Trigeminal neuralgia and rhinoplasty

Question

Hello! I’ve had trigeminal neuralgia for a few years and gets triggered randomly and usually by emotional stress. I have an appointment for rhinoplasty soon, I was wondering , is it safe to have a nose job if you have trigeminal neuralgia? I’ve never had nose pain with my condition!

Eric M. Joseph, MD · Answer

Everyone's nasal sensory nerves derive from the trigeminal nerve. I don't know if inflammation from surgery would affect the nerves on your nose. I suspect you would be fine, however, please defer making a decision until you consult with your neurologist. Thank you. Sincerely, Dr. Joseph

Zoran Potparic, MD · Answer

It is quite possible that your neuralgia symptoms may intensify before and for some time after surgery due to related stress. It should not leave any consequences to nose surgery result. Good luck.

Ruslan Zhuravsky, DO · Answer

Hello,Your concern is valid as the stimulation from surgery, especially of the face can trigger trigeminal neuralgia. It's not a contraindication but something that can cause pain and discomfort. Dental procedures stimulate the 3rd branch of the trigeminal nerve, and they are performed on patients with trigeminal neuralgia. There really is no telling if it will trigger or not. If you would like to mitigate your chances, talk to your neurologist. They might recommend a preventative medication (ie gabapentin) that you can start well before the procedure to lower the risk of triggering the nerve. Good luck!

Trigeminal neuralgia and rhinoplasty

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Trigeminal neuralgia and rhinoplasty

Answers (3)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.