Lumpy Neck, Visible Swelling in Cheeks After Facelift- Is It Permanent?

It's been 4.5 weeks since my facelift. My neck is lumpy and a rather large scar is visiable. If people look staright at me, they cannot see since it's under the chin but if I turn my head they can see it. My lower left cheek has a VISIBLE walnut size swelling. And my left cheek has a once-inch veritical visible "thingy" (looks like a smooth rope under the skin). I'm seeing my plastic surgeon in a few days but will these go away or I am stuck with them forever?????

Doctor Answers 19

Swelling after facelift

Thank you for your question for sharing your concerns with us. Swelling and lumpiness 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. Numbness may take months to resolve and may never return to the same degree. I would make sure that you continue to follow up with your plastic surgeon during this period of time.

Swelling after facelift surgery

Face and neck swelling and tightness one week post operative lower facelift surgery is normal. Swelling and numbness after any facelift surgery is expected and normal. Usually, most of the noticeable swelling is reduced within a couple of weeks, perhaps in some cases a couple of months. Initial icing will help to reduce swelling faster. Good luck and good healing

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
4.9 out of 5 stars 192 reviews

Healing after a facelift

Generally speaking, it can take 6 to 12 months to completely heal after surgery. Please keep in touch with your surgeon or his/her clinical team to discuss your ongoing concerns.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 103 reviews

Lumpy Neck and Cheek 4 Weeks after Facelift

    All of these bumps may be normal swelling, but they should be evaluated for fluid collections or hematomas as well as fat necrosis and suture reactivity or tissue bunching.  Kenneth Hughes, MD Los Angeles, CA

Lumpy Neck, Visible Swelling in Cheeks After Facelift- Is It Permanent

It sounds like there was a large amount of swelling and possibly bleeding during your procedure. That can cause what you are seeing and in time should get better. There might be some shots like kenalog that might help in some cases too.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 26 reviews

4.5 Weeks After a Facelift

It is far, far too early to make a judgment on your final result.  You can expect some degree of incisional redness, in addition to areas of swelling which are most likely related to lymphatic edema.  Gentle finger tip massage, and more importantly.... time are likely to help.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 85 reviews

Swelling After Facelift


  One month after facelift surgery seems like a long time.  However, it is not until six to twelve months after surgery before all of the swelling is gone and the scars have matured in appearance. 

  It is common to have concerns similar to yours after this type of surgery.  With time and massage, many of the firm areas soften and incisional scars fade away.  I would not become preoccupied with thoughts of a revision only a month after surgery. 

  I do agree that visiting with your surgeon and communicating your concerns are a very appropriate and important steps.  Your surgeon has specific knowledge of your procedure and should be able to guide you to the right postoperative strategy to manage your concerns.       

Hope this helps.

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 57 reviews

4.5 weeks post-op

Each situation is unique and only your surgeon knows the specific details of your procedure and should be the person commenting on post-operative questions such as this

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 213 reviews

Early face lift results.

Rarely patients develop a small collection of blood that forms a clot. One has to wait for that to become liquid so that it can be aspirated. The walnut size lump could be one of these collections which could be aspirated with a needle in the office. See if your surgeon can help you with that. If the blood clot is not aspirated it will turn into scar tissue but with time and massage it should go away.

Lumps after facelift

I don't think the things you are describing will be permanent. Your surgeon will be able to help you the most since he/she knows what was done. Hang in there.

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.