Six Months After Full Face Lift and Eyes Surgery...

I did my full face lift and eyes lift surgery 6 months ago in KL. Happy with the results. I went to see my surgeon 4 months ago to make sure everything was right, andasked my GP. People say I'm looking fresher than before.. But, from the inside my skin face and neck I still have some questions: -Why I still feeling tight around my face, ears and neck? -What happened inside, sometime feel itch and a bit puffy still on my face? -When all this will be gone? -What I must do and don't?.. Thx

Doctor Answers 27

Tightness and itching "relax" after facelifts

Facelifts work by resuspending the tissues under the skin - with the anchoring sutures around the ears and back of the neck.  That is why these areas feel "tight" for up to a year after surgery.  Lifting the skin also interrupts nerves and vessels, which have to grow back.  This process can feel "tingly or itchy" for 6-12 months as well.  The skin may also feel dry.  All of this is normal and you don't have to do anything special - other than relax and enjoy the results which you seem to be pleased with overall.

Portland Facial Plastic Surgeon
4.3 out of 5 stars 29 reviews

Tightness after facelift...

It is normal to experience tightness and numbness after a facelift.  After your skin is elevated your surgeon used sutures to tighten the muscles and may have put a "sling" in for a tighter and smoother appearance of the neck.  Excess skin was removed and sutured around the ear area.  It is natural with any healing process to have some itchiness for about a year, but it will get better.  Most swelling will be gone in about 6 months, but there may be some numbness for a year.  If you have any other concerns I would contact your surgeon.

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 205 reviews

Palm beach facelift surgery

It is normal to experience a sensation of tightness and some of the other symptoms you are experiencing after a facelift and eyelid surgery. you did the right thing by seeing your doctor to confirm that all was well. some patients just take longer than others to completely heal from those unusual sensations that you are experiencing. If you were my patient and felt you needed further reassurance, i would recommend getting a second opinion from another facelift surgeon.

Anita Mandal, MD
Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Puffy 4 months after face Lift

 Traditional Face Lifts can feel tight, look puffy, have numbness or pinching sensations under the skin.  Tightness is because the SMAS was tightened and skin was removed to make things tight...this will loosen and feel less tight over time, typically about 1 year.  Puffiness is residual swelling that can last 6-12 months.  Time will take care of all of these issues and you don't need to do anything, IMHO.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Tightness after facelift surgery

Mrs. Ho, Many of the symptoms you describe are normal.  The tightness could be from sutures used to tighten the muscles under the skin along with some of the normal healing that is still taking place especially around the ears, in front of the ears and along the jaw line.  The itching is from nerves regrowing into the skin and some swelling is still to be expected.  It may take a year, sometimes longer, for all of these changes to pass.  Massage and applying pressure to the tight areas may make it feel more loose.   I am optomistic that these changes will pass and you will be left with a great result.  Dr. Loury

Mark Loury, MD, FACS
Fort Collins Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Still Tight 4 months after a Facelift

I believe that a well done face lift will take quite a while for things such as tightness and itching to fade  away. I have seen settling down occur as soon as 4-5 months, and as long as 14 -18 months. If done well a lot of sutures were placed to elevate the deeper tissues. Little nerve endings will continue to grow back into your skin for up to 18 months. I agree external ultrasound is helpful. you look great.

Charles Virden, MD
Reno Plastic Surgeon
5.0 out of 5 stars 70 reviews

Tightness and paresthesias after facelift

The symptoms you describe are normal with both the tightness and unusual sensations.  These should disappear over time and may last up to a year.  Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Healing takes much longer than we often realize.


Initial healing from this type of surgery may only take 6 to 8 weeks before other stop asking questions about your surgery.  However, the actual time frame for healing is much more like 2 years.  The issues you describe experiencing including the transient swelling, itchness, and sensation of tightness are exactly issues that take the longest to resolve.  These are normal sensations that will diminish with more times.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Still tight a t 6 months, sounds good to me

the maturation of scars can take up to two years. the "internal" scars are no different. this doesn't mean you will feel tight for two years though, and If I were a betting man I 'd guess in 3 months you feel almost normal. good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

Healing after a facelift

I am glad that you are pleased with your facelift results.  The sensations that you describe are quite natural and due to the prolonged healing that always occurs after surgery.  The sensations that you have seem more intense because of all the nerve fibers in the face and the unusual sensations that they can create as healing proceeds and collagen is layed down and remodeled.

All the best,

Talmage Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

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.