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Need Neurologist . Neurology Question: This Is A Bit Of
Question: Need neurologist. Neurology question:
This is a bit of a strange case so I hope you'll bear with me.
Almost 6 weeks ago I had cosmetic surgery on my chin to reduce the strong angles––the chin right underneath the mouth at the corners. The intraoral approach was used.
I have asked my surgeon these things but he's a bit reluctant to answer because the O.R. likely gave me an infection. But really, I'm not sure he knows what happened.
A day after the surgery I developed a bad skin infection (about 3 inches long) underneath the compression tape at the left chin corner right on top of where the shaving took place. I was on Cephalexin immediately after the surgery which they prescribe to everyone as a precaution. On day 2 when my surgeon saw the infection, he removed the compression prematurely so it could heal. He said to
This is a bit of a strange case so I hope you'll bear with me.
Almost 6 weeks ago I had cosmetic surgery on my chin to reduce the strong angles––the chin right underneath the mouth at the corners. The intraoral approach was used.
I have asked my surgeon these things but he's a bit reluctant to answer because the O.R. likely gave me an infection. But really, I'm not sure he knows what happened.
A day after the surgery I developed a bad skin infection (about 3 inches long) underneath the compression tape at the left chin corner right on top of where the shaving took place. I was on Cephalexin immediately after the surgery which they prescribe to everyone as a precaution. On day 2 when my surgeon saw the infection, he removed the compression prematurely so it could heal. He said to
Need neurologist. Neurology question:
This is a bit of a strange case so I hope you'll bear with me.
Almost 6 weeks ago I had cosmetic surgery on my chin to reduce the strong angles––the chin right underneath the mouth at the corners. The intraoral approach was used.
I have asked my surgeon these things but he's a bit reluctant to answer because the O.R. likely gave me an infection. But really, I'm not sure he knows what happened.
A day after the surgery I developed a bad skin infection (about 3 inches long) underneath the compression tape at the left chin corner right on top of where the shaving took place. I was on Cephalexin immediately after the surgery which they prescribe to everyone as a precaution. On day 2 when my surgeon saw the infection, he removed the compression prematurely so it could heal. He said to
This is a bit of a strange case so I hope you'll bear with me.
Almost 6 weeks ago I had cosmetic surgery on my chin to reduce the strong angles––the chin right underneath the mouth at the corners. The intraoral approach was used.
I have asked my surgeon these things but he's a bit reluctant to answer because the O.R. likely gave me an infection. But really, I'm not sure he knows what happened.
A day after the surgery I developed a bad skin infection (about 3 inches long) underneath the compression tape at the left chin corner right on top of where the shaving took place. I was on Cephalexin immediately after the surgery which they prescribe to everyone as a precaution. On day 2 when my surgeon saw the infection, he removed the compression prematurely so it could heal. He said to
Brief Answer:
Symptoms linked with fibrotic tissue, physical therapy is reccomended.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query, I saw the pictures that you uploaded too.
The immobility after such infections of the skin and eventually underskin tissue, at that area, is most likely linked with muscles being fibrotic.
The numbness is a neurological symptom and mostly in cases like yours is linked with the compression on nerves due to fibrotic tissue and edema surrounding the infection area.
In most cases, nerve dysfunction is transient and not complete, it should improve with time.
Physical therapeutic procedures such as massage of the jaw muscles, electric stimulation, etc. should help improve your condition.
Consult with an experienced physical therapy Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Symptoms linked with fibrotic tissue, physical therapy is reccomended.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query, I saw the pictures that you uploaded too.
The immobility after such infections of the skin and eventually underskin tissue, at that area, is most likely linked with muscles being fibrotic.
The numbness is a neurological symptom and mostly in cases like yours is linked with the compression on nerves due to fibrotic tissue and edema surrounding the infection area.
In most cases, nerve dysfunction is transient and not complete, it should improve with time.
Physical therapeutic procedures such as massage of the jaw muscles, electric stimulation, etc. should help improve your condition.
Consult with an experienced physical therapy Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
Symptoms linked with fibrotic tissue, physical therapy is reccomended.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query, I saw the pictures that you uploaded too.
The immobility after such infections of the skin and eventually underskin tissue, at that area, is most likely linked with muscles being fibrotic.
The numbness is a neurological symptom and mostly in cases like yours is linked with the compression on nerves due to fibrotic tissue and edema surrounding the infection area.
In most cases, nerve dysfunction is transient and not complete, it should improve with time.
Physical therapeutic procedures such as massage of the jaw muscles, electric stimulation, etc. should help improve your condition.
Consult with an experienced physical therapy Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Symptoms linked with fibrotic tissue, physical therapy is reccomended.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query, I saw the pictures that you uploaded too.
The immobility after such infections of the skin and eventually underskin tissue, at that area, is most likely linked with muscles being fibrotic.
The numbness is a neurological symptom and mostly in cases like yours is linked with the compression on nerves due to fibrotic tissue and edema surrounding the infection area.
In most cases, nerve dysfunction is transient and not complete, it should improve with time.
Physical therapeutic procedures such as massage of the jaw muscles, electric stimulation, etc. should help improve your condition.
Consult with an experienced physical therapy Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Kampana
Thanks so much for your answer. That’s the most confident answer I’ve received thus far and is what I was thinking.
I asked my PCP for a referral to a physical therapist who would be knowledgeable about the face/chin.
Last question(s):
1). Do you think it was staph or a mix of staph and something else?
2). Aesthetically, do you think the asymmetry is permanent? (Bulging a bit more where the infection was)
I asked my PCP for a referral to a physical therapist who would be knowledgeable about the face/chin.
Last question(s):
1). Do you think it was staph or a mix of staph and something else?
