Will Lumps Go Away After Facelift and Necklift Surgery?

i am now 5 weeks after my operation and have had a 2nd opinion from my doctor regarding lump on side of neck ,, he says its a hematoma, and will go away by itself. the first doctor i seen says it was (just the healing process) but will gradually go away by itself .. is this possible ?? the lump is not hot now but a little uncomfortable ,,, my jawline has really improved with the lift . i had operation done in prague so cant go and see my surgeon although have emailed and they say i look fine xx

Doctor Answers 21

Hematoms Lumps after a Facelift

The lumps will indeed go away by themselves.  It sounds like you are experiencing  the normal stages of healing.  If you would like to speed the process along, we often recommend using warm, moist compresses and light massage to break up and eliminate the remnants of hematomas.  Don't be too aggressive, as you will create more swelling.  Just very gentle massage.  You will look great in no time. 

Take Care

Portland Plastic Surgeon
4.7 out of 5 stars 36 reviews

Face lift questions

Thank you for your question about your healing after a face lift abroad.

  • The photo suggests scar formation on the side of the neck,
  • An exam is needed to determine the best treatment, 
  • If it is from a hematoma (blood collection,) it will probably need injections to soften. These do not always go away on their own.
  • If your information comes from a Board Certified Plastic Surgeon or Facial Plastic surgeon, follow his/her advice.
  • If not, I suggest consulting one. Hope this helps. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Lumps and Bumps after Facelift

You have seen your physician who feels that your problem is small post-operative hematomas. These will resolve; sometimes it is helpful to have massage or ultrsound to these spots. At this time, all you can get other opinions or return to your surgeon in prague.  Without a physical examination, none of the physicians on Real Self canconfidently reassure you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Lumps 5 Weeks After Facelift Should Resolve With Massage

Thank you for your question.

It is not uncommon to have lumps under the skin following facelift surgery. Usually these lumps are collections of blood under the skin.

If they occur in the first few days, are expanding or painful, they should be removed or drained.

However, lumps that appear weeks after surgery are usually clotted blood which is not easy to remove. Typically massage and time (as much as 6 months) will help them resolve.

Lumps and bumps after facelift

be reassured that things will be fine. At 5 weeks, a hematoma should be soft and most often be able to be aspirated. What can you do? Gentle massage and even lymphatic massages done professionally will help allow you to recover faster

Jeffrey Kenkel, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 6 reviews

Lump after facelift

While being able to feel lumps and bumps in the areas of surgery is very common one month after surgery, it is uncommon to be able to see them. But still, it happens. It may be a hematoma (which is a collection of blood) and this will generally convert from a clot to a liquid form after a few weeks. At that point it can be sucked out with a needle.

Other possibilities are 1) a seroma, which is a collection of serum (like clear liquid), and will generally clear up over a month or two, 2) a granuloma, which is a precursor of scar tissue, and will usually respond to injections of a steroid like Kenalog, 3) an irregularity of the tissues under the skin caused by one of the sutures, which usually smooth out over a period of months, and 4) a lump of scar tissue. Scar tissue is expected and desireable, as this is what holds everything in place, and scar tissue shrinks over a period of about 4 to 6 months.

So the good news is that all of the likely scenarios will probably result in the lump shrinking or disappearing. However, it is always a good idea to let an experienced surgeon examine and keep an eye on it until it goes away. They can also provide treatment to speed this along.

I hope this clears up quickly, and you remain ecstatic with your results!

Chris Himmelheber, M.D.
Dallas, Texas

Chris Himmelheber, MD
Killeen Otolaryngologist
5.0 out of 5 stars 12 reviews

Lumps & Bumps May Take Up to 3 Mnths to Resolve; See a Plastic Surgeon if it Persists

Lumps and bumps following facelift surgery are not uncommon. These usually result from areas of tissue indurations, small blood clots and scar tissue. They typically respond to massage and show significant improvement in the first six weeks following surgery. The vast majority have resolved in three months. If this represents an area of concern, make sure you discuss the issue with your plastic surgeon. Your surgeon will be able to help you manage this problem. Be patient, you may ultimately have an excellent result.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Postoperative lumps

While lumpiness is 3 weeks after your face lift is not routine, if is not necessarily abnormal.  Localized regions of swelling or edema may persist for several weeks, though lumpiness could also represent collections of blood or fluid.  The best thing to do is to ask your plastic surgeon about what her or his thoughts are regarding your appearance- only by direct examination can you get an accurate assessment.

Adam David Lowenstein, MD, FACS
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 56 reviews

Face Lift, Mini Face Lift, The Palmer Celebrity Face Lift, Beverly Hills Face Lift

If you have seen an experienced Face Lift surgeon regarding this matter and he said it was a hematoma that would eventually resolve...it appears you have an explanation from a surgeon who has examined you.  This should be held in higher regard than anyone here who has not.

I will tell you that lumps and bumps that occur secondary to the tissue trauma that's part of a Face Lift... typically resolve eventually but these can last for up to 1 year.  If a hematoma occurs, the blood causes increased irritation within the tissues and lumps hat can last even longer.

You may want to follow up with the surgeon who has examined you.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Will Lumps Go Away After Facelift and Necklift Surgery

When the skin is separated from the underlying tissues during surgery, small sensory #nerves are cut. Varying degrees of numbness will be present after surgery and will improve gradually as the nerves reconnect to the skin. This process can take from 2-6 months for face, neck and cheeks, and to 9-12 months for the forehead and scalp. Muscle weakness may also be present around the mouth especially if liposuction is used. This typically recovers fully in the months after surgery. 

As the nerves regenerate, the itching, burning, tingling and shooting #sensations will occur. Ice, moisturizers and gentle #massaging are helpful during this phase of the #healing process. Frequently there is a tight feeling in the neck, jawline and cheek after a facelift. During surgery, not only the skin but the underlying muscles are tightened to create a better and longer lasting result. Additionally, the #swelling will move downward in the first week and the neck will feel even tighter. Do not be alarmed: the sensation will decrease during the first month. 
Some degree of firmness or lumpiness under the skin is normal after surgery and will resolve with time. Local massage will speed resolution of this problem, which normally takes 2-4 months to disappear completely. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

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.