Severely uneven smile 10 days post op lower facelift and neck tightening. What is my prognosis?

Hello, my right upper lip does have movement and feeling but doesn't rise nearly to level of left when I smile. Also can't scrunch my nose as much on right. The right side of my face is slightly more swollen than left. Could this be a factor? What is my prognosis? If this doesn't correct itself what are my options. Everything looks fine till I smile.

Doctor Answers (4)

Asymmetry 10 Days After Surgery

+1
It sounds as though swelling is the key component of your asymmetry. When you see your surgeon, show him/her your concerns and I am confident that they will say that you are healing well.
If it is a nerve injury to the motor nerves around your mouth, they normally heal without any further intervention.
Good luck!


New York Plastic Surgeon
4.5 out of 5 stars 18 reviews

Uneven ten days post facelift

+1
I always recommend that you back to see your surgeon for an opinion.  You probably have swelling that is causing your findings.
In the event that one of the branches of the facial nerve became stretched it is very likely to recover. So, your prognosis should be excellent. Good luck.

Jan Zemplenyi, MD
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Uneven smile 10 days after lower facelift

+1
There would still be some expected swelling present at 10 days after a lower facelift and this can definitely make the face appear uneven.  It will take a few months for the swelling to resolve and in most cases, the uneven appearance will improve.  Be sure to discuss this issue with your surgeon so that your progress can be monitored.

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

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10 days post with smile asymmetry

+1
It is not uncommon to have some facial animation asymmetry post-op that is often due to swelling. Usually this improves with time, but follow closely with your surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

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