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POSTED UNDER Neck Lift REVIEWS

Lower face, neck and brow lift - feel like I’m being strangled 24/7

ORIGINAL POST

Lower Face, Neck, and Brow Lift

carlotabt
I visited Dr. LaCombe looking for a nonsurgical means of treating a neck wattle, thinking I just had saggy skin. He explained that the thin sheets of muscle in my neck were sagging, and the only way to fix it was with a neck lift. This was presented to me as a package deal with a lower face lift. I thought, "Nope, not for me," and went home.
Later, I was horrified by a candid photo of myself, and it prompted me to schedule the procedure. I figured I would do a brow lift as well, since I'd always had asymmetric eyebrows.
I did a LOT of research before making this decision. I visited reputable websites like Mayo Clinic and Stanford University. They all said to expect a couple of weeks of discomfort and swelling after a neck lift. Some described patients feeling as if they were wearing a party hat with a tight chin strap for a few weeks post-op. That doesn’t don't come close to describing what I've been through.
I've had experience with pain: delivering two babies without anesthesia, foot surgeries, a breast reduction, and an arthroscopic hip surgery. After all that, I figured I could handle anything. Boy, was I wrong. This has been the most stressful and hideously painful experience of my life, made up entirely of searing, unrelenting, literally in-your-face pain.
Remember that comparison to wearing a party hat with a tight chinstrap? Sure, that's accurate, if the party hat is a hornets' nest and the chinstrap is made of barb wire. My ears felt like they'd been ripped off and sewn back on again. I was unable to chew anything for several weeks, and lived on soup, oatmeal, and smoothies.
Both the doctor and his primary nurse deflected my concerns at post-op rechecks, replying: "I have patients out playing golf two weeks after this procedure," and "Our other patients don't have these problems."
It's been six months now. I’m no longer acutely painful, but the chinstrap sensation persists; I feel like I’m being strangled 24/7. My cheeks and jawline have a constant sense of thickness and discomfort. Whenever I get overheated, the entire surgical site—from my hairline to my collarbones—feels like I have prickly-heat rash. It still hurts to put any pressure on my ears, which makes sleeping or getting a haircut uncomfortable.
Before I had this done, I used to watch "Grace and Frankie" and admire Jane Fonda’s youthful neckline. The final season aired a couple of months ago and all I could see was how stiff and phony she looks, and how comfortable and natural Millicent Martin (who plays Joan Margaret) looks in comparison.
If I had read even one review on RealSelf that gave any inkling of how invasive a face and neck lift really is, and how awful the aftermath can be, I would not have had one. Even if the esthetic results had exceeded my expectations (they have not; see notes in the photos) it would not have been worth the pain and stress of the last six months. This has been the biggest, most expensive mistake of my life.
As I sat in a little treatment room the morning of the surgery, waiting for things to start, I thought, “I should just get dressed and leave.” I wish I had. Even if it would have meant forfeiting the entire prepaid surgical fee, I wish I had.

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Replies (36)

July 21, 2022
I had that same feeling of wanting to leave before my nose procedure. People if you have cold feet...RUN. I've had plenty of surgeries myself and was taken for a ride. 12,500 later and my nose is still the same. I too did my homework but there are some practices in it for the $$$$ and not in it to do beautiful work. If you get that feeling leave.
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July 26, 2022

