It has been a year since the facelift surgery, but the head still feels tight, numb, and uncomfortable, causing unbearable pain?
Hello Dr.
Peng,
I underwent a facelift surgery in November 2022.
Since February 2023, I have been experiencing tightness and electric shock sensations in my head, along with recurrent thoughts of self-harm.
I had a fat grafting procedure in May, which improved the severe stabbing pain, but the tight and uncomfortable sensation, like a constricting band, has not improved even by December.
In early November, I started taking Metoprolol, 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 in early November with no improvement, and I have a keloid tendency.) Thank you, Dr.
Peng.
Cheng Xiaojie, 50~59 year old female. Ask Date: 2023/12/22
Dr. Peng Shiwei reply Neurology
Hello, online consultations cannot provide diagnostic advice.
Please consult a neurologist in person.
Thank you.
Reply Date: 2023/12/22
More Info
Persistent head pain following facelift surgery can be a distressing experience, and it’s understandable that you are seeking relief and answers. Based on the information provided, it seems that you have been dealing with significant discomfort since your surgery in November 2022, with symptoms evolving over time.
Firstly, it’s important to recognize that post-surgical pain can manifest in various forms, including tightness, electrical sensations, and even psychological distress. The symptoms you describe, such as the feeling of tightness and discomfort, could be attributed to several factors related to the surgical procedure itself. Facelift surgery involves manipulation of the skin, underlying tissues, and sometimes nerves, which can lead to a range of sensations as the body heals.
The tight, constricting sensation you are experiencing may be related to the healing process. After a facelift, the skin and tissues undergo significant changes, and it’s not uncommon for patients to report sensations of tightness or pressure as the swelling subsides and the tissues settle into their new positions. However, if these sensations persist for an extended period, as in your case, it may warrant further investigation.
You mentioned that you have a history of keloid formation (蟹足腫體質), which could complicate your healing process. Keloids can develop when the body produces too much collagen during the healing process, leading to raised scars that may cause discomfort or pain. This could potentially contribute to the sensations you are experiencing, especially if the surgical site has developed any abnormal scarring.
Additionally, the psychological impact of chronic pain should not be overlooked. The feelings of despair and thoughts of self-harm you mentioned are serious and indicate that you may be experiencing a significant emotional burden due to your physical symptoms. It’s crucial to address both the physical and psychological aspects of your condition. Seeking support from a mental health professional can be beneficial in coping with the emotional toll of chronic pain.
In terms of treatment options, it would be advisable to consult with a specialist who has experience in managing post-surgical complications. A pain management clinic or a plastic surgeon with expertise in post-operative care could provide you with a comprehensive evaluation. They may recommend various interventions, including physical therapy, medication adjustments, or even alternative therapies such as acupuncture or massage, which can sometimes alleviate chronic pain.
If you have not already done so, consider discussing the possibility of nerve blocks or other pain management techniques with your healthcare provider. These interventions can sometimes provide significant relief for patients experiencing persistent pain after surgery.
Lastly, if you feel that your current treatment plan is not effective, do not hesitate to seek a second opinion. It’s essential to advocate for your health and well-being, and finding a provider who understands your concerns and is willing to explore different treatment avenues can make a significant difference in your recovery journey.
In summary, while persistent head pain after facelift surgery can be challenging, there are avenues for relief. Addressing both the physical and psychological components of your pain is crucial, and seeking specialized care can help you find a path toward recovery. Remember, you are not alone in this, and there are professionals who can assist you in managing your symptoms effectively.
Similar Q&A
Post-Surgery Head Issues: Understanding Tightness and Pain After Craniotomy
Hello Doctor, I would like to ask you a question. About 7-8 years ago, I underwent a craniotomy due to a vascular malformation in my head, and my post-operative condition was good. However, in the past few months, I occasionally feel tightness in the scalp at the surgical site, a...
Dr. Zhang Junwei reply Neurosurgery
The surgery from 7-8 years ago should not have any issues with the wound. Since the wound cannot be examined, it is recommended to return to the outpatient clinic for follow-up.[Read More] Post-Surgery Head Issues: Understanding Tightness and Pain After Craniotomy
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close properly, relying instead on the upper eyelid to close, but it doesn't close comple...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Managing Diplopia and Nerve Recovery After Orbital Fracture Surgery
Hello Doctor: Due to a car accident, I sustained a fracture and collapse of the right orbital floor. After undergoing reconstructive surgery, a titanium alloy plate was placed through the eyelid to support the collapsed area. However, post-surgery, I experience double vision when...
Dr. Gao Pilin reply Ophthalmology
Hello Jessica, After surgery, experiencing double vision when looking upward indicates a limitation in the upward gaze of the right eye. This may not necessarily be due to nerve damage; localized swelling and inflammation post-surgery can also cause such restrictions. During the...[Read More] Managing Diplopia and Nerve Recovery After Orbital Fracture Surgery
Understanding Involuntary Head and Facial Movements: A Patient's Journey
Hello, Dr. Gao! I have been suffering from involuntary tension and shaking in my head, face, and ears for nearly fourteen years. It has been incredibly painful, and I have to rely on sleeping pills to fall asleep. As a result, my work has been inconsistent during these years, coi...
Dr. Gao Chunde reply Neurology
Based on your description, both neurology and psychiatry should be followed up with regular appointments for treatment. Additionally, participating in activities such as hospital volunteering or other programs that provide care and support to patients can be beneficial. By helpin...[Read More] Understanding Involuntary Head and Facial Movements: A Patient's Journey
Related FAQ
(Surgery)
Trigeminal Neuralgia(Neurosurgery)
Headache(Neurosurgery)
Facial Nerve Palsy(Neurology)
Neck Pain(Neurology)
Pain In The Back Of The Head(Neurology)
Palmar Hyperhidrosis(Neurosurgery)
Head(Neurology)
Facial And Hand Numbness(Neurology)
Shoulder Joint Pain(Neurology)