Are Lumps, Bumps & Other Formations And Why Do They Happen?
recovery portion of your facelift journey may not be without some
small or even big bumps in the road. It is a possibility that you
may develop one or several lumps, bumps, or dimples under the skin
of the operated regions of your face. They may appear in various
shapes and sizes and can be hard or soft to the touch. A few days
to a week after surgery, you might begin to notice these lumps,
bumps, or dimples on your face and neck. They may appear earlier
or later along the healing journey, but for a good number of women
they usually show up about 4 to 7 days after the operation. These
lumps, bumps, and dimples are a normal part of the post-operative
period and are usually nothing to worry about. Some women experience
them during the course of their healing, but the good news is that
lumps and bumps are a temporary condition and these pestering formations
go away in due time.
and bumps may occur for a number of different reasons, which could
be why lumps and bumps may have vary in appearance between women
who experience this symptom. One possible cause is the dissolving
sutures under the skin. Some doctors use dissolving sutures, and
when they reabsorb they can create a lumpy appearance. As a result,
some women have actually been able to feel the sutures under the
skin. It is also possible to see physical lumpiness in the cheek
area, where it is common practice for surgeons to use dissolving
sutures. A few veterans have also mentioned that the sutures temporarily
caused small indentations on the sides of their face. These small
indentations resembled lumps and dimples, but eventually disappeared.
So if the lumpiness persists for some time, do not be alarmed, as
it is normal for these sutures to take time before they fully dissolve
and you may be able to both see and feel them for a couple months.
which sometimes form during the post-op period, usually when the
PS has used tissue glue to seal incisions, are another cause of
lumps and bumps. Cysts are abnormal swellings or sacs that usually
contain fluid. They usually appear pasty white, red (especially
if they become infected) or skin tone color, but they can also have
grayish blue tint, thanks to the fluid that they contain. Cysts
may secrete a pasty or cheesy smelling fluid. When a sebaceous gland
becomes blocked, as can occur after facelift surgery, oily fluids
accumulate and a sebaceous cyst may form. If your lump seems to
be filled with fluid, it may be a sebaceous cyst. Unless they become
infected or painful, sebaceous cysts usually go away on their own.
A few facelifters talked about sebaceous cyst as hard to the touch
and having a "bluish gray" tint. The use of the glue does
speed up healing and recovery times dramatically so there are advantages,
but it does increase the possibility of developing these sebaceous
cysts. We recommend that you discuss this option with your doctor
in great detail. Some doctors do not use the tissue glue because
of the possible complications. Tissue glue is still a fairly new
product and the long-term affects are still not documented.
bruising and swelling after surgery can also create a lumpy appearance
on your face and neck. We’ve also noted that lumps and bumps
occur more frequently in women who have had liposuction on their
necks. This can be a result of fat cells that will redistribute
themselves and smooth out over time. Sometimes scar tissue can be
the cause of your lumps and bumps, creating hard bumpy areas. In
addition, as clotted blood is in the process of breaking up and
reabsorbing into the body, the blood clots may create bumps under
the surface of the skin. When you bleed under the skin, sometimes
the blood forms scabs, which take awhile to dissolve when they can’t
just fall off. Uneven collagen growth, caused by skin that has been
tightened, can also cause lumpiness. If you find small, "pebbly"
bumps on your cheeks, they could very well be collagen particles
that were stirred up by the surgery and have not settled back into
the skin yet. Sometimes after surgery your lymph glands can swell,
creating large lumps on either side of your neck. These lumps can
be as large as "baseballs". Fly to the Facelift
101: Why Do Lumps, Bumps & Other Formations Occur? section
for a more in-depth explanation of the various causes of these lumps,
bumps and various formations.
I Definitely Experience Lumps, Bumps & Other Formations?
bumps, and dimpling may or may not be a part of your facelift healing
journey as they are not as common a symptom as, say, bruising or
swelling. However, if you do experience them, they are perfectly
normal, temporary, and nothing to be alarmed about. Lumps, bumps,
and other formations may appear either before or after the onset
day, although a good number of women first notice lumps and bumps
at about 4 to 7 days after their surgery. However, it is important
not to mistake normal lumps and bumps from a hematoma, or other
complications that closely resemble lumps and bumps, but require
medical attention, especially if the lumps and bumps cause pain
or are otherwise sensitive to the touch. Run to the Complications
& Risks 101: Separating Lumps, Bumps & Other Formations
From Hematomas, Abscesses, and Swollen Lymph Glands Discussion
to separate lumps and bumps from complications.
