Numbness on Bottom Lip After Chin Surgery?

Its been 2 weeks since my surgery and the middle of my bottom lip still feels numb. Is that normal? Will it go away?

Doctor Answers (4)

Numbnes on bottom lip after chin surgery?

+1
Hello! Thank you for your question! Numbness after any surgical procedure is expected for several weeks to months following. As the nerves to the area are traumatized and will then experience a temporary neuropraxia, a transient loss of nerve conduction. This usually resolves over the next 6-12 weeks, but depending on the procedure performed, sometimes much longer. Typically this should resolve by 1 year. As it goes past this date, the likelihood of the sensation returning is small. However, it can take up to 2 years. If no return from there, it is unlikely to return. It should be discussed that persistent sensory changes may develop following any surgical procedure.  If you have an implant, it may need to be adjusted if the problem persists over the next few weeks.  Otherwise, sensation should return over weeks to months.

The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Temporary numbness after chin implant can occur

+1

Having numbness after chin implant placement is not uncommon and generally lasts only a few weeks. It's usually due to swelling and/or stretching of the nerve during implant placement. 2 weeks after surgery is still pretty early but I would expect for you to start having some improvement to the numbness slowly by about a month or so after your procedure. Though uncommon, it may take several months for the sensation to fully return.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Lip numbness

+1

After surgical placement of a chin implant there is obligatory bruising and swelling. Each patient responds differently regarding the amount of swelling. This can cause some tempoary numbness while this is resolving. If the numbness persists beyond four weeks post op bring it to the attention of your surgeon.

Rodger Wade Pielet, MD (in memoriam)
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Lip numbness after chin surgery

+1

Bellisima,

Skin and tissues are bruised and stretched during any form of chin surgery, implants, or augmentation. 2 weeks is still very early after facial surgery. Numbness continues to improve with time. Fortunately, most of the numbness resolves within a month, but occasionally may take several months to go away.

Speak with your surgeon about your concerns.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.