I am 5 weeks post facelift. I had one facial spasm at about 5 days post-op where my facial muscles contracted so the eyes both "squinted" shut very quickly. The second one was at 5 weeks in my right lateral neck muscle underneath the ear (sternocleidomastoid). My swelling is still resolving in the jaw area under the ears, so I am wondering is it a response to this?
Doctor Answers 12
Facial spams after a facelift.
Relax, these spasms are very common not only in post Facelift patients but in many other post surgical patients as well. Do not be alarmed they will resolve themselves with healing.
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Any trauma or surgical event such as a Facelift can lead to swelling and bruising. As the event resolves, the nerves and soft tissues begin to function more normally. Nerves and muscles are still in a state of "confusion".
Periodic muscle twitching can occur as the swelling further resolves and the function returns. In short, this does not represent anything wrong and this should resolve with time without intervention. Sometimes small doses of Botox can help with symptoms if they are painful or unsightly in the short term.
Muscle spasm after face lift
5 weeks is still relatively early in healing process after your surgery. There are still irritated nerves and tight and stiff muscles. Be patient and continue to follow up with your surgeon as directed.
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Muscle spasms after face lift
No, the muscle spasms are not due to swelling or the resolution of the swelling but rather a reaction to the undermining and muscle tightening of the face lift itself.
Brief infrequent facial spasms first 6 weeks after Facelift are harmless
Brief infrequent facial spasms during the first 6 weeks after a Facelift are within normal limits and nothing to worry about.
This is simply the result of irritation of the facial muscles caused by the surgical dissection during a Facelift.
Sustained frequent facial twitching could be a sign of blood electrolyte imbalance post operatively or caused by a medication you are taking (Compazine) so if the twitching or spasms are frequent be sure you see your doctor.
While I have never heard this from one of my patients, as the other doctors have said this is probably all within the normal recovery and should resolve spontaneously by 3-4 months at most.
Facial spasms after face lift
Two facial spasms within a fie week period following a face lift are not cause for concern. Undesireable, repeated and disorganized facial contractions (synkinesis) could be indicative of nerve injury but it does not sound like this is the case with your symptoms
Post Facelift Spasms
This is a rather normal part of the healing process. It should resolve by 3 months. Deep Tissue Massage works well in treating these spasms in the early stage of healing. All the best in a safe and happy recovery!!
Paul S. Gill, M.D.
Gill Plastic Surgery
Houston Double Boarded Plastic Surgeon
Facial Spasm After Facelift
Although not a common occurrence, facial spasms can occur for several weeks after Facelift. More commonly, patients experience paresthesias (a zinging, electric shock sensation or a crawling sensation: a sign of sensory nerve regrowth) for 6 weeks to 3 months after surgery.
Nerve issues after facelift are infrequent but normal and part of healing
Five weeks post-facelift is still very early after the procedure. You did not say what kind of a facelift you had. In the deeper plane facelifts, the dissection goes around some of the nerves. If they have become irritated what you are experiencing is part of the healing. These types of issues should go away with time.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.