I have protrusions or lumps under my chin after a neck lift 4 weeks ago. Is this swelling or will I need surgery again? (Photo)

As you can see, there are several different exclamations being postulated as to what is going on here. It may be blood, it may be fluid, it may be fat, it may be a torn stitch and retracted muscle, it may be scar tissue, etc. No one on here, without having done this surgery and knowing the anatomy and what took place, can say for sure. The only thing that is certain is that at only four weeks out, there is most likely some residual swelling in this, the most dependent portion of the face where fluid tends to build up with gravity. Keep in close contact with your surgeon, massage the area, and potentially wear a compressive garment if he/she thinks this might help. Only time will tell how much things will improve, but I suspect things will improve at least slightly.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

It appears you are developing some asymmetric healing after the surgery which could be from fluid buildup or bleeding or scar tissue. Its only 4 weeks after so give it time and it should settle down. Consider some massage to the area as well

I can understand your concern 4 weeks following your procedure. The #incision scars from a neck lift  tend to “mature” or soften within six to twelve months from the surgery date. During this time, the rejuvenating effects of the neck lift will become most obvious and the neck feels the most normal (ex. little discomfort, soft, normal sensation, no more post-op firmness). Following this stage, the true restorative effects of your neck lift result will be apparent. If during your healing, you have any concerns, it is suggested to call your board-certified surgeon or their medical staff and discuss those #concerns.

Dear Slynn1004Thank you for your question and photo!  You should return to your Surgeon for follow up!  With Warm RegardsTrevor M Born MD

Thank you for your question, slynn1004. You are experiencing early stages of healing. While the lumps may arise from uneven healing, they are manageable. I suggest you consult your facial plastic surgeon. Many offices - including ours - have supplementary service offerings, such as massages, to facilitate patients' healing processes. Best wishes,