Numbness and Swelling Post-chin Implant, Neck Lift, and Lower Facelift

If you continue to have unilateral numbness 1 year after the procedure, you should discuss this with your surgeon.
There are two major nerves that can be effected by chin augmentation and neck surgery. One is a motor nerve that is typically injured/bruised from the liposuction and typically accompanies chin augmentation; The other is a nerve coming directly out of the jaw bone, which provides feeling to the lower lip. There is one on both sides.
Therefore, if you have relatively symmetric numbness pain and tingling, this is most likely due to swelling and stretching of the nerve. It is likely to return because it would be very unlikely that both nerves were damaged. If you have profound numbness on one side to the point you are drooling and unable to "feel" you lower lip, I would be slightly more concerned but nevertheless, your nerve could still recover.
You should always keep an open dialogue with your surgeon and express your concerns.
I hope this helps.

Numbness or muscle weakness following a #facelift and other facial procedures is not uncommon.  When the skin is separated from the underlying tissues during #surgery, small sensory nerves are cut. Varying degrees of #numbness will be present after surgery and will improve gradually as the nerves reconnect to the skin. This process can take from 2-6 months for face, neck and cheeks, and to 9-12 months for the forehead and scalp. Muscle #weakness may also be present around the mouth especially if liposuction is used. This typically recovers fully in the months after surgery. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Numbness of the lower lip area after a chin implant is very suggestive of inflammation of or injury to the mental nerve (the sensory nerve of the lower jaw and lip area).  I would remove the implant with the purpose of allowing the nerve to recover.  Sensory nerves are very resilient and recover with much greater predictability than motor nerves.

The numbness you are experiencing is likely related to the chin implant placed by you surgeon. Either the nerve was damaged at the time of the implant placement or the implant is resting on the the nerve. This is more likely if you had a large implant placed or if the implant was placed through the mouth as opposed to under the chin. My recommendation would be to have the implant removed to see if the nerve settles down. If it doesn't, then it means the nerve was disrupted at the time of the initial surgery. You can have the implant replaced months later if you choose. Best of luck.
Dr. Amir Karam

The reason your right lower lip and chin are numb is because there is a nerve that exits the jaw bone that provides sensation to those areas right were the chin implant wings are placed.

When this nerve is stretched by the procedure or implant itself the nerve in most case recovers in a short period of time. I am concerned however that it has been a year and the nerve has not recovered yet. This could imply a more serious compression injury to the nerve. In rare cases it could even mean the nerve was cut during surgery.

It is best you sit down with your surgeon and see if they think removing or re-positioning the implant could possibly help the nerve function improve.