2). Aesthetically, do you think the asymmetry is permanent? (Bulging a bit more where the infection was)
Thanks so much for your answer. That’s the most confident answer I’ve received thus far and is what I was thinking.
I asked my PCP for a referral to a physical therapist who would be knowledgeable about the face/chin.
Last question(s):
1). Do you think it was staph or a mix of staph and something else?
2). Aesthetically, do you think the asymmetry is permanent? (Bulging a bit more where the infection was)
I asked my PCP for a referral to a physical therapist who would be knowledgeable about the face/chin.
Last question(s):
1). Do you think it was staph or a mix of staph and something else?
2). Aesthetically, do you think the asymmetry is permanent? (Bulging a bit more where the infection was)
Brief Answer:
Answered below.
Detailed Answer:
Welcome back.
1- It is difficult to say the type of the infection after the healing of the wound, only bacterial culture may identify the offending organism(s). Staphylococcus is more commonly involved in skin infections.
2- Sox weeks is early to say if the asymmetry is permanent, it takes up to few months for the inflammatory processes to finish, so, I think there is hope for improvement.
Hope I helped you.
Feel free to ask if you have further questions.
Answered below.
Detailed Answer:
Welcome back.
1- It is difficult to say the type of the infection after the healing of the wound, only bacterial culture may identify the offending organism(s). Staphylococcus is more commonly involved in skin infections.
2- Sox weeks is early to say if the asymmetry is permanent, it takes up to few months for the inflammatory processes to finish, so, I think there is hope for improvement.
Hope I helped you.
Feel free to ask if you have further questions.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Answered below.
Detailed Answer:
Welcome back.
1- It is difficult to say the type of the infection after the healing of the wound, only bacterial culture may identify the offending organism(s). Staphylococcus is more commonly involved in skin infections.
2- Sox weeks is early to say if the asymmetry is permanent, it takes up to few months for the inflammatory processes to finish, so, I think there is hope for improvement.
Hope I helped you.
Feel free to ask if you have further questions.
Answered below.
Detailed Answer:
Welcome back.
1- It is difficult to say the type of the infection after the healing of the wound, only bacterial culture may identify the offending organism(s). Staphylococcus is more commonly involved in skin infections.
2- Sox weeks is early to say if the asymmetry is permanent, it takes up to few months for the inflammatory processes to finish, so, I think there is hope for improvement.
Hope I helped you.
Feel free to ask if you have further questions.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you yet again.
I guess my only remaining questions, while I’m here, are
1.) is it ok to start heavily exercising? The surgery says 4 weeks it’s ok, but since this happened on top of it, should I wait longer than 6 weeks?
2.) I’m going to try and get a physical therapy referral. I do voice overs and character acting for work and sometimes need to do VERY exaggerated movements with my mouth. If I try forced and extremely exaggerated movements with my mouth/chin further am I risking further damage?
3.) Along with electrical stimulation at physical therapy sessions—should I be using a TENS machine at home on my chin?
I guess my only remaining questions, while I’m here, are
1.) is it ok to start heavily exercising? The surgery says 4 weeks it’s ok, but since this happened on top of it, should I wait longer than 6 weeks?
2.) I’m going to try and get a physical therapy referral. I do voice overs and character acting for work and sometimes need to do VERY exaggerated movements with my mouth. If I try forced and extremely exaggerated movements with my mouth/chin further am I risking further damage?
3.) Along with electrical stimulation at physical therapy sessions—should I be using a TENS machine at home on my chin?
Thank you yet again.
I guess my only remaining questions, while I’m here, are
1.) is it ok to start heavily exercising? The surgery says 4 weeks it’s ok, but since this happened on top of it, should I wait longer than 6 weeks?
2.) I’m going to try and get a physical therapy referral. I do voice overs and character acting for work and sometimes need to do VERY exaggerated movements with my mouth. If I try forced and extremely exaggerated movements with my mouth/chin further am I risking further damage?
3.) Along with electrical stimulation at physical therapy sessions—should I be using a TENS machine at home on my chin?
I guess my only remaining questions, while I’m here, are
1.) is it ok to start heavily exercising? The surgery says 4 weeks it’s ok, but since this happened on top of it, should I wait longer than 6 weeks?
2.) I’m going to try and get a physical therapy referral. I do voice overs and character acting for work and sometimes need to do VERY exaggerated movements with my mouth. If I try forced and extremely exaggerated movements with my mouth/chin further am I risking further damage?
3.) Along with electrical stimulation at physical therapy sessions—should I be using a TENS machine at home on my chin?
Brief Answer:
Your questions answered below.
Detailed Answer:
Hello again.
1- It is advisable to start exercise gradually, if you see any problems during exercising you should postpone it for a couple of weeks.
2- Movements of your jaw and mouth muscles don't cause any further damage.
3- It is the physical therapist that will decide what's best in your case.
Hope this helps.
Take care.
Your questions answered below.
Detailed Answer:
Hello again.
1- It is advisable to start exercise gradually, if you see any problems during exercising you should postpone it for a couple of weeks.
2- Movements of your jaw and mouth muscles don't cause any further damage.
3- It is the physical therapist that will decide what's best in your case.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Your questions answered below.
Detailed Answer:
Hello again.
1- It is advisable to start exercise gradually, if you see any problems during exercising you should postpone it for a couple of weeks.
2- Movements of your jaw and mouth muscles don't cause any further damage.
3- It is the physical therapist that will decide what's best in your case.
Hope this helps.
Take care.
Your questions answered below.
Detailed Answer:
Hello again.
1- It is advisable to start exercise gradually, if you see any problems during exercising you should postpone it for a couple of weeks.
2- Movements of your jaw and mouth muscles don't cause any further damage.
3- It is the physical therapist that will decide what's best in your case.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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