I had a lower facelift 11 months ago. I've had pins/needles pain on both sides of the face constantly -mainly the lower cheeks and temple area. Could this be from compression of the marginal branch of the trigeminal nerve and be a form of atypical trigeminal or facial pain? Could scar tissue or a neuroma from a surrounding nerve be agitating the nerve? I also have tinnitus in my right ear that came after this surgery. How should I address this issue? I believe I've given it enough time to heal. Do I need an MRI or nerve testing? Wouldn't you feel this is correctable with the right approach, as this was a controlled operation and not a trauma as in an accident? There are certain pressure points that I can press to make it feel better, but the pain will always start again. I feel like I am moving something around that wants to resolve, but without surgical intervention there can be no correction. Thank you for any input.
In general, trigeminal neuralgia is a unilateral disease and occurs because of abnormalities of the trigeminal nerve near the brainstem. If you're having pain, I would suggest that you follow-up with your surgeon first. If he/she is not helpful, I would recommend seeing a neurologist to help you.
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