Hard lump under skin 6 weeks post SMAS facelift. What are my options? (photo)

Thank you for your question.  I will go to my doctor and have it aspirated.  It can be serum, blood or saliva.  Call the office and have it check.

Thank you for your question and pictures.  You have most likely developed a hematoma that would need to be drained.  You need to make a follow up with your surgeon to ask whether it needs draining it massaging or LDM would help.  All The Best 

Dear worriedtexan,Thank you for your question. The most likely cause of a large lump after a facelift are hematoma and resultant scar tissue. In the first 6 weeks I have used a massage and radiofrequency based devices to dissipate swelling and small hematomas/bruising after a facelift. For a large hematoma, the area needs to be drained surgically and can form into scar. If that is in fact what you have, you can try massage and wait. If it does not improve after 6-12 months, you may need additional surgery.Good luck,Nirmal R. Nathan, M.D.

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgeons

ACGME-Trained Craniofacial Surgeon

Most likely you have a hematoma that may need to be drained. I would suggest going back to your surgeon and ask for treatment. Massage and ultrasound or radiofrequency treatments can be helpful.