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Hi Doctor, hope you don't think this is a silly question. I had a facelift and necklift, i have some problems which i put to you before and which i will need a revision for. Down the sides of my face from temple to jaw i have extreme itching. It feels like it itches inside if you know what i mean, scratching the area doesnt help. What causes this? I had my surgery in March last year.
You are having an unusual problem for a facelift this far out from your surgery.
What you have described is not that rare after a Brow lift but not common after a facelift. In either case, it is most likely due to re-innervation of sensory nerve branches that have been cut with the skin incision. It should get better with time and there really is no surgery which will make it better. In extreme situations, (not in your situation), the nerve may have to be completely cut or 'killed' with alcohol injection to get rid of the annoying itching, pain, etc and settle for total numbness instead. This is never indicated after a facelift.
You should see a Neurologist or a pain medicine specialist who can evaluate and prescribe a treatment regimen. Neurontin is sometimes helpful but it is best to see a specialist.
I always try to look out for and cover the "worse case scenarios" and then as long as these "scenarios" have been thought of and addressed then the rest should improve with time or you may learn to "live with it."
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