Hard Swollen Mass Under New Jawline 1 Month After Facelift/Necklift? (photo)
- Asked by tvm70
- 1 year ago
It's been a month since my facelift/necklift. There is a hard swollen mass that sits under the beautiful new jawline that I have had drained every time I visit the doctor. It fills up again in another day. Is this normal? I am told it is...but I'm getting worried.
This ropey long seroma is now getting softer and growing larger...is this a normal progression.
Repeat Fluid Collection after Facelift
While seroma can recur, drainage and compression usually cause resolution after one or two aspirations. If there is concern for salivary output, close followup with Botox and antisialogogues may be considered. Kenneth Hughes, MD Los Angeles, CA
Web reference: http://www.hughesplasticsurgery.com/Face-and-Neck-Lift.php
Recurring seroma after facelift
If the seroma in the neck after your facelift keeps recurring it just might be a fistula to the salivary gland. They do resolve with repeat drainage so stay in touch with your surgeon.
Web reference: http://www.peterejohnsonmd.com
Hard Swollen Mass Under New Jawline 1 Month After Facelift/Necklift?
From your written description I think it is either a seroma reoccurring or a submandibular gland injury. Continual drainage with direct ultrasonic therapy can help correct. But if glandular issue I might try Botox injections. Now for the posted photos it appears as a irregular neck dissection or neck lipo. Please inform.
Recurrent swelling post face lift
you may have a seroma (collection of serous fluid) or possibly a salivary gland leak. Recurrent aspiration of a seroma should hopefully lead to its resolution. The use of a compression dressing over this area may help as well if possible. If you have a salivary gland leak, the uses of some medications like those used by the anesthesiologists that help reduce saliva production may be of benefit. You should discuss the options with your surgeon or seek a second opinion from another board certified plastic surgeon for reassurance.
Jawline Fluid Collection After Facelift
Depending upon the location at the jawline, it may be a seroma or a salivary gland leak. If it is at the jaw angle area near or under the ear, it may be a parotid gland leak. If it is in front of the ear along the jawline closer to the mouth, then it is undoubtably a seroma. The fluid can be tested to answer that question definitely but it is probably not needed based on its location. A seroma will eventually resolve itself with repeated aspirations as needed. A parotid gland leak usually will also but may require other methods, occasionally surgical, to make it stop.
Web reference: http://www.eppleyfacelift.om
Swelling after facelift
It sounds like you either have a seroma, which should go away after time, or a salivary leak, which may not. Ask your surgeon to test the fluid to determine what it is as this may aid in determining the treatment to resolve things faster.
According to your description and timing, I would say this is most likely a seroma. Seromas occur when the skin is dissected away from the underlying soft tissue creating a 'dead space'. The treatment is to monitor for infection, drain, and compress the area. The goal is to have the skin adhere to the soft tissue. It is not uncommon for a seroma to be drained multiple times before this happens.
Seroma after facelift
Swollen mass beneath jawline after facelift
It is probably a little seroma but if it keeps returning I would start to think that it might be a salivary fistula. Keep up with your surgeon and I'm sure you will be fine.
Web reference: http://www.cosmeticsurgerybaltimore.com/
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.