I had a lower facelift and platysmaplasy 9 weeks ago and still have swelling,numbness and lumps. Can I use ice and heat alternately? Can is use Bromelain and Arnica again to help? Is there something else I can do or take? Thank you for any advice that will help.
What Can Be Done to Reduce Swelling and Lumps After Lower Facelift and Platysmaplasty?
Doctor Answers 26
Swelling and numbness associated with lower facelift surgery
Dear Lower Facelift Patient from New Jersey,
Healing process varies person to person. As swelling subsides after any facelift surgery, sensory nerves begin to function, therefore numbness will subside. Nine weeks post op majority of swelling associated with facelift surgery should subsided, and the remaining will resolve over next few months. Massage and external ultrasonic treatments are good options. Good luck and good healing.
Treatment of lumps and swelling in face
At nine weeks having some swelling and some lumpiness is not that unusual. This usually gets better with time, but massage may help.
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What can be done to reduce swelling and lumps after lower facelift and platysmaplasty?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Numbness and lumps after facelift
Lumps and bumps after facelift are normal. They start 2-3 weeks after the surgery and are usually located in front of the ear or just below the angle of the jaw or under the chin. They can get bigger for 6-8 weeks but they start to dissipate around the time and usually by 12 weeks are much better. The lumps can usually be felt but rarely are seen.
Swelling and lumps after facelift
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Swelling and lumps after lower facelift and platysma plasty
Face lift swelling after lower facelift and platysmaplasty
This is not uncommon after 9 weeks. At this point you likely have around 65% of your healing. We usually tell people that they will have 60% of their healing / recovery complete by 6 weeks, 80-90% by 6 months. 100% can take as long as 2 years. This is based on wound healing studies and tensile breaking strength of a heal wound. For the lumps, I would suggest steroid injections, tape and pressure dressings. Bromelain and Arnica will not help at this point in my opinion.
Exxternal ultrasound, and massage can help the lumpiness and swelling after face lift.
External ultrasound is the most effective treatment