Swelling, Lumps and Indentations after Facelift/Neck Lift and Liposuction

Irregularities under the chin and at the neck can occur as a result of uneven liposuction, local differences in healing with uneven skin contraction, or inflammation due to small collections of blood or fluid (seroma) in the early healing period. Generally, irregularities that have not resolved by 6 months will not resolve. Revision usually involves undermining the skin and doing some kind of neck lift procedure, although sometimes undermining with a liposuction cannula can help. Indentations along the jawline are usually due to uneven liposuction, and those are best corrected with fat grafting.  At 4 months, most of the healing has occurred, and some kind of revision among the options above will likely be necessary.

Thank you for your question.
Based on your photograph, it seems that you may need to reconsider a revision
with a board certified plastic surgeon.
It would be unlikely that steroid injections alone would correct the
lumps and address the jaw definition.
Thank you for your question. I
wish you the best of luck.

Your neck looks like it was a challenging one, and your surgeon may have performed any of a number of procedures to correct the heaviness of your preoperative neck.  These lumps/bumps may be part of the normal healing process or evidence of that some intervention needs to be undertaken. I suggest you bring up your concerns with your surgeon.

Thank you for your question.I think I see sagging submandibular glands in your pictures.Submandibular glands are glands normally hidden deep and under the jawline but like everything else in the human body, they can sag. They sometimes get addressed during a necklift/facelift procedure but requires experience and knowledge as there is potential for serious bleeding.Thick digastric muscles could also be the cause but those would be almost midline.Large glands can sometimes be treated with Botox.Visit your plastic surgeon and initiate the conversation.Hope this helps!

Best regards,Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon

Thanks for the question, its always difficult to determine what is happening without seeing you in person, however lumps/bumps are common after a facelift and can take up to a year to fully resolve. Everyone is different, so i suggest you visit your surgeon for some advice.