Sneezing post neck face lift now swelling and protruding 2 weeks post op, have I compromised anything? (photos)

Question

I’m two weeks post op neck and lower face lift. My doctor is out of town so I was looking for advice. I had a sneeze attack and now I have pain and swelling down my neck and one area hurts pretty bad and is protruding. Can you please tell me if it’s possible I pulled the muscles up or compromised the result of the surgery from sneezing or is this just swelling? Please advise as I’m very nervous by this.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Hi Li_ca,Thank you for sharing your question and photos with us,Try not to worry, your body is a lot more hardier than you think.Without examining you and the area of concern, it is difficult to judge what exactly is going on.  Organise a follow up as soon as your surgeon is available, this will give you the opportunity to be examined and advised further.All the best

Brian K. Machida, MD, FACS · Answer

Sometimes violent sneezing recently after this surgery can cause seroma or possibly hematoma formation.  In the case, the fluid might need to be aspirated or removed.  Follow with your surgeon as soon as possible for evaluation

Soon Woo Choi, MD · Answer

Hello from View Plastic Surgery in Korea.
Do not worry so much. It is very unlikely that sneezing would have affected neck lift result. However please be careful while you are healing from the operation.
Regards,

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  This appears to be over the Larynx (voice box) which is typically below the level of neck dissection....however you should contact your facelift surgeon to discuss this and follow his/her post op instructions. 
 If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.  Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  When the cheeks are concave or flat in the front, cheek augmentation with a dermal filler or using cheek implants (permanent enhancement) can create full, round cheeks that will feminize the entire face.
 If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
Hope this helps.

Sneezing post neck face lift now swelling and protruding 2 weeks post op, have I compromised anything? (photos)

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