While neck lift surgery is generally safe and delivers excellent aesthetic outcomes, like all surgical procedures, it carries the risk of complications. Understanding the most common issues—how to recognize them and how surgeons manage them—can help patients feel more prepared and empowered during recovery.
1. Hematoma (Internal Bleeding and Swelling)
What It Is:
A hematoma is a collection of blood beneath the skin that can cause swelling, bruising, tightness, and pain. It typically occurs within the first 24–48 hours after surgery and is the most common complication following a neck lift.
Treatment:
- Mild Cases: Small hematomas may resolve on their own with cold compresses, head elevation, and careful monitoring.
- Moderate to Severe Cases: Your surgeon may need to drain the hematoma through a minor procedure, sometimes requiring a return to the operating room.
- Prevention Tips: Patients are advised to avoid strenuous activity, keep the head elevated, and avoid blood-thinning medications before and after surgery.
2. Nerve Injury (Temporary or Rarely Permanent)
What It Is:
During a neck lift, small sensory or motor nerves can be stretched or injured. This may result in temporary numbness, tingling, or weakness in the lower face, jaw, or neck muscles.
Treatment:
- Temporary Nerve Dysfunction: Most nerve-related issues resolve on their own within weeks to months as the nerves heal.
- Persistent Issues: If symptoms last beyond 6 months, additional evaluation may be necessary, and in rare cases, nerve repair or physical therapy could be recommended.
- Surgeon’s Approach: Skilled facial plastic surgeons use meticulous techniques to minimize the risk of nerve trauma during dissection and tissue repositioning.
3. Infection
What It Is:
Though relatively rare, infection can occur at the incision site or deeper within the tissue planes.
Signs to Watch For:
- Redness, warmth, or swelling at the incision site
- Fever or chills
- Pus or unusual discharge
- Increasing pain after initial improvement
Treatment:
- Antibiotics: Most infections respond well to a course of oral or IV antibiotics.
- Drainage: In cases of abscess (pocket of pus), the area may need to be drained surgically.
- Wound Care: Keeping incisions clean and dry, along with proper aftercare, helps reduce infection risk.
4. Skin Irregularities and Poor Wound Healing
What It Is:
Some patients may experience skin rippling, dimpling, or delayed healing at incision sites.
Treatment:
- Massage and Time: Minor irregularities often improve with time or gentle post-op massage.
- Laser or Revision Surgery: Persistent contour issues or thick scars can sometimes be improved with laser treatments or minor surgical revision.
- Lifestyle Factors: Smoking, poor nutrition, or medical conditions like diabetes can impair healing and should be discussed prior to surgery.
5. Seroma (Fluid Collection)
What It Is:
Seromas are pockets of clear fluid that can form beneath the skin after surgery.
Treatment:
- Aspiration: Your surgeon may remove the fluid using a needle and syringe in the office.
- Drains: Some patients may have temporary drains placed during surgery to prevent fluid buildup.
- Compression Garments: Wearing a chin or neck compression garment as directed helps reduce the risk of seroma formation.
Conclusion:
Although complications from a neck lift are uncommon, knowing what to expect and how they’re treated can offer peace of mind. Choosing a board-certified facial plastic surgeon and following post-operative instructions closely are the best ways to minimize risk and ensure a safe, satisfying result.