Might Lumps, Bumps & Other Formations Look Like On Days 4-7?
sizes and shapes of the lumps will vary, depending on the cause.
They will probably be largest and most noticeable when they first
appear—which could be as early as day 4—and then gradually
diminish over the next few weeks and months. Lumps caused by sutures
will probably be fairly small, irregular in shape, or "dimply".
Women who experience swollen lymph glands can have lumps that look
quite large. A very few ladies said they had two lumps the size
of "baseballs" on both sides of their neck, most likely
the result of swollen glands. You may also have many small bumps
as opposed to few large ones. Lumps like these are most likely due
to clotted blood or uneven collagen growth. Sebaceous cysts may
have a bluish-grey tint, and feel hard to the touch. Lumps might
also appear to fluctuate in size, though this is probably more a
function of the degree of swelling you are experiencing than the
size of the lumps themselves. As you swell, the swelling "hides"
the lumps, and they may seem to disappear and then reappear. If
your lumps start being more noticeable, you can be happy that your
swelling is going down.
Might Lumps, Bumps & Other Formations Feel Like On Days 4-7?
like the way lumps and bumps may vary in their look, the way they
feel can also vary among facelifters. They may feel hard to the
touch, and can even be sore and painful. Some women have described
their lumps as feeling "rope-like", especially in the
neck area. However annoying lumps and bumps may be, take comfort
in the fact that the skin on your face and neck is a lot tighter
now. If the lumps and bumps are due to dissolving sutures, they
are probably painless, and you may very well be able to feel the
dissolving sutures under the skin. Moreover, lumps might also itch.
some women, the presence of lumps and bumps can feel irritating
and even somewhat painful, while for others they are a minor discomfort.
The good news is that regardless of how you feel about the bumps,
they will ultimately come to pass. For the most part, one can expect
to be "lump-free" by the six-month anniversary.
Might Lumps, Bumps & Other Formations Occur?
most common areas for lumps and bumps to occur are on the cheeks
and neck, especially if your facelift is combined with neck liposuction.
A few women, though not so commonly, also had them along the jawline,
under the chin, around the eyes and ears, and behind the head. We
have noted that when women had lumps around their mouth and cheeks,
this occurrence was more frequently associated with dissolving sutures
at work. We’ve also noted that of the women who experienced
lumps and bumps in the chin area, a good number of them have had
a small incision made just beneath the chin during their surgery,
for the neck portion of their facelift. Sometimes the scarring from
this incision can cause a slight ridge. Asymmetry In Lumps, Bumps
& Other Formations
Like many other symptoms, lumps and bumps can occur and be distributed
unevenly on both halves of your face and even on the same side of
the face. So it is entirely possible and normal if the right side
of your face and neck has more lumps than the left side, or if you
have bigger lumps on the right side of your cheek but smaller lumps
on the right side of your neck, or if you have one lump that is
shaped like a small button on the right cheek, but your left cheek
is entirely normal.
speed of healing of each bump can also be uneven. You may have some
lumps and bumps that stubbornly persist, long after other lumps
have gone away. This is perfectly normal and nothing to worry about.
You may feel self-conscious, but often the unevenness and lumpiness
is much more apparent to yourself than it is to others. Keep in
mind that it is quite normal to still have lumps for up to several
months after your surgery, but they will go away, and you will be
"lump-free" and turning heads again soon.
She’s Lumpy, She’s Lumpy Not
normal pattern of healing for lumps, bumps and other formations
in the post-operative period is a gradual diminishing of the lumps
until they are completely gone. You will probably notice them getting
progressively smaller as time passes. Along the way to their eventual
disappearance, some women have observed their lumps seeming to go
away but then come back again. This is probably due to fluctuations
in swelling rather than the actual lumps themselves reappearing
again. As your face swells, the lumps and bumps become less noticeable,
and then as the swelling diminishes the lumps and bumps appear to
Might My Lumps, Bumps & Other Formations Affect Me Emotionally?
there is virtually no literature on lumps and bumps, a good number
of women are surprised and panicked when they are struck by it,
as they were not aware of this possibility going into surgery. Most
doctors tell us that lumpiness is normal and will go away in time
and this is true most of the time, but there is still not a lot
of detailed literature that is available to us. Many facelift voyagers
do not know these lumps and bumps are a possible side effect of
their healing until they actually face them first hand. For these
reasons a good number of women are surprised and panicked when they
do come across these "lumps", "bumps" and "dimples".
