SMAS Facelift: Q&A
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Is TMJ a Contraindication for SMAS Facelift?
I would like a face lift, mainly for jowls but I also to correct other problems. I have an old fracture to the zygomatic arch on one side resulting in some inflammation/small indentation. I have been evaluated for this by an oral surgeon recently who said it would be a major surgery now and inadvisable. Good functioning. I also have TMJ w/some occ. swelling and problems with the position of the discs, fairly well controlled through exercises I learned in physical therapy. Is this contraindicat?
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19 Doctor Answers |
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6041anon
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TMJ Syndrome OK with Most Facelifts
TMJ and SMAS lift
The SMAS lift repositions the underlying fat and to some degree the fine muscles beneath it to a more youthful position but does not result in tighter facial muscles. A SMAS facelift should not cause additional complications your TMJ problems when properly done. I would consult with your TMJ specialist to be sure.
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TMJ and SMAS Facelift
Having TMJ symptoms, especially those that are well controlled, are not a contraindication to having a SMAS facelift. You could address the indentation on your zygomatic arch at the same time by injection of fillers or a brow lift incision could be used to approach and fix the indentation at the level of the bone.
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TMJ is not a Contraindication for a SMAS facelift
It sounds like you have a few issues. I am happy that you have reasonable control of your TMJ symptoms. The facelift should not effect that. I would wait a little while before resuming aggresssive PT for your TMJ. The contour irregularity can also be evaluated by your surgeon and see what he/she may suggest.
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TMJ disorder not a contra-indication to facelift surgery
Facelift surgery involves the tissues more superficial than the jaw joint so your TMJ disorder isn't a contra-indication to surgery. Facelift surgery wouldn't be expected to improve the cheek indentation you mentioned, though you may want to discuss filler options for this area such as fat grafting or injectible filler.
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TMJ and a facelift may be possible
As long as your TMJ is stable, you should probably be okay. However, the TMJ may worsen after the facelift because of the pulling of the skin.
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TMJ and facelift surgery
Your TMJ is not a contra-indication to facelift surgery with a SMAS technique. The joint function, alignment or motion should not be altered by the procedure.
Best of luck!
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Facelift should be fine
Hi 6041,
Having a facelift should be just fine in your case. The temporomandibular joint (TMJ) is not affected in the least by a facelift. The only potential problem could be that if you have a general anesthetic, you may have an exacerbation of your joint discomfort due to the intubation. However, this is EXTREMELY rare and I doubt it would be an issue for you.
Good luck!
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Facelift and TMJ
TMJ problems are not a contraindication to any facial rejuvenation surgery. Given that you have a small indentation of the skin, you may be a better candidate for fat transfer with/without a facelift. I would certainly speak with your surgeon about these options.
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TMJ and SMAS facelift
TMJ is specifically issues with the join that allow the mandible to articulate. A SMAS facelift is unrelated to that area and should not impact your TMJ.
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SMAS facelift and TMJ
There is no relationship with TMJ and facelift surgery. No facelift procedure will affect any of the bony jaw issues that you may be experiencing. Wait a few weeks after your facelift to result your jaw/TMJ exercises.
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A facelift does not increase TMJ pain or dysfunction
There is no relationship between having a facelift and in any way worsening one's TMJ pain or symptoms. The TMJ lies deep to the level of even a deep plane facelift and does not involve any manipulation of the muscles that are responsible for chewing or opening and closing one's mouth.
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TMJ problems are not a contraindication to a facelift.
A deep plane (SMAS) facelift is executed nowhere near the TM joint. I can't see any reason why it would be a contraindication to a facelift. I would be curious why your oral surgeon thinks otherwise.
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SMAS Facelift and TMJ dysfunction
Face lifting is frequently performed in individuals with TMJ dysfunction. There should be no long-term change in your symptoms, although in the early recovery period you may notice a change due to swelling and the inability to do your exercises.
The contour irregularity that you note from a prior zygomatic fracture can be improved with a graft made of SMAS or dermal fat harvested from skin excised during the procedure. I have utilized this technique for several of my patients...
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TMJ and Facelifting
TMJ is not a contraindication for a facelift. Facelifting lifts the surrounding tissues, but does not lift or effect the muscles that can put pressure on the TM joint.
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TMJ not a contraindication for SMAS facelift
It is acceptable to have a facelift regardless of TMJ dysfunction. Your facelift surgeon may try to augment the soft tissue areas over the depressed part of the arch so as to create symmetry with the opposite side. This would involve folding the SMAS over itself in the area of depression to give a natural look and balance with the opposite side, which would help correct asymmetry.
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SMAS Facelift Surgery in TMJ Patient
SMAS face lift, or other face lift surgery variations, may be performed in patients who have preexisting TMJ or jaw problems. Generally, there should not be a contraindication to facelifts. Unpredictably & inexplicably, some patients may have improved TMJ symptoms after cosmetic face lift surgery. However, facial surgery or the anesthesia itself may potentially worsen TMJ symptoms (pain, clicking, pressure, etc). Physical therapy & jaw exercises may be continued after surgery, once...
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TMJ and Facelift
TMJ dysfunction is not a contraindication for facelift surgery. The discomfort from one must be separated from the other after surgery meaning that your TMJ symptoms may increase after facelift and require more measures to control that particular discomfort.
Dr. ES
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TMJ and cosmetic plastic surgery (SMAS face lift)
TMJ disorder is not a contraindication to facelift. Issues to consider are that the face lift will not correct bony asymmetry due to your zygomatic arch fracture. Anesthetic technique is important to review prior to surgery. Local anesthesia is not a concern. However, if you are to undergo LMA or endotracheal techniques, you should discuss your TMJ condiiton with the Anesthetist or ANesthesiologist preoperatively.
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Face lift
Face lift can be done in patients with TMJ problems.
As for the indentation from fracture zygoma, this can be corrected very easily at the time of the face lift. A dermis fat graft or the SMAS can be used to fill in the indentation and comouflage the indent.
After surgery you can continue your physical therapy for the TMJ
Baltimore Plastic Surgeon
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