Stiff, Lumpy Neck 2.5 Weeks After Chin Liposuction

I had chin liposuction 2.5 weeks ago. I've been to the surgeon he says the symptoms are normal but I would just like a reality check. My neck area is extremely stiff, lumpy, hard and numb. I am wearing the head band most of the day and all evening but am going back to work on Monday. For how long do I still need to wear the band in the evenings? I am massaging the area once a day in the bath for about 10-15 minutes. Is that enough? Tx

Doctor Answers 7

Stiff, lumpy neck 2 weeks after Liposuction should improve with massage and chin strap

Numbness, small lumps and a stiff feeling in the neck skin is not unusual 2 weeks after Chin or Neck Liposuction. Moist heat, massage and wearing the Chin Strap or Compression Garment is the best therapy.

If the skin irregularities or lumps get smaller after you massage and are getting better then chances are they will disappear. Most of these small irregularities are gone by six weeks. Numbness can take much longer to resolve as nerves heal very slowly.

Any lumps that persist longer than 2-3 months are likely areas of fat that were missed during the Chin or Neck Liposuction.

If this occurs a secondary or revision liposuction may be necessary, but wait 6 months.

Recovery Process Following Neck Liposuction

It’s not uncommon for patients to develop lumps and bumps following liposuction of the neck. During the liposuction procedure a cannula is repeatedly passed through the neck subcutaneous tissue which removes cores of fat and creates a series of tunnels.

This process disrupts the neck lymphatics and also causes cellular injury. This predictably causes swelling, scarring, and bleeding which causes the lumps and bumps that are frequently seen following this procedure.

The vast majority of lumps and bumps have resolved in 2 to 3 weeks following surgery, but it’s not unusual for them to persist for several months. For this reason, we generally recommend the use of a chin strap and massage following neck liposuction.

Massage is easily accomplished by gently rolling your fingers across the area. In some cases, warm compresses can be utilized to facilitate this process. The majority of patients respond to these maneuvers with flattening of the areas of bumpiness.

When patients fail to respond to massage, residual fat may be the cause. Under these circumstances, additional liposuction may be necessary.

It’s important to be patient and maintain good communication with your surgeon. Your surgeon should be able to help manage your lumps and bumps and alleviate your anxiety. 

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

Chin Liposuction

At 2.5 weeks, swelling will be present, and you will need compression for at least 6 weeks.  Healing in the neck is not fast, and takes time to completely heal.  A gentle massage for 1-2 minutes 3-4 times a day should help you smooth out the area.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Liposuction and postop expectations

You can areas of firmness and numbness after liposuction.  I would recommend massaging the areas 3-4 x a day.  You should wear your compression garment for 4-6 weeks.  Review your postoperative instructions with your plastic surgeon.

Dr. ES

Lumpy neck is normal after liposuction

You should expect things to improve for at least the next 4-6 MONTHS!  Give it time.  Wear your compression garment as your surgeon has instructed, and consider asking your surgeon about lymphatic massage.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 42 reviews

REALITY CHECK: YES lumpy neck 2-3 weeks after lipo is not unusual

It is very common for the neck to be lumpy at 2-3 weeks after surgery and remain so for up to 6 weeks. Some doctors advocate the use of massage or manual lymphatic drainage but check with your surgeon first.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Lumpiness will improve

Scar tissue formation peaks at 6 weeks. After this phase of healing, the body will "remodel", and all the scar and surgical area will soften.
You are doing all the right things.
- Dr Bryson Richards

Bryson G. Richards, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 284 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.