Hard Swollen Mass Under New Jawline 1 Month After Facelift/Necklift? (photo)

   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

Thank you for your question for sharing your concerns with us. Repeated accumulation of fluid under the jawline can be a persistent seroma, but can also be a salivary gland leak.  I would recommend that you continue to get this drained and possibly insert a small drain tube if needed.  Medications can also help decrease the amount of saliva production and may help while this resolves.  I would make sure that you continue to follow up with your plastic surgeon during this period of time.

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.