Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?

It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain?

In November 2022, I underwent a facelift surgery.
Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurrent thoughts of self-harm.
In May, I had a fat grafting procedure.
Although the severe stabbing pain improved, the tight, uncomfortable sensation, like a constricting band, persisted without improvement until December.
In early November, I took Mirtazapine, which provided slight relief, but I still cannot endure this torment long-term.
Could this be a long-term complication of the facelift? Is there no cure for my condition? Please help me.
(I also received Botox injections in early November with no improvement, and I have a keloid tendency.) Thank you.

Cheng Xiaojie, 50~59 year old female. Ask Date: 2023/12/21

Dr. Jiang Junyi reply Neurology

Dear Ms.
Cheng,
You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression.
These symptoms could be exacerbated by tightness in the cervical myofascia.
It would be beneficial for you to supplement with B vitamins and remind yourself to stand up every half hour to perform neck and shoulder stretching exercises, which can help prevent nerve compression and muscle tightness from worsening your symptoms.
If the symptoms are truly bothersome, I recommend consulting a pain management specialist for medication and local nerve block treatment.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2023/12/21

More Info

Persistent pain after facelift surgery can be a distressing experience, and it’s understandable to seek clarity on whether this is a long-term side effect of the procedure. Facelift surgeries, while generally safe and effective for rejuvenating facial appearance, can sometimes lead to complications, including persistent pain, which may be attributed to several factors.

Firstly, it’s important to recognize that pain following any surgical procedure, including facelift surgery, is not uncommon. The body undergoes significant trauma during surgery, and healing can take time. However, the type of pain you are describing—tightness, electrical sensations, and persistent discomfort—may indicate that there are underlying issues that need to be addressed.

One potential cause of your symptoms could be nerve irritation or damage. During facelift surgery, nerves in the facial region can be stretched or compressed, leading to sensations such as tingling, burning, or sharp pain. In some cases, this nerve irritation can persist long after the surgery, resulting in chronic pain. This is particularly relevant if you are experiencing sensations akin to electrical shocks, which can indicate nerve involvement.

Another factor to consider is scar tissue formation. After surgery, the body forms scar tissue as part of the healing process. In some individuals, this scar tissue can become thickened or fibrous, leading to a condition known as fibrosis. This can cause tightness and discomfort in the affected area, which may feel like a tight band around the head or face. Given your mention of having a keloid tendency (蟹足腫體質), it is possible that your body is producing more scar tissue than usual, which could contribute to your ongoing discomfort.

Additionally, psychological factors can play a significant role in the perception of pain. The emotional toll of undergoing surgery and the subsequent pain can lead to anxiety and depression, which may exacerbate the sensation of pain. It’s crucial to address both the physical and emotional aspects of your recovery. Seeking support from mental health professionals, in conjunction with your medical treatment, can be beneficial.

In terms of treatment options, it’s essential to consult with your surgeon or a specialist in pain management. They may recommend a variety of approaches, including physical therapy, medications for nerve pain, or even interventions such as nerve blocks or injections to alleviate your symptoms. Since you mentioned that Botox (肉毒) injections did not provide relief, it may be worth exploring other modalities, such as physical therapy focused on nerve and muscle rehabilitation.

It’s also important to maintain open communication with your healthcare providers about your symptoms and concerns. They can help you navigate the complexities of your recovery and explore potential treatments tailored to your specific situation.

In summary, while persistent pain after facelift surgery can occur, it is essential to investigate the underlying causes, including nerve involvement and scar tissue formation. Addressing both the physical and emotional aspects of your recovery is crucial for improving your quality of life. Don’t hesitate to seek further evaluation and support from medical professionals who can provide a comprehensive approach to your ongoing symptoms. Your well-being is paramount, and there are avenues available to help you find relief.

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