100% R uN

July 24, 2022
I’m so sorry about your pain and suffering. My humble opinion is that you look great. I hope you get some relief from the chronic pain and discomfort.
July 31, 2022
Is the experience/pain you described typical of face lifts? I'm surprised you didn't do any research/read reviews before such an invasive, life-altering procedure.
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July 31, 2022
She did. She said she did. But bravo on the victim blaming.
July 31, 2022
I did lots of research. The Mayo Clinic website and other reputable sites all said to expect two weeks of "swelling and discomfort" after this procedure. So did other plastic surgery sites, and so did other reviewers on RealSelf. You obviously didn't take the time to read my entire review.
I have been completely blindsided by the amount of pain I've experienced. Thoughtless comments like yours make it even worse.
July 31, 2022
Thank you. She obviously only read the captions in the photos, not the review itself.
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August 3, 2022
Standard victim blaming. Another reason why plastic surgeons don’t take responsibility for their poor work. They expect and know society will shame you into submission for doing the procedure in the first place. It’s always your fault. Nevermind that the person paid to do the job got something wrong.
August 5, 2022
No that pain isn’t typical
August 17, 2022
Those sites are worthless and I’m so sorry you were truly misled prior to surgery. I’m a plastic surgery veteran and can tell you it’s almost always. 6-18 months before you really start to feel and look normal. Hang in there, I bet this will get better. People who heal super fast with little pain or swelling are the exceptions, not the rule.
August 4, 2022
How are you feeling now ? I to had this procedure and I read that a lot of people feel like this strangled feeling I had this feeling for a long time I’m 5.5 months in and it’s just started to loosen alittle I am a hypertrophic scarer to put it down to this, do you heal ok ? My neck to looked stringy at 4 months and it’s gone now also I had patches of what I could describe as bruising but at 3/4 months couldn’t of been. I’m feeling better about it all now it’s not perfect but what is I also took anxiety muscle relaxing medicine as I wasn’t sleeping in pain feeling strangled and like you very overwhelmed. Maybe speak to your doctor ? I feel 9/12 months for me will be my marker of feeling myself and fully healed x
August 4, 2022
Thanks for your message. This morning, 6.5 months post-op, I woke up feeling like my neck was swollen up like a puffer fish. I could hardly turn my head. I've been up for seven hours now, took a walk and a shower. It's a little more flexible but still feeling uncomfortably puffy, especially right under the chin. I've had to buy full coverage foundation to cover the discoloration and broken blood vessels on both sides of my neck. I've never had to wear foundation before.
I've given up on the doctor. They gave me the brushoff when I expressed my concerns. He prescribed Valium at about three months post-op to help me sleep, but it triggered some very vivid and spontaneous thoughts of suicide, so I stopped taking it after just a few nights.
I wound up at the ER last week with a psychiatric emergency. I could not stop crying, could not stop ruminating about what a stupid thing I've done. Now I'm on a waitlist for counseling services through my health plan but can't get an appointment until the end of this month.
I hope you and I both will improve, but I don't have very high hopes at this point. I'm fearful that this level of discomfort is going to be my new normal, and it is too far from normal for me to handle.
August 5, 2022
Have you consulted with another plastic facial surgeon for a second opinion? I can’t lie even without Valium I felt suicidal at one point for a few weeks regretting what I’d done I’d rather have jowels than feel like ripping my throat out. Niatrazapram I think is what I had and I felt better after these slept well on them and fresh in the morning. Your neck looks so neat and your jaw line mine is nothing like this so result is great
UPDATED FROM carlotabt
8 months post

Still struggling

carlotabt
Eight months post-op. I've been seeing a psychologist for the last month. My preliminary diagnoses are PTSD and severe depression. I'm taking Gabapentin for chronic pain and anxiety. Be careful what you wish for, people. It doesn't matter how good I look when I feel like this.

Replies (8)

October 11, 2022
I totally agree. You definitely have post stress trauma. When A doctor through negligence or arrogance performs a procedure he knows is painful and/or disfigured you you have every right to feel traumatized. Your body is being cut up and sliced up and it definitely destroys your self image
October 13, 2022
Thank you for your comment. I think the hardest part of this has been the fact that I willingly paid to have it done to myself. As I've said in the review itself and other replies, I don't think the doctor's skill or surgical techniques are at fault. I just feel that plastic surgery in general is presented as this quick and easy solution, with all the focus on before-and-after photos and no mention of how it actually feels and how long it can take to recover.
October 21, 2022
Unfortunately some doctors don't adequately prepare the patient for what to expect and often discount the patient's pain level when it is legitimate and long lasting.
October 27, 2022
This is true, it’s happened to me. But because I have had beauty procedures throughout life, I knew longterm pain is a lot more common and normal for some. Never can predict how a patient will heal or respond, everyone is unique. The good news is it will go away in time, and the result is beautiful. I’ve lived through actually being physically botched, which is the worst since you not only have the pain but you’re physically ruined from an aesthetic standpoint. If I could advise any patient it would bs to say: Read all the fine-print warnings, consult with a minimum of 4-5 surgeons, and go into it accepting that the worst case scenario might happen. Be prepared. Hang in there everyone.
October 11, 2022
When they do a neck lift they do liposuction in your neck that leave your skin very creepy and thin and wrinkly
October 13, 2022
I did not have liposuction. The doctor and I agreed that I didn't need it; there was no excess fat to remove.
November 12, 2022
I had the same procedure, different doctor. He repeatedly told me that he could only tighten the skin so much or it would not look right. I'm happy with the results but they also said it wasn't that painful. At my later post op appointment, I told them that they shouldn't say that because it is quite painful. It felt like I was lying on barbed wire for the first two weeks. I am 20 months post op and don't have pain but I can feel a little tightness around my ears. It's not a problem.
I hope you feel better soon! Your story is very helpful.
January 2, 2023
I've time it will feel better. Visually speaking, amazing job. Try TMS brain stimulator for anxiety. It removes that feeling. Amazon sells them. I use it. Works or depression. Fisher /Wallace is getting there's FDA approved. 70 percent of people with PTSD get relief. Go there.
UPDATED FROM carlotabt
1 year post

