Any procedure in the area innervated by trigeminus nerve may trigger or worsen existing neuralgia. It would be the best to consult an experienced plastic surgeon and plan your procedure in collaboration with neurologist who is treating your current condition. Good preparation and controlled postoperative course may decrease chances for exacerbation of neuralgia. Good luck.
The surgery has to be approached carefully and in collaboration with whom ever is treating your for your neuralgia. It may be possible under selected circumstances. Consult with a very experienced surgeon or two.
