fluid tends to settle at the bottom of the neck lift... more
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Swelling after face lift

This is an unusual problem especially this far out from the procedure. It is too low to be a sialocele or saliva fluid collection. Given that the fullness appears to fluctuate with activity, it may be a pre-existing venous abnormality (e.g. high riding subclavian vessel, AVM, prominent thoracic duct) that has become more appearant after debulking or correcting the sagging of neck tissue. You do not describe any erythema, induration or tenderness which would suggest an inflammatory... more

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Unusual this late

If you are a healthy person (no diabetes, or other systemic illness) this is unusual, especially this low in the neck. Yes, tissue fluid drains down and it could be simply lymph fluid that is still trying to find a new drainage pathway as invariably, surgery does disrupt some lymphatic channels. However, this many months out from surgery these changes should have resolved themselves, so go see your surgeon to have the area inspected/examined. It might help to take some photos of the areas... more
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Puffiness 7 months after Neck Lift

This might be a lymphatic drainage issue but these should be resolving sometime around 6 months post op from a Face Lift and Neck Lift. You should have the plastic and cosmetic surgeon that did your Neck Lift give you further advice.
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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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