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.

You probably have a seroma or salivary fistula.  Both conditions resolve over time.  The salivary fistula can take weeks sometimes.  Your doctor may prescribe Robinul, which dries up your saliva temporarily.  It is frustrating, but I have never seen a case that has not resolved with time.  Good luck.

If the seroma in the neck after your facelift keeps recurring, it just might be a fistula to the salivary gland. They do resolve with repeat drainage, so stay in touch with your surgeon.