I Had a Chin Implant, Neck and Facelift 3 Months Ago. Have Uncomfortable Tightness Under my Chin and to my Ears, Will It Improve

I feel like I want to constantly support under my ears with my hands. I also am continually uncomfortable and feel I should not bend my head down or look down as it feels like it is straining. My surgeon does not agree with support garments. I do overall feel he has done a good and natural looking job. My incisions look very good and all other concerning symptons have righted themselves. Thank you for your time.

Doctor Answers 4

Uncomfortable Tightness Under my Chin and to The Ears 3 Months Post Chin Implant, Neck and Facelift

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Tightness following a #facelift, neck lift or chin implant are not uncommon. 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 of the areas may accelerate the 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.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Tightness after surgery

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It is very common to have tightness after surgery.  It should keep improving with time, for up to a year after surgery.  If not improving, or worsening you should follow up with your surgeon.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Tightness After a Face and Necklift Typically Improves Over Time

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Hi 24slim,

I'm glad your results look very good and natural, this most likely also means that you were not lifted overly tight.  Patients who look tight often times had too much skin removed which would contribute to the tightness.

The tightness will continue to improve.  If you compare the tightness from the first week after surgery until now, most likely you will notice a significant improvement.  From a day to day standpoint, you may not notice as much gradual improvement in the tightness.  Why?  It is like watching water boil.  From day to day, you may not notice an improvement, but if you think back a month or two ago, you will appreciate that the tightness has improved.

Although the incision heal quickly after the sutures are typically removed after 1 week, patients don't realize that the face and neck will continue to heal from many months and up to a year after surgery.  3 months is still considered early after surgery if you know that healing continues for up to 12 months.  If the patient's incision appear healed after 2 weeks, then the patient may feel that by 3 months they are completely healed.

The facelift can change in the first 3-6 months, as the swelling decreases.  This early swelling doesn't necessarily look bad, but instead it can look very good.  This is called "honeymoon swelling."  The slight swelling of the cheeks can add volume to the face without looking swollen.  Many patients who are getting older, actually have loss of cheek fat, so this honeymoon swelling actually looks good on them.  The honeymoon swelling goes away around the 3-6 month period, and the final result begins to show more.

As the swelling on the face decreases, the tightness also improves.  

I hope this response makes some sense to you.


Dr. Yang

George Yang, MD
New York Facial Plastic Surgeon
4.8 out of 5 stars 35 reviews

Face and Neck Tightness after Facelift

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Everyone reacts differently to a Facelift. Feeling access and neck tightness is not uncommon and resolves with time. Be patient and follow with your surgeon. 

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.