11 days post facelift/co2 laser. Left side neck swelling normal or seroma? Should I give it more time or be concerned? (Photos)

Question

Swelling and brusining with some resolution, but my neck and jaw line are very swollen. The swelling was equal on both sides for the first few days, but behind my left ear, going down and around my neck, the swelling feels like a hot dog under the skin. It appears firmer and darker today and more painful I have a real concern about the normalcy of this but don't want to appear over reactive to my surgeon. He is a great surgeon, but hundreds of miles away. Need immediate attention?

John Michael Thomassen, MD · Answer

You may have a hematoma or a seroma.  It would likely be beneficial to drain this area so it resolves quicker, but for this you should see a plastic surgeon near you.

Jed H. Horowitz, MD, FACS · Answer

First and foremost, its best to remain patient. It is still early in to your recovery. The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. #Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. 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.

Joseph M. Perlman, MD · Answer

You should touch
base with your doctor.You could have a small collection of blood under the skin
which may need to be drained. If you are hundreds of miles away you might want
to see a local doctor that your surgeon recommends. The local surgeon may see you
as a courtesy and charge a small fee. At least you would have some peace of
mind and reassurance without having to drive such a long distance.

Anthony J. Wilson, MD · Answer

Thank you for your photographs. While it is not possible to determine exactly what is happening based on your photographs alone, there does appear to be a collection of fluid or blood at this site. It is of the upmost importance you have this evaluated immediately as to prevent any delayed healing or blistering of the skin. Good Luck!

Steven Wallach, MD · Answer

It is hard to tell from the photos, but you need to be seen in person to make sure you do not have a hematoma. Good luck.

11 days post facelift/co2 laser. Left side neck swelling normal or seroma? Should I give it more time or be concerned? (Photos)

Answers (5)