I had a parotidectomy (benign) 18 years ago. I am considering a neck lift for sagging skin on my neck as well as liposuction. The procedure that the surgeon is considering would pull the skin back, remove excess skin, and suture behind the hair line. Also, removal of excess fat at the top of my neck via liposuction. I am not considering a face lift. Is there a risk to the facial nerves with these procedures?
October 22, 2016
Answer: Neck lift after parotidectomy Best results for a neck lift is a face lift with SMAS. It has been proven to give the longest lasting results and best overall results. There is a slight risk of nerve injury, statistics reveal less then 1% incidence of even temporary nerve dysfunction postoperatively by board certified ASAPS plastic surgeons. Consider seeing a qualified plastic surgeon in consultation. Good luck...
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October 22, 2016
Answer: Neck lift after parotidectomy Best results for a neck lift is a face lift with SMAS. It has been proven to give the longest lasting results and best overall results. There is a slight risk of nerve injury, statistics reveal less then 1% incidence of even temporary nerve dysfunction postoperatively by board certified ASAPS plastic surgeons. Consider seeing a qualified plastic surgeon in consultation. Good luck...
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October 20, 2016
Answer: Facelifts and neck lifts after parotidectomy The short answer to your question is that there is some risk to the facial nerve both temporary and permanent. However, if your surgeon is skilled in facial nerve anatomy, the risk should be very small. Some temporary nerve weakness is possible just from stretching the nerve or pressure from the surgery itself. That being said it usually returns within six weeks. A neck lift has slightly less risk; however, the lower branch of the facial nerve such as the cervical branch is more superficial in the neck and in general is the nerve that is most at risk especially after a parotidectomy which is superficial for benign tumors. I would make sure your surgeon is skilled in facial plastic anatomy. Good luck in your area.
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October 20, 2016
Answer: Facelifts and neck lifts after parotidectomy The short answer to your question is that there is some risk to the facial nerve both temporary and permanent. However, if your surgeon is skilled in facial nerve anatomy, the risk should be very small. Some temporary nerve weakness is possible just from stretching the nerve or pressure from the surgery itself. That being said it usually returns within six weeks. A neck lift has slightly less risk; however, the lower branch of the facial nerve such as the cervical branch is more superficial in the neck and in general is the nerve that is most at risk especially after a parotidectomy which is superficial for benign tumors. I would make sure your surgeon is skilled in facial plastic anatomy. Good luck in your area.
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