Submental Lipectomy and Muscle Tightening On Neck 5 Weeks Ago. Left With Lumps From Hematoma? (photo)

I had a submental lipectomy & muscle tightening procedure done on my neck 5 weeks ago. A nasty haematoma resulted and now although the bruising and swelling has gone down I am left with large rubbery lumps and wrinkled skin under the chin. I had this done overseas so only communicating with the (very highly respected) surgeon by email, and getting a little nervous as there has been no real change, or reduction in the past 3 weeks. I know this will take time to resolve but should I be concerned? I have not had any blood thinners or vitamin e products, before or after the surgery, I do think that in the past couple of days it may finally be starting to reduce a little, but oddly I have a very sore throat and can feel something trickling down my throat.

Doctor Answers 6

Hematoma after neck lipo

I'm sorry to hear about your post-operative complication.  I would recommend seeking an opinion from a local board certified plastic surgeon to see if anything can be done to aid in the recovery from your operation.  The sore throat and trickling probably have nothing to do with the surgery.  You might benefit from continued use of a compression garment to help decrease the swelling in the neck.

Houston Plastic Surgeon
4.5 out of 5 stars 36 reviews

Hematoma after neck lift

I had a similar problem with one of my patients and removed most of the hematoma in the hospital. They still had some lumps like you but they resolved with time and deep massage (endermology) of the neck. Luckily no further surgery was required. This may or may not apply to your case.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Neck plication complication

hematoma after neck plication is not an uncommon complication. usually it resolves completely but sometimes can require revision. its best to follow up with your doctor who did the sugery for you. other option is to find a plastic surgeon in your area and get an expert opinion.

Misbah Khan MD, FAAD, FACMS
New York Dermatologic Surgeon
4.9 out of 5 stars 28 reviews

Neck issues

Without seeing preop photos as well it can be difficult to offer suggestions. In any event you should give it 3-4 months to settle down. Some of what you see may be swelling from the surgery and issues surrounding the hematoma.  A revision may be necessary in the future or non-invasive skin tightening devices may be helpful. An evaluation in person is best.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Submental Lipectomy and Muscle Tightening On Neck 5 Weeks Ago. Left With Lumps From Hematoma? (photo)

Sorry for your post operative complications and for choosing out of country surgery. Thus you are having follow up issues. Best to PAY for a local boarded PS to take over your care. I also wonder if you had or were a good candidate. Now I would recommend aggressive lymphatic massages with external ultrasound therapy. The costs would range from $1,000 to $3,000. Than a possible revision and maybe a open neck lift operation. Where you on any blood thinners or aspirin, or vitamin E products before the operation? Awaiting follow up.

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Liposuction of Neck and Hematoma Evacuation

        After a hematoma evacuation, the area may continue to contract for quite a while.  Compression and massage may help.  The area may need a skin excision procedure in the future or something more formal.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.