The answer depends on the time frame of the symptoms. Itching is normal when healing, but if occurs too early, it may signify a local allergic reaction to the suture, glue, or dressing used in the rhytidectomy. Burning may be a sign of infection, in which case the affected area would appear red, blanching, may drain, and be very tender to the touch. Later on, burning may signify healing nerves, as would a prickly sensation. If the sensation persisted longer than 6-12 months, the concern would be for improper healing of nerves, neuroma formation, Frey’s syndrome, dysesthesia, etc.
Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon
