Botched neck lift resulting in ongoing pain. Any ideas what's causing this? (Photo)

Question

I had a necklift around 15 months ago.  4 to 6 weeks after the procedure the left side of my neck dropped. When it dropped, I started experiencing a line of pain going down my neck, where it had dropped. Months later, I started experiencing pain/sourness on the left side, under my chin. The pain under my chin and down my neck intensifies with physical activity or if I'm stressed. And the pain has become worse as time goes by. Pics are 1yr after surgery.  Any ideas what's causing this?

Lucian Ion, FRCS · Answer

Thank you for your question. The sequence of change suggests that rather than sagging, there was a band of contracture forming under the skin of the neck, which corresponds to the timeline. This also tends to produce discomfort under the chin, particularly when the scar tissue is denser.

Scar tissue is often managed with steroid injections, which tend to soften it. These injections should be done with moderate dosage and preferably in a sequence of treatments to reduce the risk of thinning the overlying skin.

For the pain, it might be better to have a conversation with a pain specialist, as there are more effective treatments available, and diagnosing the characteristics of the pain is crucial for choosing the best treatment.

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