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Should Jaw & Lower Mouth Pull So Much That Talking and Eating is Difficult After SMAS Face? (Photos)

asked 8 months ago by SO in Oregon in Gold Hill, OR
Latest answer by Julio Garcia, MD
Question viewed 360 times
Tags: female, overcorrection, pulled, tightening

Facelift changed day of surgery from endotine to SMAS facelift. Hard jowls (swollen). Lower face (lip) and jaw is very stiff..hard to make "f" when talking and crumbly food falls out. Mouth looks like a frowning slash sort of. If I put pressure in front of the ear, its easier to talk. Surgery was 3 weeks ago. Right side had Bell's palsy so was expecting problem. Couple of indentations. Jaw/mouth area is kind of frozen, upper face is quite loose as well as neck. Browlift/subcutaneous done.

4 answers to Should Jaw & Lower Mouth Pull So Much That Talking and Eating is Difficult After SMAS Face? (Photos)

+4

Face lift

Pictures posted are difficult to evaluate, because of animation and poses. It seems you have major problems. Consult a BOARD CERTIFIED PLASTIC SURGEON(AMERICAN BOARD OF PLASTIC SURGERY) for thorough evaluation and recommendation. I think this is a very complex situation After complete healing you may need revision face lift again
Samir Shureih, MD

Baltimore Plastic Surgeon
+2

Should Jaw & Lower Mouth Pull So Much That Talking and Eating is Difficult After SMAS Face?

I have performed Face Lifts for over 20 years and the pleats and indentations are a bit odd. You should ask your plastic and cosmetic surgeon these questions.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

SMAS effect on muscles after surgery

Tightening the SMAS will at times cause some tight feelings that can take a few weeks to get better. In your case, there seems to be more going on. I think the prior Bell’s palsy is contributing to some of the problem along with the tightness. I think seeing your surgeon to make sure that no other nerves were injured during the surgery is crucial. If the nerves were just stretched out, they should return to function with time.
Julio Garcia, MD

Las Vegas Plastic Surgeon
+1

SMAS lift pulling

Your pictures look a bit concerning. The folds that you have on either side of the chin are a bit unusual. It's difficult for me to conceptualize exactly what kind of procedure was performed. Make sure that you are treating the Bell's Palsy appropriately as well, keeping the eye adequately lubricated. A steroid taper may not be helpful as well. An opthamology consultation may not be a bad idea. I would follow up with your surgeon and if he or she is not helpful find another... more
Todd C. Miller, MD

Orange County Facial Plastic Surgeon

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