Why Do I Still Have Extreme Pulling, Pressure and Tightness 6 Months After Facelift Surgery?

i thase been my experience that most patients don't report signficant amounts of "tightness."   furthermore, any tightness expeirenced is generally improved withing 1-2 months, if that.  what you are experiencing might be a technique-dependent issue.

When sensory nerves are cut, damaged or impinged during surgery, and you had the blue plate special, these types of sensations can occur.  Of course the brief statement about abnormal sensation that might result after a facelift that was in your consent, does not really prepare you for what you are describing.  Time can be very helpful this these sorts of issues.  Generally though I find that for some, an assessment by a neurologist can be very helpful.  Some drugs including some in the antidepressant family can help the body better deal with these sensations.  Generally while these sensory changes tend to dimmish over time, drug treatment can be beneficial in certain situations and it might be useful for you to explore this.

Neck tightness after facelift and necklift surgery is uncommon but it can be treated.  Usually it resolves with time.  Wound contraction is a normal process that occurs after any surgery.  Neck tightness is an exaggerated form of the natural healing process.  I agree with Dr. Mayl, massage and steroid injection (Kenalog) can be helpful.  The other thing that your plastic surgeon may try is a botox injection in the platysma muscle.  It can help the muscle relax and lessen the discomfort.  Neck stretching and yoga can also be helpful.