Lumpiness and Mottling 4 Weeks After Necklift? (photo)

Question

I posted photos at 10 days post-op with concern about ropey swelling. I am now 4 weeks out. Photos are below. The ropey swelling has gone down some, but I still have lumpiness and now more puckering and mottling of the skin. Is this normal? I have been doing massage. I see my PS in 2 days. What should I ask him?

Sam Rizk, MD · Answer

Thank you for your question and provided images. As a board-certified facial plastic surgeon I have performed countless necklift procedures, and am very certain this is not a cause for worry. What you are describing is often a very common concern from patients during the healing process of their neck lift and/or neck liposuction.  Often the “lumpy” appearance is attributed to a  intrusion in lymphatic drainage.  I advise all prospective neck lift patients that prior to undergoing the procedure, there is a significant amount of tissue interruption which can lead to such an issue. However, consistent massage on the treated area allows for drainage to disperse and swelling to reduce.  For severe cases, steroids can be administered to the affected area, however most patients find daily massage to the area eradicates the problem within weeks. I advise you to speak to your medical professional about the most beneficial massages to maximize drainage. Good luck and happy healing!

Greg Chernoff, MD · Answer

Thank you for your question. What you describe and show are very normal. The typical healing for a Face/neck  can be up to a year and longer. Your skin will recoil over time. Covey your concerns to your surgeon. He/She wants you to have a great result as well. Trust in, and follow their post-op regime.
Best wishes.

Jed H. Horowitz, MD, FACS · Answer

The #incision scars from a necklift  tend to “mature” or soften within six to twelve months from the surgery date. During this time, the rejuvenating effects of the necklift will become most obvious and the neck feels the most normal (ex. little discomfort, soft, normal sensation, no more post-op firmness). Following this stage, the true restorative effects of your necklift result will be apparent. At your next visit, it is suggested to ask your doctor about #massage techniques to improve your #healing.

Kevin Sadati, DO · Answer

The swelling you are describing is normal following a face and neck lift. In some instances feeling tightness without any swelling is common. Warm compress and time will resolve your swelling. Good luck with healing.

Kenneth Hughes, MD · Answer

This lumpy quality may well improve with time.  This is not uncommon.Kenneth Hughes, MDLos Angeles, CA

Lumpiness and Mottling 4 Weeks After Necklift? (photo)

Answers (9)