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POSTED UNDER SMAS Facelift REVIEWS

Guyette Facial and Oral Surgery - 52 y.o. Woman SMAS/Resulting Poor Cosmetic Outcome & Serious Complications - Avondale, AZ

ORIGINAL POST

I was 52 years old looking for a refreshed...

ChiefWahoo
$13,000
I was 52 years old looking for a refreshed appearance to keep me in the work force longer, and to have the redundant skin and dark circles around my eyes improved. Was not all that interested in having the facelift, but my sister suggested that my neck could be greatly improved upon.
A SMAS, upper and lower lid blepharoplasty, laser skin resurfacing around the eyes, and liposuction under the chin was performed in October 2012.
At a follow up visit about two weeks after my facelift, the surgical assistant brought up that "there had been some excitement during my surgery". She and the plastic surgeon admitted to having an observer in the room who passed out. The surgical assistant left her post managing my anesthesia to tend to the girl who had fainted. The surgeon quickly interjected that it was just for a couple seconds. An indicator that the operating room deviated from standard procedure.
Approximately one month after my facelift, I noted a numb earlobe and dysesthesia of the left pinna and told my plastic surgeon at follow up.
Approximately six months after my facelift, I developed a bulge in my right cheek. The plastic surgeon attempted to minimize the bulge with filler. Also a scar at my left outer canthus from the blepharoplasty needed revision. This was never completed.
I always had dysethesia of the left ear which didn't allow me to touch a phone to my ear, had me shy away should my husband try to kiss me, or if anything came near it. I also had a positive Tinel's sign in front of my ear at the angle of the mandible. The plastic surgeon was informed of this numerous times.
Multiple office visits ensued with no resolution of anything.
In November 2014, two years after my facelift, I developed severe burning pain in the left side of my face.
I went in to see Dr. Guyette several times regarding this. I asked if I could have greater auricular nerve damage, and he said he had never hear of this. He has been a board certified practicing surgeon for 27 years
A merry go round of doctors and surgeons visits ensued. I was told I had trigeminal neuralgia so an MRI was ordered. The MRI tech had to call me back for secondary views and failed to give me hearing protection or the panic bulb, so I now am suffering from severe tinnitus due to hearing damage.
I ultimately ended up having to drive to Las Vegas to see Dr. A Lee Dellon, a peripheral nerve surgeon, who removed a very large neuroma from my greater auricular nerve. He also resected my posterior occipital nerve and transverse cervical nerves and buried the ends of the nerves into my sternocleidomastoid muscle so that they would not be able to elicit pain in the future. The rate of this type of injury is 7% and really under reported or ignored by surgeons. My plastic surgeon injured the nerve during surgery which caused this problem.
The cost was astronomical as this peripheral nerve surgery was out of network and the recovery time will be at a minimum six months as my nerves need to be retrained. I am still in excruciating pain and am on a litany of medications including neurontin, lyrica, cymbalta. Most certainly, my life has been altered 180 degrees. I have not been able to work in my job as a health care provider for the past six months. Financially, emotionally, the strain on my husband and family has been great.
Aside from all of the very large problems, I miss having my face feel "normal". There was always a somewhat pulled tight feeling and my cheeks push up more when I smile.

ChiefWahoo's provider

Robert F. Guyette, MD, DMD (retired)

Robert F. Guyette, MD, DMD (retired)

Board Certified Oral & Maxillofacial Surgeon

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Replies (29)

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June 6, 2015
how are you feeling now?
June 6, 2015
I am still having 7/10 pain. I had a trigeminal nerve block and auriculotemporal nerve block 6/4/15 in the hopes that the steroid will help to simmer things down. I believe that I must get in a university setting...down at U of A Med Ctr in Tucson. Sorry that I am not still living in Cleveland ...would be at The Cleveland Clinic. I will be contacting my peripheral nerve surgeon to let him know my status and get his input. He said it may be possible that I will need to have the left side of my face opened up again. The right side of my face is cosmetically unattractive, so I guess it would be a two-fer. Thanks for asking. And you?
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June 12, 2015
thank you for your update I am considering a face lift and this is scary to say the least
June 6, 2015
I am so sorry Lbrune. You have done a public service in telling you story. Hang in there! Wishing you all the best. Please keep us posted.
June 8, 2015
You are welcome. I believe lack of information and statistics regarding complications from surgeries needs to be addressed. Clearly, surgeons need to be forthcoming, and that is the one aspect that I find really disturbing in my case. Having been in healthcare the vast majority of my life (radiation oncology), I believe that we as a group have been really forthcoming when we screw up. That is the way it should be. Thank you for the good wishes. I will most certainly keep posting.
June 8, 2015
So sorry to hear of having to go through all that pain and suffering and still not have the result you were aiming for:( I hope you heal quickly and pain free.
June 8, 2015
Thank you.
June 12, 2015
the pain specialist I saw said he would never do anything to the face...too many nerves.
July 13, 2015
A CT scan in May 2105 revealed a shrinken and fatty left parotod gland. The ENT surgeon who ordered it said this was due to the poorly executed facelift I had. I am afraid to ask, "what next"?
UPDATED FROM ChiefWahoo
2 years post

Addendum.

ChiefWahoo
The MRI of my brain was negative, by the way. No evidence of trigeminal neuralgia.
Had my plastic surgeon been forthcoming on the possibility of this GAN damage occurring, I could have had an MRI that included my entire neck which could have shown the very large neuroma at the cervical plexus.

Replies (2)

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July 9, 2015
I had trouble fully inderstanding everything because i dont know many medical terms, but I am so sorry for all your suffering. Best wishes for speedy healing!!
July 16, 2015
Thank you. Still have trouble and seeing specialists at The Mayo Clinic. I believe more surgery will have to be performed to free up my auriculotemporal nerve. Whatever it takes at this point as I am at the end of my rope.
I am in healthcare so I apologize for the wording. I forget sometimes.
UPDATED FROM ChiefWahoo
2 years post

Robert Guyette, M.D. - Rhytidectomy Review - Poor surgical outcome with continuing pain

ChiefWahoo
7/27/15
I had a nerve block to my auriculotemporal nerve which unfortunatlely has not helped the pain
on the left side of my face and ear. My peripheral nerve surgeon believes this to be referred pain. I am having an MRI tomorrow of my facial nerves. Hopefully, this will shed some light. I am now being seen by physicians at The Mayo Clinic - Phoenix and had a consult with a neurosurgeon at Barrow Neurologic for a permanent electrical implant under the skin for pain control.

Replies (1)

June 21, 2018
Omg that is so awful. Wishing you luck on healing and finding help for your pain. I’m 8 months post op and still have numbness and horrible scar itching and tightness. I wouldn’t do it again!