Platysmaplasty left me with pain radiating in my ear, fluid sounds, and bumpy swelling. Advice? (photos)

You probably have a hematoma on that side that has partially liquefied. The correction would be to open the incisions and take a look in the neck and cheek area to remove any fluid or consolidated hematoma and reclose. Your skin flaps are viable so your results are not compromised.

Following surgery, scar tissue can develop, which may cause tightness, pain, and altered sensations. It's possible that the scar tissue in your case is causing compression or irritation of nearby structures, such as nerves or blood vessels, resulting in your symptoms. It’s also possible that there may be muscle dysfunction or spasm. This could lead to pain, restricted movement, and other symptoms.

Given the complexity and uniqueness of your situation, it's important to consult with medical professionals who specialize in the field. Consider seeking a second opinion from an experienced facial plastic surgeon, a plastic surgeon specializing in facial nerve surgery, or a neurologist who has expertise in facial nerve disorders. They will be better equipped to evaluate your symptoms, conduct a thorough examination, and recommend appropriate treatment options or further diagnostic tests.

I hope this helps,
best of luck !

Based upon the series of posted photos I recommend film open revision of skin to re drape correctly. Fee $12,000. Best to virtual consult with….