What Causes Tightness Around Neck After Face Lift Surgery?
Revision surgery, BOTOX injection
Detailed Answer:
Hello
Thank you for posting on HCM.
I can understand your concern regarding the tightness after facelift surgery.
Based on your description of your procedure, platysmaplasty was performed in order to give you the best possible lower face and neck profile. The platysmaplasty is useful for creating the chin to neck angle that people associate with a youthful neck. This involves tying together the separation between the two platysma muscles on the left and right side.
Usually after any surgery the reactionary edema due to tissue injury can be the reason for the temporary tightness for initial few weeks. Also, the if the sutures are too tight then you may have that extreme tightness and it takes few months before the stitches are absorbed and the tension is released.
But as 7 months has passed and you still having the trouble, I think the above two scenarios doesnot hold good anymore.
According to me, I think either your facelift and necklift is overdone or there is contracture due to scarring of muscles.
In either of case, I would strongly suggest to have consult with your plastic surgeon.
Excessive tightening over muscles can be loosened up by a revision procedure where the tension is released.
Alternatively, a trial of Botox injection can be given. Botox injection will partly relax the tension in your muscles and thus can be helpful in this situation.
I hope you get well soon.
Let me know if you need any more assistance from my side.
Thank you and take care
Dr Hardik Pitroda
M.D Dermatology
thanks
Nerve block is a good temporary measure
Detailed Answer:
Hello again,
Injecting anesthetic agent into your nerve is called nerve block.
It is temporary measure to relieve your pain and uneasiness but considering you are going to travel in coming days its a good option for you.
But later on as you return, I would insist you to plan a visit to your plastic surgeon and discuss in detail about the revision surgery and its outcome.
And little positive thinking and meditation would be of extra benefit anyday.
Hope you will be fine soon.
Take care
Dr Hardik Pitroda