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After 5 Years my Ear Pulses with Pain Like a Pin Stuck in There

asked 10 months ago by nobleone in San Bernardino, CA
Latest answer by Sam Naficy, MD
Question viewed 326 times
Tags: ears, 5 years post-op, pain

I had a facelift 5 years ago. The left side of my face and ear were numb and it was painful to touch the skin. Now most of the numbness has gone away but it feels like there is a pin in my ear poking me over and over again. Slight bump in front of my left ear is very tender to touch and hurts. Now my jaw hurts to open. Is this something that can be corrected?

8 answers to After 5 Years my Ear Pulses with Pain Like a Pin Stuck in There

+1

Ear pain 5 years after facelift

I am sorry to hear about your experience. Although there is no way to get the normal feeling back there may be options to reduce your pain. Follow-up with your surgeon.
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Post- facelift ear pain

Your symptom is highly suggestive of a neuroma that has developed over an injured greater auricular nerve, This is the most commonly injured nerve in facelift surgery. Once your doctor evaluates you closely, he/she can identify the exact location of the neuroma and test the theory with an injection of a local analgesic such as lidocaine or marcaine causing immediate relief of the pain. This may be repeated to incrementally improve sysmptoms or possibly your doctor may try an anti-seizure... more
Edwin Ishoo, MD

Boston Facial Plastic Surgeon

www.bostoncosmeticsurgerycenter.com

+1

Sensory nerve damage after facelift - how to fix it

Thanks for your question - I'm sorry to hear about the challenges you're facing after your facelift. There are ways to manage this pain - I would definitely start with the plastic surgeon that performed the procedure. Things to determine might include - is it possible there is a stitch pulling or trapping the nerve (likely the greater auricular). Treatment can include a nerve block at the site of the nerve to help diagnose if this is the issue - simple... more
Steven H. Williams, MD

San Francisco Plastic Surgeon

www.trivalleyplasticsurgery.com

+1

Ear pain 5 years after Face Lift

I have performed Face Lifts for over 20 years and IMHO, what you are describing is an injury to the greater auricular sensory nerve on that side of your neck. Injury, to this nerve, creates numbness of the earlobe and a section of skin just below the earlobe. The pain sensation sounds like a crossed reinnervation of the area from the nerve function returning. There's no danger but this is likely what it will be from now on. No way to repair the nerve damage.... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Facelift

It sounds like a neuroma. I would return to your surgeon and let him/ her evaluate it. That is the first step.
Melanie L. Petro, MD

Alabama Facial Plastic Surgeon
+1

Please see an ENT specialist

I think you should see an ENT (ear, nose, throat) specialist for this. I recommend Dr. Larian in Beverly Hills.
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon
+1

Although unusual, this can be a late effect of the surgery which can be fixed.

As the nerves regrow, there sometimes can be development of a "neuroma". This is more frequent earlier, but can develop very late as well. You also have "trigger point" which may be creating the problem especially in that you are having jaw pain. I would not see a neurologist until I had evaluation by a plastic surgeon experienced in face lifts. A plastic surgeon can do a hands on evaluation which may give you some insight into what is going on... more
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

This is a post surgical dysesthesia.

First I am happy to hear that your sensation regrew. Dysesthesia after facial surgery can occur. It is not really that common and the severity of the issue varies. There is no surgical fix for this. You might consider seeing a neurologist to explore the emperical use of anti-seizure medications. Be aware that this is an off label use of these drugs and it may be that the risk of side-effect will not out weigh the clinical benefits. Only you and your... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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