Hard Swollen Mass Under New Jawline 1 Month After Facelift/Necklift? (photo)

   While seroma can recur, drainage and compression usually cause resolution after one or two aspirations.  If there is concern for salivary output, close followup with Botox and antisialogogues may be considered.  Kenneth Hughes, MD Los Angeles, CA

Thank you for your question for sharing your concerns with us. Repeated accumulation of fluid under the jawline can be a persistent seroma, but can also be a salivary gland leak.  I would recommend that you continue to get this drained and possibly insert a small drain tube if needed.  Medications can also help decrease the amount of saliva production and may help while this resolves.  I would make sure that you continue to follow up with your plastic surgeon during this period of time.

It is probably a little seroma but if it keeps returning I would start to think that it might be a salivary fistula. Keep up with your surgeon and I'm sure you will be fine.