Chin Surgery Q&A
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Is Nerve Damage a Potential Risk in Chin Reduction Surgery?
asked 2 years ago by pritha in kolkata
Latest answer by Richard W. Fleming, MD
Question viewed 1,814 times
Tags: facial paralysis, nerve damage, risk
I plan to have Rhinoplasty and Chin Redution surgery together but I am hesitant as I read that these surgeries may lead facial paralysis? How true is it?
10 answers to Is Nerve Damage a Potential Risk in Chin Reduction Surgery?
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Risk of nerve damage from chin reduction surgery
In chin reduction surgery there is always a small chance of damaging the lower branch of the facial nerve that controls the lower lip. When damaged, patients experience loss of sensation and motor function in the affected area. If this nerve is cut, it can result in a temporary or permanent lower lip asymmetry. However, if the nerve is simply stretched, normal function will return in six to eight weeks. Make sure your surgeon has plenty of experience in chin reduction surgery since it...
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Nerve damage from Rhinoplasty and Chin Reduction Surgery extremely rare
Facial Nerve Damage from Rhinoplasty (Aesthetic Facial Plastic Surgery, Dr Young Bellevue) and Chin Reduction Surgery (Philip Young MD, Bellevue, WA) is extremely rare.
From Rhinoplasty, Facial Nerve Damage would be something that you could report in the literature because it is extremely rare. I have never heard of that ever. So your worry about Rhinoplasty causing that should be lessened. Chin Reduction surgery is a viable concern. When you do this type of surgery, you have to elevate...
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Nerve Damage and Rhinoplasty
ANY operation in Plastic surgery can be associated with underlying nerve damage. That being said the likelihood of a Rhinoplasty being associated with facial paralysis is extremely rare. I have never heard of such a complication.
As regards chin reduction (Genioplasty), the operation involves removal of a horizontal wafer of bone from the chin and placing screws and plates to hold the smaller chin together. In the process, one or both of the SENSORY nerves of the chin (Mental nerve) may be...
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Paralysis after Rhinoplasty and Chin Reduction
Facial nerve paralysis is not considered a complication of rhinoplasty surgery. If only the chin will be reduced, not other parts of your jawbone, facial nerve paralysis would be extemely rare. A permanent change in nasal or chin sensation is possible, but very unlikely. Having said that, anything is possible including a fatal accident traveling to your doctor's office, which is probably more likely than the surgical compication you mention.
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Nerve Damage Potential Risk in Chin Surgery
Nerve injury producing facial paralysis is not considered a complication of rhinoplasty. Such nerve injury could possibly occur with chin reduction surgery; however, this is very rare and is almost never seen in well performed procedures. This is why it is always important to select your surgeon carefully.
Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon
Freehold Facial Plastic Surgeon
+1
Chin Reduction Can Cause Paralysis or Numbness
Chin Reduction can rarely cause injury to two different nerves;
1. Marginal Mandibular Nerve that makes you move your lower lip.
2. Mental Nerve that provides sensation to the lower lip and chin.
The risk is very small. Discuss your concerns with your surgeon. He / She might be able to give you alternate options if you are really worried about these potential risks.
Regards
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Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
Bedminster Facial Plastic Surgeon
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Nerve damage with chin implant
Yes this is true but fortunately rare. Liposuction is commonly performed in combination with the chin implant. This can cause trauma to the marginal mandibular branch of the facial nerve which can lead to facial weakness. However, injury to the sensory nerve is the more common problem becuase the nerve is located immediately next to the tail of the implant
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
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Nerve damage with Chin and Nose Surgery
Sensory, rather than motor nerves are more likely to be injured during chin reduction surgery. This may lead to numbness of 1/2 or the entire lower lip. As for rhinoplsty, a small amount of numbness can occur at the tip, but this usually returns to normal after several months
Michael Orseck, MD
Greenville Plastic Surgeon
Greenville Plastic Surgeon
+1
Nerve damage with Chin and Nose Surgery
Hi,
When considering rhinoplasty, I don't think facial paralysis is a concern. You may have some numbness around the tip of your nose which should resolve over time.
Chin surgery also has a very low risk of nerve damage although the mental nerve (controls sensation to the chin area) can be pushed on and/or swollen after the procedure leaving temporary loss of sensation in that area. The marginal nerve ( which controls movement of the lower mouth area) can also be pushed on causing...
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Talk to a good plastic surgeon in your area about chin reduction risks
Different forms of nerve damage is always a possibility with surgery --- but full facial paralysis is unheard of from a rhinoplasty and chin reduction. Smaller nerves in the operative fields can be damaged, this is usually temporary but sometimes can be permanent. this is why you want to get a good doctor and have them answer all of your questions to allay your fears.
