How much massage is too much after neck/SMAS lift? (photo)

Good evening. As long as your surgical incisions have healed properly, and there are no sites of infection or open wounds, there is no such thing as too much scar massage in your case. Your healing incisions/immature scars should approach peak tensile strength around 6-8 weeks after surgery under normal conditions (so by the end of March for you, given your January revision). That means that you should be able to really focus on performing the scar massages and stretching as much as possible- this will help prevent adhesions and scar formation among the surgery dissection planes, and minimize the scar contracture that can occur and contribute to the tightness that you have felt. If there is any concern for infection or wound breakdown, however, you should stop the massages (which would cause further stress along the incisions) and contact your operative surgeon immediately to see how you should proceed. Hope this helps!Best,Dr. Donald GrovesPlastic Surgeon