Use head wrap most of the time and have been sleeping in a recliner all this time. Only med is Aleve, no bending or exercise, watch my diet. But I look worse NOW than I did a few weeks ago. PS checked for fluid with needle, negative, and said to be patient, don't use the head wrap anymore and get on with a normal life.. ? 1. Is it normal for the swelling and hardness to increase with time? 2. What is the best way to deal with the hard lumps.. hot or cold compresses with gentle massage?
May 4, 2017
Answer: Edema This paired swelling under the mandible may represent the submandibular glands that are now more exposed since fat was removed from your neck. A procedure to reduce their size may be necessary to correct this. Going forward, gentle massage with warm compresses may help.
Helpful 1 person found this helpful
May 4, 2017
Answer: Edema This paired swelling under the mandible may represent the submandibular glands that are now more exposed since fat was removed from your neck. A procedure to reduce their size may be necessary to correct this. Going forward, gentle massage with warm compresses may help.
Helpful 1 person found this helpful
April 17, 2018
Answer: Lower face lift 6 weeks ago. I looked good at 3-4 weeks. Now the swelling has increased with hard lumps under my chin Thank you for this question, as this is not an uncommon concern. By the appearance of your neck in the photo, I can surmise that you had an anterior platysmal plication (anterior platysmaplasty). The technique is incredibly valuable in individuals with thicker necks and less favorable neck angles because it can maximize the appearance of the neck on profile. However, there are some drawbacks to the procedure, and the most common one is prolonged swelling in the submandibular compartment (which houses the submandibular glands), as well as scar tissue formation (which typically resolves after several months). For some reason, this area is more prone to subcutaneous scar tissue formation than any other part of the face or neck treated during a facelift. In addition, in individuals with moderate aging, the submandibular glands are also droopy, and tightening the anterior neck muscle can make that become more apparent, and the swelling within the submandibular gland compartment doesn't help either. Surgeons have designed techniques to improve fullness in this area (such as the Feldman technique), but the reality is that this can still happen and in most cases it will resolve, typically after several months. In my experience, injection of local steroids, such as triamcinolone (kenalog) can be incredibly valuable; massaging can help and is often recommended but I'm not too certain of its value. Compression garments are neither likely to work nor are they convenient to wear regularly. I recommend that you follow-up closely with your primary surgeon to discuss whether these options are appropriate in your case given the type of surgery that you may have had. Best of luck!
Helpful 6 people found this helpful
April 17, 2018
Answer: Lower face lift 6 weeks ago. I looked good at 3-4 weeks. Now the swelling has increased with hard lumps under my chin Thank you for this question, as this is not an uncommon concern. By the appearance of your neck in the photo, I can surmise that you had an anterior platysmal plication (anterior platysmaplasty). The technique is incredibly valuable in individuals with thicker necks and less favorable neck angles because it can maximize the appearance of the neck on profile. However, there are some drawbacks to the procedure, and the most common one is prolonged swelling in the submandibular compartment (which houses the submandibular glands), as well as scar tissue formation (which typically resolves after several months). For some reason, this area is more prone to subcutaneous scar tissue formation than any other part of the face or neck treated during a facelift. In addition, in individuals with moderate aging, the submandibular glands are also droopy, and tightening the anterior neck muscle can make that become more apparent, and the swelling within the submandibular gland compartment doesn't help either. Surgeons have designed techniques to improve fullness in this area (such as the Feldman technique), but the reality is that this can still happen and in most cases it will resolve, typically after several months. In my experience, injection of local steroids, such as triamcinolone (kenalog) can be incredibly valuable; massaging can help and is often recommended but I'm not too certain of its value. Compression garments are neither likely to work nor are they convenient to wear regularly. I recommend that you follow-up closely with your primary surgeon to discuss whether these options are appropriate in your case given the type of surgery that you may have had. Best of luck!
Helpful 6 people found this helpful
