Can you have facelift/necklift with occipital neuralgia?

If you are under the care of a neurologist it would be wise to have your plastic surgeon and neurologist speak with each other about your case. As a general rule, preexisting occipital neuralgia and/or migraines should not necessarily be exacerbated by a face/neck lift. That said, nerve injury is a recognized although rare, potential surgical complication, and neuralgia or dysesthesia can occasionally be seen following any surgery including face/neck lift.

If your problem is longstanding and refractory to medical control, you may consider a potential surgical solution to your occipital neuralgia with or without supplemental Botox which has been shown to potentially benefit patients suffering from chronic headaches including migraines. Again, a coordination of treatment between your neurologist and plastic surgeon would be advisable. Best of luck to you.

I wish I could tell you “yes it should be fine”. But the truth is that nobody can give you that guarantee. Also certain conditions get better and worse on their own. It your neuralgia gets worse after you have a facelift, did the facelift cause it or is it a coincidence?