Hard lumps and neck bands 6 months after chin liposuction - what can I do? (photos)

Question

I had chin lipo done 6 months ago, and I noticed hard lumps on the left side and under my chin. I also have neck bands when I tilt my head. My surgeon said that these will resolve naturally on their own, but I'm getting worried that they are not going away. Are there any other options to make these lumps go away other than wait? If they do not get better, what can I do? Photos attached.

Omar Lazos, MD · Answer

Greetings, it's not uncommon to develop fibrosis after the procedure and even though typically at this stage they should have resolved on their own it's important to keep in mind that everyone heals differently so I highly advise you do heat therapy like ultrasound or radio-frequency at a certified spa or masseuse to help soften the scar tissue and aid in your recovery.

Daniel Barrett, MD · Answer

Dear jgirl93,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

I’m a board-certified plastic surgeon who’s been practicing for over 22 years. during this entire time I have done liposuction procedures. about 10 years ago I began focusing exclusively on liposuction and stopped doing all other plastic surgery procedures except Liposuction and fat transfer.
My specializing I’ve had the opportunity to perform more liposuction procedures than most people will in their career.
To date I’ve done more than 8000 liposuction cases.
I had a case a few years back that developed contractile neckband like you show in your picture picture,MI had a case a few years back that developed contractile neckband like you show in your picture picture.
They were firm and tendon like and cost both stringing when the necklace extended.
They were firm and tendon like and cost both stringing when the necklace extended.
I have since then seen patients describe the same situation at least 10 times on real self. The condition is often misdiagnosed as platysma bans that can be treated with botox. From all the cases I have reviewed none of them were regular and put a small bands and despite having seen and discussed the outcomes with a lot of patients I still don’t have an explanation or treatments.
I asked all the patients I communicated with to follow back with me on a regular basis.
Unfortunately only a few maintained long-term communication with me.
From the patience I have maintained long-term communication with all of them saw resolution or at least substantial improvements overtime.
From the patience I have maintained long-term communication with all of them saw resolution or at least substantial improvements overtime..
For some of them it took over a year.
I’ve seen a multitude of explanations and treatment options but none seem to fit exactly what this condition actually is.
From what I’ve learned that condition should improve on its own without the need for intervention. The timeframe can be slow. It is uncertain if stretching and massage improves the condition.
To my knowledge these scar tissue neck bands after liposuction have not been described in the literature.
Best,
Mats Hagstrom MD

Hard lumps and neck bands 6 months after chin liposuction - what can I do? (photos)

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