The Truth About Nerve Complications After a Facelift
It's true that nerve complications, though uncommon, can be a significant concern for patients considering a facelift. While temporary muscle asymmetries are relatively common and often resolve on their own, actual nerve injury is a more serious matter. Let's clarify the different types of nerve issues that can arise:
Sensory Nerve Injury: The most common nerve affected during a face and neck lift is the great auricular nerve. This nerve is responsible for providing sensation to your earlobe. Injury to this nerve can result in numbness or altered sensation in the earlobe. Fortunately, in most cases, the sensation returns over time. However, in very rare instances, the sensory loss can be permanent.
Motor Nerve Injury: These are more serious than sensory nerve injuries. Motor nerve injuries can lead to facial palsy, or facial paralysis, which affects muscle movement. This can manifest as weakness or difficulty controlling facial expressions.
Deep Plane Facelift: Is it Riskier for Nerves?
A common misconception is that the deep plane facelift technique carries a higher risk of nerve injury compared to more superficial facelift methods. However, I believe, in my experience, the opposite is true. The deep plane facelift allows for a more comprehensive and natural-looking rejuvenation with a safer style by releasing and repositioning deeper facial tissues.
Direct Visualization: In my hands, the deep plane approach offers a significant advantage: direct visualization of the facial nerves. When the nerves are clearly visible during surgery, it becomes easier to protect them. This meticulous approach minimizes the risk of accidental damage.
Nerve Stimulation Technology: I further enhance nerve safety by using a nerve stimulating device. This device helps to map the motor nerves in the face, allowing for precise identification and avoidance during the surgical procedure.
Read my blog post about 'Pixie Ear Deformity after Face Lift'
Neuropraxia and Recovery After Deep Plane Facelift
It's important to note that some degree of neuropraxia (temporary nerve dysfunction) is possible after a deep plane face and neck lift. This can occur due to the tension placed on the nerves during the procedure.
Full Recovery: The good news is that neuropraxia is typically temporary. In most cases, full recovery of nerve function occurs within approximately one month after surgery. During this time, patients may experience mild weakness or altered sensation, but these symptoms gradually improve as the nerves heal.
Dr. CBS's Approach to Nerve Preservation
My priority is always patient safety and optimal results. Here's how I ensure nerve protection during face and neck lift procedures:
Nerve Stimulation Mapping: I utilize nerve stimulation technology to map and identify motor nerves, ensuring their preservation.
Deep Plane Facelift Expertise: My experience with the deep plane facelift allows for safe and effective tissue repositioning while protecting the facial nerves.
Careful Post-Operative Monitoring: We closely monitor patients after surgery to detect any signs of nerve dysfunction and provide appropriate management.
Minimizing Risks, Maximizing Results
Choosing an experienced and board-certified plastic surgeon is crucial for minimizing the risk of complications and achieving the best possible outcome from your facelift or neck lift. I am double board certified, European board and Turkish board certified plastic surgeon and a member of The International Society of Aesthetic Plastic Surgery (ISAPS). I am committed to providing my patients with the highest level of care and safety. With advanced techniques, careful planning, and a thorough understanding of facial anatomy, I strive to deliver beautiful, natural-looking results while prioritizing nerve preservation.
If you're considering a facelift or neck lift and have concerns about nerve injuries, I encourage you to schedule a consultation. I can assess your individual anatomy, discuss your goals, and explain the steps I take to ensure your safety and achieve your desired aesthetic outcome.
Don't forget to visit our Face Lift and Neck Lift information pages !
