Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing?

i have just had face lift and necklift 3 weeks 5 days ago .  i am home from surgery abroad and my jawline looks amazing but hae quite a large lump at the side of my right neck.does not eem to be going down any and. have noticed little lumps appearing under chin aswell. is this normal healing process i do know swelling can take months?

Doctor Answers 28

Swollen and lumpy three weeks after facelift surgery abroad

  It is likely that this represents routine swelling, and routine lumps and bumps after surgery, all of which will resolve with time.  But no one on this forum can say for certain that you have nothing to worry about without seeing you in person.  Certainly, this is the problem when patients visit other countries for their surgery.


Saint Petersburg Oculoplastic Surgeon
5.0 out of 5 stars 99 reviews

Surgical lumps

We see this routinely at this stage. Years ago we would inject with steroids and massage. These lumps would go away in 3-6 months. The injections would hurt and massage would loosen skin. Now we do not inject or massage (or very little). They still go away in 3-6 months! Best to do nothing. I would still follow up closely with your plastic surgeon.

Timothy Fee, MD
Jacksonville Plastic Surgeon
4.5 out of 5 stars 50 reviews

Swelling and lumpy 3 weeks post op face/necklift

Thank you for the photos. Still hard to determine exactly what is going on. There seems to be a little swelling and contour irregularity, but within normal limits for this point post op.  Please call your surgeon so he/she can take a look at it, (possibly by e mail).  Together you will come up with a plan.  This plan may include seeing a local board certified plastic surgeon or ENT (otolaryngologist). 

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.5 out of 5 stars 14 reviews

Lumps after facelift

Based on the photo, this appears to be routine healing. Feeling some lumps and bumps is quite common due to placement of sutures and redraping of skin, but these settle out as you heal over the next 3months and up to a year. Always be sure to ask your surgeon for guidance and f/u with him/her to discuss these concerns. Good luck!

Bryan Correa, MD
Houston Plastic Surgeon
5.0 out of 5 stars 8 reviews

Swelling and lumps after facelift/necklift

Thank you for your question for sharing your concerns with us. Swelling and lumps in the tissues will return to normal as time passes by. Between the first and second week, much of your swelling and bruising will dissipate. It may take more than a month or two for your tissues to fully soften and any residual swelling to resolve. Lymphatic massage maybe an option to help clear the swelling and firmness at a faster pace.  I would make sure that you continue to follow up with your plastic surgeon during this period of time, even if it is by Skype, FaceTime, email etc...

Swollen and Lumpy 3 Weeks Post-op Facelift/necklift - Is This Normal Healing

Thank you for submitting your question and photo. Your very early in your recovery from a face lift.  Without an examination, difficult to answer.  You seem to be healing normally. Everyone heals differently, and swelling resolves faster in some patients.  HAve an examination with a Board Certified Plastic SDurgon and discuss your concerns.   Best wishes

Lumps Are Normal as Face Heals

Lumps and swelling are extraordinarily common at this stage of the healing process. Unless your symptoms are accompanied by pain, oozing, or redness, there's likely no cause for alarm. Have patience with your healing process, and if you don't notice your results improving over the course of the next few weeks, contact the surgeon who performed your facelift. You can also feel free to see another doctor in your area.

James N. Romanelli, MD, FACS
Long Island Plastic Surgeon
5.0 out of 5 stars 19 reviews

Lumps and Swelling After Facelift Done Overseas

Thanks for your question and photos.  It's impossible to judge without seeing a post operative patient in person but I would be concerned that small liquifying hematomas may be causing the swelling and might need to be aspirated.  Though it may be difficult, trying to find a local Bd Certified plastic surgeon willing to check you would be in your best interest to reduce the risk of complications.  If this is a liquid collection, aspiration with a needle on a couple of occasions may avoid scarring, etc....
Questions like this and the need for reassurance are a good reason to have second thoughts about receiving surgery overseas.  Best wishes.



Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Member, Am. Society of Aesthetic Plastic Surgeons (ASAPS)
Beverly Hills, CA

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 24 reviews

3 weeks post-op facelift/necklift

Swelling and bruising is maximal at 48 hours post-surgery and gradually subsides over the following 10-14 days. Do not compare your progress with that of other patients. Remember that everyone’s healing process is unique. Your final results will occur between 6-12 months.

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Hard to tell from one photo

It appears that there is either swelling or a collection of fluid (either blood or watery collection) which is somewhat unusual at this stage.  It would depend on when it occured, but you should discuss with your surgeon and perhaps see someone in your areas since you had surgery abroad.  It may go on to resolve spontaneously, but it might not.... , and therefore a visit to a qualified plastic surgeon would be appropriate at this time to examine you. 

Michael Olding, MD
Washington DC Plastic Surgeon
4.5 out of 5 stars 5 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.