3 days post op lower facelift and difficulty swallowing and breathing w/ tight band just above adam apple. Wait or go back in?

A feeling of tightness is very common after a neck/facelift.  However, if you are so tight that you actually feel like you can't breathe, that is very unusual - I've never heard of it.  It makes me suspicious that you might have something else going on like a hematoma (bleeding into the wound) and you ABSOLUTELY need to call your surgeon right away!Good Luck!

Hi.  A facelift does not affect the airway per se.  The neck is the most common area for relapse after facelift surgery even in excellent hands so being aggressive in lifting the neck is a good thing and will result in a better neck long term.  This may give a funny feeling when you swallow and if you are anxious it may feel like there is breathing issues.  You should have no hesitation in calling your surgeon - they will not mind being called about this sort of issue.  Regards

It is not usual to have difficulty swallowing and breathing after a facelift.  You should definitely contact your surgeon to be evaluated.  

What you describe is certainly not normal. You need to immediately call your surgeon so he or she can assess the situation.  Sometimes excessive swelling can give patients A feeling of construction. Management for this ranges from simple head elevation with intermittent cold compresses to a short course of steroids. It is also important to rule out other causes such as a hematoma in your neck. Although not likely based on your description, your surgeon always needs to rule out the possibility of a pulmonary embolism whenever a patient is short of breath immediately after their procedure.  

I have never had this problem in my 33 years of practice.  The neck should feel tight, but not to the pointwhere you feel you can not swallow or breath properly.  The post-op bandages will sometimes get tightaround the neck and head after you arrive home.  I always advise my patients that there might be additionalswelling and if so, to loosen the exterior ace bandage to make things more comfortable.  I have experiencedseveral patients, who were anxious and needed a prescription for this anxiety.  But if you are trulyexperiencing trouble with swallowing and breathing, this could be an allergic reaction and I would advisecalling 911 or getting to an emergency clinic as soon as possible.

You need to call your doctor as soon as possible. Based on what information you have shared with me 

Based on the information you have shared, please see you Plastic Surgeon as soon as possible to determine the cause of your issues.   What you have described is uncommon.