Trigeminal Neuralgia and Facelift?

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.

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

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.

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.

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.

The patient is scheduled for a facelift in about 3 weeks and
has a history of trigeminal neuralgia or tic douloureux. Although her plastic surgeon seems unconcerned about the nerve pain it is
advisable to check with your neurologist or other treating physician before
undertaking surgery.On a very rare
occasion, facelift can initiate such pains.  In addition as you are aware there are a variety of inciting stimuli
which can trigger the pain.   Because of
the possibility of disabling pain I think it wise to get another opinion prior
to undertaking this.