Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

Question

I am on Day 13 of recovery after getting v-line surgery and a SMAS facelift. For the past week, my lower lip feels like it's constantly burning (as if there's hot sauce on it) even though it's technically numb, and my lower teeth are super sensitive. Neither have improved over the week either. I am seeing the surgeon in 2 days for a follow-up but I would like to hear the opinion of others - is this normal or indicative of something more like trigeminal neuralgia type 2?

Thomas McNemar, MD, FACS · Answer

While the symptoms you describe can
be disconcerting, I can assure you that they're normal and may actually
indicate that your nerves are "waking up" from anesthesia, healing
themselves, and regaining their normal functions. I don't have any reason to
believe you're suffering from a serious secondary condition such as trigeminal
neuralgia. That said, it's always good to express your concerns to your surgeon
during your follow-up.

David Gilpin, MD · Answer

Thank you for your question.  It sounds as if you may have some numbness and/or stretching of the nerve which supplies feeling to the jawline.  This is the mental nerve, and can be stretched during this procedure.  That you are getting a 'burning' sensation is actually a good sign, in my opinion.  This means that the nerve is recovering.  I would discuss your concerns with your surgeon, as well, as he/she knows exactly what was done in your procedure.  I hope that this helps!-David Gilpin

Joseph L. Kiener, MD, FACS · Answer

Any procedure that is performed to contour the chin has the potential to produce sensory disturbances in the distribution of the inferior alveolar / inferior mental nerve.  These nerves may be stretched or simply swell because of the surgery performed in the area causing  the symptoms you are describing.  Since your surgery was recent the liklihood these problems will resolve is highly probable.  Regards.

William Marshall Guy, MD · Answer

Hello Kimchicanuck37,It is not common to have your burning lower lip and teeth sensitivity following surgery.  If it happens it means there has been some trauma to a pair of nerves that travel within your jaw bone and come out in the front of the jaw.  They may have been stretched during surgery or damaged with a numbing injection.  Since you are having some sensation, it indicates they should both come back.  But the best thing to do is talk to your surgeon.I hope this helps and good luck.

Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

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Answer: Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

Answer: Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

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Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

Answers (4)

Answer: Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

Answer: Burning lower lip and sensitive lower teeth normal after v-line surgeryand SMAS facelift?

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Everything you need to know about Facelift

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