One year post-op; still in pain

carlotabt
One year post-op update:
I am still in constant discomfort. It's downgraded from the outright pain I experienced for most of last year, but is impossible to tune out. The entire surgical area—from my eyebrows to way up past my hairline, from my temples down to my jawline, and the underside of my chin and front of my neck—feel stiff and thickened, like there's a layer of sheet vinyl inserted under my skin. My ears are still very sensitive. I have to sleep with a baby blanket folded up behind my head to keep the backs of my ears from touching my pillow when I sleep on my back. I curl the blanket into a C-shape and position it around my ear when I sleep on my side. Getting a haircut is still uncomfortable, too, because the hairstylist has to bend my ears away from my head to use the clippers. The "chinstrap" effect is still in full force, as if a hand is clamped under my jaw at all times.
I'll admit that my eyelids/eyebrows, jaw and neckline do look better than before the surgery. BUT aftereffects of the surgery, such as the weird indentations above my eyebrows whenever I lift them, red pinprick marks (petechiae) on my forehead, the broken blood vessels on my neck, and the indentation on my left cheek, were not part of the bargain. I've just been left with a whole new set of perceived flaws in addition to chronic stiffness and discomfort.
This surgery was the biggest, most expensive mistake I've ever made. If time travel were possible, I would gladly pay ten times the surgical fee to go back and not put myself through this.

Replies (7)

June 20, 2023
A mini face lift and neck lift ruined my life. It left me in constant severe pain and 90% disabled. I changed overnight from a healthy, active, happy newly retired person to someone who can't shower or move without more neck pain. Multiple specialist including Mayo cannot help me.
November 3, 2023
I am so sorry for your suffering you have had to endure for so long. I can empathize with the severe neck tightness and choking sensation. I am 9 1/2 months post op from mini lower FL/NL. I have also suffered from extreme anxiety and depression. I went to the ER at least 5 times feeling like my throat was closing in. I had CT’s, x-rays, lab work and everything is normal. I am now taking anti anxiety and antidepressants which helps me cope better, but I am still very uncomfortable every day. It has completely ruined my quality of life. And like you, I would pay anything to go back and never have this surgery. I have been trying varies therapies, PT. acupuncture, but they have not been very helpful. Have you found any treatments that helped? Do you think your symptoms are from nerve damage or the surgical technique? I am trying to understand why some suffer from chronic pain while others seem to get back to normal.
September 20, 2024
I think it was done too tight and my muscles will not stretch from the injury. If all goes well, I will be flying from Florida to Denver to have a reversal surgery Oct 14th with Dr Imola. I dont know of any other surgeon who has done more than 1 revision of this type. The procedure
expensive and I understand that the outcome is 50/50. I am desperate and willing to try anything at this point. The pain is just too much. I also got vertigo a few weeks after the surgery. Heat makes the pain skyrocket, so I have been mostly house bound for over 2 years. I really hope that your symptoms have improved some.
September 23, 2024
I am sorry you have suffered so much. It must be awful to be home bound. My symptoms are much better now. I found a combination of Amitriptyline and Ativan work very well to provide relief and allow me to live my life again. I still feel a snug sensation in the front under my chin and the chinstrap feeling, but it is very manageable and not choking or burning pain anymore. I have also considered surgery, but like you said it is only effective for some and can create more problems with further scarring and nerve damage. I really hope the surgery provides relief for you. I know of a few people that have some relief after revision procedures. Please provide an update after your procedure. It is so important for all of us who have suffered from these surgeries to know what may help get past this. Have you found any treatments or strategies that help?
January 22, 2024
I'm sorry, I didn't see your reply until now. I'm so sorry you're going through this. I'm now two years post-op and still uncomfortable. Not acutely painful, thank goodness, but consistently uncomfortable. I still use a hot pack from time to time, but mostly I just try to ignore it and go on with my life.
I knew before the surgery that I am a highly sensitive person, unable to tune things out if they irritate me, like music I don't like or that's too loud. I also have very low heat and cold tolerance. I wonder if that sensitivity extends to something like this.
Having this surgery was, like I said, the biggest, most expensive mistake I ever made. I will always regret it.
January 28, 2024
Oh gosh thank you so much for mentioning being sensitive - I am so sensitive to the slightest things and I hadn't factored in how much that would affect me.
So glad I found this thread :(
January 22, 2024
I'm sorry, I didn't see your reply until now. I'm so sorry you're going through this. I'm now two years post- op and still uncomfortable. Not acutely painful, thank goodness, but consistently uncomfortable. I still use a hot pack from time to time, but mostly I just try to ignore it and go on with my life.
I knew before the surgery that I am a highly sensitive person, unable to tune things out if they irritate me, like music I don't like or that's too loud. I also have very low heat and cold tolerance. I wonder if that sensitivity extends to something like this.
Having this surgery was, like I said, the biggest, most expensive mistake I ever made. I will always regret it.