Had a Facelift 18 months ago and still very tight! When will the tightness subside?
Doctor Answers 4
Tightness after facelift
Thank you for your clinical post and although unusual, I have had several patients with this myself. I have been performing face and neck lift surgery for over 20 years and having been trained in both plastic surgery and ear, nose, throat otolaryngology, head and neck surgery procedures performed in the neck that are designed to deliver long-term correction will often involve tightening of the underlying neck muscles removing some of the under the muscle fat. These complicated procedures can result in a very tight feeling after surgery.
I tell most of my patients that it will feel like they’re being “strangled” in the early post-operative phase. In general, this tightness lasts 3-6 months and can be improved with topical ultrasound, frequent treatments with radio frequency soft tissue warming techniques and for specific areas of tightness even dilute intramuscular Botox combined with very dilute anti-inflammatories can be of some assistance. These active measures combined with home massage can often result in resolution of the “tight neck syndrome.”
If you still have confidence in your operating physician it might be wise to seek their advice. Otherwise seek the advice of other certified plastic surgeons and facial plastic surgeons who have plenty of neck lift experience.
Be reassured that over time necks generally do soften and I’m sure in your case this will also resolve. Active ongoing massage and dynamic treatments as mentioned above can be of some assistance.
I hope this information has been of some assistance and best of luck.
For more information, please review the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon