Seroma and bulging neck and lip paralysis

[seroma]

Today it is 4 weeks since my lower face list w platysmal piation. I am still getting a lot of swelling especilly in the morning. My chin that used to be flat is now goe and instead goes down tomy neck at a 45 degree angle and when I talk it bulges out like a bull frog. Th morning swelling is thick and painful not soft a pliable as it was when the Dr. told me it was from the seroma. The seroma was drained 3 times. First they got 8 ccs, then 4 then 2 in the last 2 weeks. I will be going back agan on Tuesday. My chin looked so much better before an I still have the paralyzed lower lip. The Dr and staff keep saying this is all nrmal and common but very other after photo I see the patient has a flat jaw line. My after looks like their before photos and my before loks like thier afer. What is going on? Will my chin ever look at least as good as it did before? It is as if the platysmal muscle is lower and my glands are bulging. It does seem to get better throughout the day if I wear my compression bandage but as soon as I take it off and try to talk my throat bulges out again. My lower lip movement does seem to be coming back albeit slowly. nHave you eve seen this before and is my chin oin to ever look nrmal agai? is there any procedure to fix it if it doesn't come back?
Seroma

[seroma]

Dear Dr. Rosenberg,

Thank you for your words of encouragement. I definitely seem to be noticing a pattern of one day better one day worse. A bit like 2 steps forward, 1 step back. Thinking positive is a good thing and I will take your advice and know that I will have a beautiful outcome when I am done healing. Thank you very much,
Seroma

[Howard Rosenberg, MD]

At four weeks, underlying scarring (between the skin and the muscles) from both the surgery and your subsequent seroma is at its worst.  Continue to wear the compression strap as recommended by your physician.  I would be optimistic that over the next several months, your neck contour will improve.