Are dermal fillers okay for someone with trigeminal neuralgia/ tmj?

Question

Hello everyone I am a 30 y/o. I have had a very youthful face until and dentistry procedure left me with tmj and trigeminal neuralgia. Due to this conditions and stress my face drooped literally over night… I have a fat lose on the side of my chins and my nasolabial folds got so prominent. So due to my situation I have fear fom needles and fillers. I am scared to iritate the nerve even more . Also my immune systems is not quite good cuz of the chronic stress and pain. So would you doctors have any advice? Should I get the filler or am I not a candidate? Is there any alternative way to add volume to area instead of filler and fat transfer. I am scared for the filler to add pressure on the nerves or a needle poking the nerve endings and iritate it even more .. also i wonder if in my case where a significant amount of fat is lost, am I more prone to occlusion since I don’t have much dept for injection… im terrified but also want to bring back my youthful face … Thanks in advance!

Anna Chacon, MD, FAAD · Answer

When considering dermal fillers for someone with trigeminal neuralgia or TMJ, several factors need to be carefully assessed to determine if this is a suitable option. Here are some points to consider:

Considerations:

Nerve Sensitivity: Trigeminal neuralgia and TMJ involve sensitive nerve areas, and any procedure that involves injections should be approached with caution to avoid exacerbating symptoms.

Technique and Expertise: If you consider fillers, it is crucial to consult with a highly experienced practitioner who understands facial anatomy and the specific challenges posed by your conditions. They can use techniques that minimize the risk of nerve irritation.

Alternatives to Fillers: If fillers are not advisable, other non-invasive treatments, such as skin tightening procedures (e.g., radiofrequency or ultrasound-based therapies), might help improve skin laxity and appearance without injections.

Occlusion Risks: Given concerns about volume loss and potential occlusion, it is essential to have a thorough assessment. Techniques like using cannulas instead of needles may reduce the risk of complications.

Addressing Underlying Conditions: Managing stress, pain, and any underlying conditions contributing to facial changes can be part of a holistic approach. Working with a multidisciplinary team, including a neurologist and a dentist specializing in TMJ, might be beneficial.

Patch Tests and Gradual Approach: If considering fillers, starting with a small amount in a less sensitive area and observing the body's reaction might help assess tolerance.

Ultimately, a personalized consultation with a qualified dermatologist or plastic surgeon familiar with your medical history is essential to weigh the risks and benefits and explore all possible options for restoring facial volume and achieving your aesthetic goals.

Camille Cash, MD · Answer

You may still be a candidate for fillers but due to your history it is important that you consult with an experienced injector, preferably a board certified plastic surgeon or similar specialty.  Alternatives that you can consider to help with loose skin include treatments such as Morpheus8, FaceTite, or Evoke.  Meet with a provider near you or visit my website to learn more.

Are dermal fillers okay for someone with trigeminal neuralgia/ tmj?

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Are dermal fillers okay for someone with trigeminal neuralgia/ tmj?

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