Lumpiness Under Chin After Facelift, Necklift?

Lumps and bumps are common. Likely swelling in an area that is dependant meaning that is where fluid accumulates because it goes down towards the ground. Give it time and also massage that should help

Dear "Not a nut",

The question you ask is reasonable and relatively common. After surgery my patients will have a minor amount of bruising, soft tissue swelling, and sometimes the ability to feel minor lumpiness under the chin and along the vertical mid-line of the neck. All of this is normal in a classic facelift as the muscles along the center of the neck are brought together to provide a more youthful angle and positioning of the tissues. This all settles over a period of two to three months. I would recommend contacting your physician who did the procedure and make him/her aware of your concerns as they would appreciate the opportunity to review your results and your course of healing.

Be healthy and be well,

James M. Ridgway, MD

It is not uncommon to be experiencing some #lumps following a neck lift and/or facelift. Recovery from a neck and facelifts do vary per person and can take from 2-6 months for face, neck and cheeks. Muscle weakness may also be present around the mouth especially if liposuction is used. Some degree of firmness or #lumpiness under the skin is normal after surgery and will resolve with time. Local #massage of the areas may accelerate the resolution of this problem, which normally takes 2-4 months to disappear completely.  It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. The #incision scars from a neck lift  tend to “mature” or soften within six to twelve months from the surgery date. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

can be from irregular liposuction, plastysma plication, or spots of inflammation.  i agree with message and steroid injections.  early rather than late

Early on this is fairly common, but it also depends on whether or not sub mental liposuction was done. Consult with your surgeon if you do not see improvement within a few months. 

There are two categories of "lumps" after a facelift.  Early lumps are quite common and should not illicit concern unless grossly asymmetrical.  Most of these lumps are likely to resolve.  Late lumps, which are lumps more than 3-6 months after the procedure, may signify concern.  This may consist of the use of deep permanent sutures, early granuloma formation, abnormal scarring, inconsistent liposuction.  

Palpable irregularities under the chin in the midline of the neck are commonly seen after facelifts. This is due to repair of the platysma muscle and will gradually soften and fade over several months.

Lumpiness in the chin area after facelift/Necklift is most likely due to surgical scarring underneath the skin.  This will improve over time. Your PS may have specific methods to help resolve the matter somewhat quicker.

Dr. ES 

Lumps on the chin after a facelift or neck lift are not uncommon in the first few weeks to even months after surgery.  They are typically due to uneven swelling or can even be due to a small collection of blood that may have developed after surgery.  This almost always go away on their own and can sometimes be treated with massage and steroid injections.

Shortly after a face and neck lift, it is possible to get some lumpiness and swelling in the chin region. This typically resolves within a few weeks. Lymphatic drainage massage may speed up resolution but I would recommend consulting with your surgeon prior to proceeding.