Even worse is that there is even less information concerning the
different possible reasons for these physical side effects and how
they can be treated. This can explain the additional fear that some
women experience when trying to understand what these lumps and
bumps are on their own. Each contributing factor is different and
has its own specific symptoms and treatments. But don’t panic,
as we will explain all of these phenomena.
the meantime, since some lumps may be pretty unsightly and seem
to take forever to go away, it is normal to feel frustrated and
concerned. You may be unhappy with the way you look and worry if
you will ever look normal again. This can be especially distressing
if your smile is affected, as physical lumpiness has been rarely
known to produce a "hill and valley" look. Smiling and
laughing release endorphins, one the brain chemicals that make one
feel good and happy. When you can’t or don’t smile,
your mood is consequently affected. Ask you PS about the lumps if
you are very concerned, but keep in mind that most lumps and bumps
should be significantly diminished by about 3 months post-op and
disappear altogether by around your six-month anniversary. Your
face has just gone through a significant change, and it may well
take months for the skin to settle in, relax, and feel comfortable.
Every face is as different as the techniques employed by different
surgeons, and different techniques cause different types and degrees
of discomfort. Unless you are experiencing a great deal of pain
and discomfort, you are probably just going through normal post-operative
Long Will My Lumps, Bumps & Other Formations Last?
this juncture of the healing journey, your lumpy appearance is probably
bothering you and you may be wondering when and if the lumps will
ever go away. A number of women say to be patient because it may
take time for your "lump problems" to go away. The lumps
can significantly diminish and disappear over anywhere from 4 to
8 weeks post-op, but may take a few months longer and sometimes
as long as 6 months for some lumps to disappear completely. A good
number of women notice that their lumps peak at four to six weeks,
followed by a noticeable decrease in size. You may find they disappear
fairly quickly, but it is also normal to see a more gradual change.
Note that after a symptom peaks, it can decrease rapidly at first
and then subside more slowly. If you feel bumps at four weeks, you
might notice a significant improvement by Week 6 or 8, however they
might not be completely gone until a month or two after that.
101: What Are The Healing Tips For Lumps, Bumps & Other Formations
On Days 4-7?
days 4 -7, the unevenness and lumpiness might be very visible to
yourself when you look in the mirror. Therefore, it is a good idea
to avoid mirrors as much as possible during the early days of the
healing journey. Many of the symptoms are at their worst levels
during this period and you may get understandably unhappy and even
depressed by the way you look. From the experience of a good many
veterans, looking at oneself in the mirror at this time is likely
to be a negative experience due the post-op look that you may have.
Time and again, women who were tempted to look at themselves ended
up feeling blue and wishing they never did check themselves out.
Since your psychological state will affect the speed of your healing,
you do not want to introduce anything that could upset you –
such as seeing a puffed-up version of yourself. Given that your
appearance will be changing on a day-to-day basis, looking at yourself
at this early phase is of little use and will not serve you well.
There is no point to look at yourself in this temporary state, as
everything will shortly change. For this reason, you should limit
your exposure to mirrors and only use a mirror in times that you
really need it such as to cleanse and moisturize your face. Otherwise,
the mirror is not a good friend at this time.
And Relax For Your Skin
best advice for your lumps on days 4-7 would be to let your body
and your skin relax. By doing unnecessary activities, you may subject
yourself to the possibility of causing certain symptoms such as
your lumps and bumps, swelling and bruising to worsen, introducing
potential complications, weakening or even (though less likely)
causing a suture or staple to come loose or pop off. All of this
spells a longer recovery period than the one you would have if you
were to take it easy and do nothing at this time.
be sure to consult your doctor about all recommendations and products
before deciding to follow or use them during your journey.
101: Why Do Lumps, Bumps & Other Formations Occur?
lumps and dimples in your cheek and neck area may simply be parts
of the dissolving sutures yet to dissolve. Some plastic surgeons
use dissolving sutures to reattach the underlying muscles structures
of your face. The small dimpling and bumps on your face and neck
can appear wherever dissolvable sutures were used in your cheek
and neck area, where your SMAS and platysmal muscles are located,
respectively. Most women recount that the bumps and dimples from
their sutures appeared in their cheek area where SMAS muscle work
was done. It is possible not only to see the presence of the sutures
underneath the skin but to also feel them by touching the skin above
the sutures. There is no real treatment to get rid of these bumps
and dimples, as they will disappear when the sutures dissolve. Remember
that not everyone that has dissolving sutures will experience these
effects, which can take as long as 2 to 4 months to completely dissolve.
