I had Lower Face Lift 3 wks ago, swelling under my chin hasn't subsided, I had an ultrasound which ruled out hematoma. (photos)

My Ps wants me to return back abroad to aspirated. Can this be done by a general surgeon in the uk how do they aspirated? is it with a needle or drain do other doctors feel aspiration is needed.my neck looks worse than before at the moment

Doctor Answers 8

I had Lower Face Lift 3 wks ago, swelling under my chin hasn't subsided

I'm sorry you are having these issues.

Assessing your "before" pictures would be helpful in determining the cause of the fullness after your lower facelift. However, it is more than likely you have a seroma in the area.  I would strongly recommend seeing a plastic surgeon, general surgeon, or if possible the surgeon who performed the procedure, and an aspiration (with a needle) would more than likely help remove the fluid.  Delaying treatment could cause the fluid collection to harden and calcify, leading to aesthetic issues or it could become infected.

I hope this helps.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews


I would try to aspirate this area of swelling if I felt some fluid underneath the skin.  Consult a board certified plastic or general surgeon near you.  The procedure is a simple office procedure involving  a needle stick and a syringe under sterile circumstances followed by a small elastic dressing. Be sure to consult a surgeon with a proper amount of experience and qualifications 

John M. Griffin, MD (retired)
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

Rule out infection.

Hi Cattz

If you only had facelift surgery - this is likely to just be soft tissue swelling that is very rare but can happen and as this is the most dependent part with gravity the swelling from this area will take a while to settle.

However if you had neck tightening or neck lift procedure at the same time as your facelift then it is important to rule out hematoma which you have done, which is good. In some patients they can develop a yellow fluid called a seroma which can be aspirated. This is simply done under local with a needle and may need to be repeated a number of times over the weeks while your body starts to absorb the remaining fluid and not produce any more.

I would recommend that you see a plastic surgeon here that is familiar with aspirating this rather than a general surgeon and in some cases, they may recommend that you wear a pressure garment to minimise more fluid collecting in the area.

All the best with your outcome.

Post Op Swelling - When in doubt see your surgeon

Without an exam it is impossible to make a diagnosis or give advice other than see a plastic surgeon (preferably your own surgeon) with expericence in facelifting.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Looks Like a Seroma

A seroma is a straw colored fluid that accumulates in a surgical space like a neck lift. The fluid may absorb slowly but aspiration or drainage can allow it to heal much faster. In my experience many seromas need to be drained multiple times and the more frequently it is drained, the faster it will resolve.
Seek out a plastic surgeon in your neck of the woods and it will certainly be taken care of properly.

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 33 reviews

Swelling Under Chin After Facelift

A plastic surgeon should not need to order an ultrasound to see if there is blood or fluid in a persistent area of swelling after a facelift. Instead, needle aspiration is both diagnostic and therapeutic. The skin is cleansed with an antiseptic and, after a small injection of local anesthetic, a needle attached to a syringe is introduced into the area of concern. The stopper on the syringe is pulled back and any blood or fluid in the area will be drawn into the syringe. After aspiration, a pressure dressing is typically applied for a day or two.

Although it is always preferred to have your original surgeon continue to treat you in the post-operative period, a general surgeon in your area should have the know-how to aspirate under your chin.

Steven M. Daines, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

I had Lower Face Lift 3 wks ago, swelling under my chin hasn't subsided, I had an ultrasound which ruled out hematoma.

If you can not get back to your Plastic Surgeon, see one in your area.  You are a good example of why you should stay close to your surgeon for post op follow ups.  Best wishes!

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

Swelling under chin after lower facelift.

If your ultrasound that ruled out a hematoma or fluid collection (seroma) then you may simply have inadequate correction of the loose skin or residual fat beneath the chin.

I strongly suggest you consult a board certified plastic surgeon and the UK.

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.