I had a deep plane Face lift/brow lift, why do I have this pain? (photos)
Doctor Answers 9
Sensory Nerve Pain after Pretrichal Brow Lift
The type of incision that you have shown provides a strong brow lift and is often used to lower a high hairline. The relative disadvantage of this type of incision is that it always results in the disruption of the small sensory nerves that innervate the scalp. The immediate result is profound numbness of the scalp that slowly resolves over a 12-18 month period. As the nerves grow back, it is not uncommon for the patient to experience periods of intense itching, burning, tingling and occasional electrical shocks. However, the pain that you describe is a little different because it is focal in nature. This could be caused by scar tissue enveloping a small nerve, pressure from a deep suture, or from a traumatic nerve growth (neuroma). Treatment varies but can include massage, steroid injection and the removal of painful suture(s). The injection of a small amount of Botox into the painful area has been shown to help in some cases of neuropathic pain. There are also a variety of medications that help manage nerve pain including amitriptyline, carbamazepine and pregabalin. These solutions are best discussed in consultation with your surgeon. Best of luck.
Healing after a facelift
Cutaneous pain after facelift can be managed by injections.
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Strange pain after deep plane brow lift
I am sorry you are having this pain. There are many branches of nerves of feeling in this area.
Your description is of dysesthesias (strange feelings) caused by nerve irritation or injury.
Given its severity, return to your surgeon for the following:
- mapping of the nerve pain to see if there is a trigger point
- an injection of a long-lasting local anesthetic. This often ends the cycle of post-operative nerve pain
- consideration of neurontin to control the pain
- if a trigger point can be identified - exploration of the incision at the site to look for a trapped nerve that can be surgically release.
Hope you found this answer helpful. Best wishes.
I had a deep plane Face lift/brow lift, why do I have this pain?
Scalp pain after an open brow lift
Brow lift and sensory fibers
Pain after browlift
Pain at incision site
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.