I feel really tight in the neck. It's a horrible feeling, day 5 after op. Feeling depressed. Why so tight? I'm worried (Photo)

Neck tightness after a lower facelift and neck lift is quite common. Usually it is the most significant for the first 2-3 days when the head and neck is bandaged with a compression wrap. However, it is possible to still feel uncomfortable tightness for a few weeks afterwards. The reason for this sensation is both the swelling of the muscle (platysma), as well as the actual tension that is placed on the muscle as it is stretched from both sides (below the ears). In addition, sometimes there may be stitches under the chin that make the muscle even tighter initially. The good news is that this sensation always goes away with time (in my practice I have never had a patient experience this over one month post-op). I would also mention that an initial uncomfortable tight sensation probably leads to a longer term better result since it was pulled so taught from the beginning.

It is very common to experience a feeling of tightness after face or neck lift surgery. The muscles need to be tightened significantly, as they will relax and loosen again over time. As long as you are not having problems breathing or swallowing, you should be fine and the feeling of tightness will subside over time. If you are very concerned, visit your surgeon for a follow up visit. I hope this helps.

Based on your photo's everything looks fantastic. Tightness means that the tissues are in the right spot. The swelling will increase the tightness so the odds are , things are great. Follow up with your surgeon to help re-assure yourself. I also posted a discussion on healing after a facelift. Dr Bonaparte