Neuropathy 2 years post lower facelift - what should I do?

There are no larger, visible nerve branches involved in innervation of the neck; there is a number of small, practically invisible nerve branches that are supplying neck sensation. In the process of neck lift the entire neck skin is lifted of the underlying tissues and nerve supply is completely severed. Process of reinnervation is based on nerve sprouts reaching the target organs in the skin; very elaborate and time consuming process. That is why the neck is the last area of the face/neck lift to receive complete reinnervation, sometime over 2 years. In the process of nerve regrowth some of the sprouts may become entrapped in the scar tissue which is perceived as a pain. Injection of diluted corticosteroid solution into and around painful spots may create improvement as well as desensitization (physical therapy, massage). Hope that this helps.

This is very unusual after a facelift. Was subplatysma dissection performed? The exact procedure and any additional modalities used would need to be detailed to understand what may have happened. The exact location of the pain needs to be detailed to understand the cause and attempt to ameliorate it.

You don’t mention whether your ear is numb also. If your ear is numb you might want to get a second opinion.