Mrs. X, 56 years old, underwent plastic surgery of the face (facelift) in order to make
remove the wrinkles from his face. In the aftermath of the operation, she has had real facial neuralgia for 2 years (red zone).
Examination of the territory of the nerve of the face (the trigeminal nerve) finds hyperesthesia of the skin on part of the territory of the nerve.
The patient complains of a feeling of muscular stretching of the face, of muscles that are too tense…
Examination of his surgical scar (green area) reproduces the pain.
Its treatment allows a marked reduction in pain, as well as, initially, the disappearance of sensations of muscle tension.
In the aftermath, there is an isolated reappearance of sensations of muscle tension. Examination of the patient found painful peri-orbital and temporal contractures, and of the masseter muscle suggesting damage to the temporomandibular joint. It is sent to a stomatologist who will prescribe rehabilitation sessions.