Trigeminal Neuralgia and Facelift?

Question

I have scheduled a facelift for Aug. 4th - specifically, chin lipo, mini facelift, upper eyelids, and endoscopic brow lift - general anesthesia for 5.5 hrs. Surgeon is board certified PS highly reommended by my PCP. He is not concerned about my trigeminal nerve - should I be? I was diagnosed with Atypical TN about 5 years ago - when episodes occur the pain is centered in and around my right ear. I take 400 mg. carbamezipine daily and episodes are sporadic. What are your thoughts on this?

Robert M. Lowen, MD · Answer

Trigeminal neuralgia is pain that starts from irritation of the Vth cranial nerve deep near the brainstem. The condition should not be altered by a faceleift which very superficially interrupts some nerve fibers to the skin.  The pain should not be expected to increase or decrease.  However, a neurologist would be able to advise about any particular need to manage your medication after the surgery.

Jacob D. Steiger, MD · Answer

Surgery and any type of stresser can potentially affect trigeminal neuralgia and exacerbate it. If you are being treated by a neurologist for this condition it would be a good idea to seek their opinion on it.  Regardless, it could be possible for the condition to be at least temporarily worse. It is best to be prepared for this in case it happens and make an informed decision.

Larry S. Nichter, MD, MS, FACS · Answer

Although most would do well, i would certiainly have your neurologist weigh in on this answer and more importantly be available.

Vincent N. Zubowicz, MD · Answer

I have operated on one patient with a history of trigeminal neuralgia. This was done with the advise and consent of her neurologist. The operation was completely uneventful. Outside of that there's not a lot of information In the literature about this combination of issues. I think you're safe to go ahead however.

Robert H. Hunsaker, MD · Answer

While no one can guarantee whether or not the surgery will exacerbate this, I would think the risk is reasonably low. BUT....I would not proceed unless your neurologist agreed with that.

Trigeminal Neuralgia and Facelift?

Answers (6)

Answer: Little information on facelifts in patients with trigeminal neuralgia.

Answer: Little information on facelifts in patients with trigeminal neuralgia.

Answer: Trigeminal neuralgia

Answer: Trigeminal neuralgia

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Trigeminal Neuralgia and Facelift?

Answers (6)

Answer: Little information on facelifts in patients with trigeminal neuralgia.

Answer: Little information on facelifts in patients with trigeminal neuralgia.

Answer: Trigeminal neuralgia

Answer: Trigeminal neuralgia

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Recommended reading

Everything you need to know about Facelift

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