It is a simple waiting game and there really isn’t anything
you should do to get rid of them except to be patient, as many women
are told to do by their PS. How fast your sutures absorb completely
depends on each individual’s body, but they will dissolve
over time and the bumps and dimples will only be temporary fixtures
on your face.
sebaceous glands are glands in your skin that are responsible for
keeping the skin moist and pliable by releasing a thick fatty secretion
into your skin called sebum. Sebaceous cysts may develop in the
form of lumps and bumps, when the sebaceous glands in your skin
get blocked or clogged, forcing these liquids to collect and swell
in walled pockets under the skin. This blockage is usually due to
skin trauma during your facelift and this usually happens when tissue
glue is used in the surgery to seal your incisions instead of sutures.
Tissue glue can lead to a higher instance of sebaceous cysts because
of the shortened and speedy healing in your tissue and incisions
that the tissue glue provides, but can be traumatic to your skin
and interfere with the normal secretion of the sebaceous glands.
for these cysts can be a bit intense and may require drainage by
a needle or through a small incision, or may require a small surgery
to properly remove the cyst. Antibiotics may also be prescribed
to treat them if they become infected. The normal recommendation
for these cysts, as many doctors tell their patients, is to leave
them alone unless they become bothersome or infected, as they will
disappear over time, sometimes spontaneously. Warm wet compresses
may also be applied to help the cyst force out some of its contents.
If you think a cyst is the cause of your lump, make sure that you
inform your PS immediately so they can advise you on the proper
action to take.
nodes are the part of the lymphatic system responsible for filtration.
The purpose of the lymphatic system is mainly to remove excess fluid
and waste from the tissues it serves. Lymph glands help your body
fight infection because they trap and eliminate foreign particles
and infectious agents from entering the blood stream, as well as
produce white blood cells and antibodies to destroy infecting germs
and poisons. The main regions in which the lymph nodes exist are
the groin, armpits, and neck. Enlargement of lymph nodes is a common
condition, and can occur even if infection is trivial or not apparent.
Swollen lymph glands after surgery is normal and might be related
to the anesthesia or to a minor infection, such as an abscess. There
is no need to worry if you develop swollen glands, but if the glands
stay swollen for more than a week, are red and tender, or if one
or more glands get larger over a period of two to three weeks, be
sure to notify your PS.
another cause of lumps and bumps may be the body's own production
of collagen, a compound responsible for repairing damaged skin tissue.
During the healing journey following a facelift, collagen is being
laid down in areas that were damaged during surgery. At times, this
process can be uneven and lopsided on one side of the face or another,
leaving a lumpy appearance in areas where collagen production is
higher. Collagen 3 may also contribute to scar formation (we fully
discuss all forms of scar formation in the Irregular Scarring tab
of the Complications: During & After
Room.), which may be another cause for lumps and bumps
suddenly appearing during week 2, 3, or 4 of the healing journey.
& Risks 101: Separating Lumps, Bumps & Other Formations
From Hematomas, Abscesses, and Prolonged Swollen Lymph Glands
some rare cases, lumps and bumps are not part of the normal healing
process and should be tended to by your PS. One of the most common
complications is a hematoma. If the lump is painful to the touch,
dark, or leaking blood, it may be a hematoma and your PS
will probably want to drain it. For more details and scientific
explanation about what is a hematoma and how it occurs, travel to
the Hematoma discussion
area in the The Danger Zones: Complications
During And After tab in this room.
the lump is red, raised, and painful, it may be an abscess. Abscesses
occur when an area of tissue becomes infected and fills with white
blood vessels, your body’s natural defense against infection.
They sometimes happen after surgery due to trauma to the skin. If
you have an abscess, your PS may want to drain it.
lymph glands are sometimes a normal part of the post-op period,
but if the glands stay swollen for several weeks, are red and tender,
or if one or more glands get larger over a period of two to three
weeks, be sure to notify your PS.
you may also notify your PS if any bump looks or feels differently
than the rest.
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