I did a removal of the bichat pads 8 months ago. Even after all this time, my smile is crooked. Greatly reduced the fat of the face, but the right side of my smile does not raise (upper lip). After the surgery, this side of my face was incredibly more swollen than the left. I fear that the surgery has caused permanent damage. What can it be?
March 14, 2012
Answer: Facial Nerve Paresis 8 Months After Buccal Fat Pat Removal
Unfortunately, this pictures shows what appears to be a right buccal branch paresis (weakness) after buccal fat pad removal. This is a rare, albeit real complication associated with the procedure. At 8 months, there is still some chance this branch(es) of the facial nerve will recover. I would recommend close follow up with your Surgeon and possibly a consultation with a Facial Plastic Surgeon in a local academic center who has an interest in facial nerve recovery/ reanimation.
Helpful 1 person found this helpful
March 14, 2012
Answer: Facial Nerve Paresis 8 Months After Buccal Fat Pat Removal
Unfortunately, this pictures shows what appears to be a right buccal branch paresis (weakness) after buccal fat pad removal. This is a rare, albeit real complication associated with the procedure. At 8 months, there is still some chance this branch(es) of the facial nerve will recover. I would recommend close follow up with your Surgeon and possibly a consultation with a Facial Plastic Surgeon in a local academic center who has an interest in facial nerve recovery/ reanimation.
Helpful 1 person found this helpful
Answer: Facial Nerve Injury after Buccal Fat Removal The Buccal Fat Pad is deep in the face therefore it cannot be addressed with liposuction. Typically a small incision inside the mouth is used. In most cases, this can be easily extracted. In experienced hands a nerve injury is very unlikely but may occur if the dissection is difficult. Thankfully, this is typically temporary and should resolve within a few months. During the recovery after a nerve injury, botox to the other side can help create symmetry until your other side recovers. See an expert.
Helpful
Answer: Facial Nerve Injury after Buccal Fat Removal The Buccal Fat Pad is deep in the face therefore it cannot be addressed with liposuction. Typically a small incision inside the mouth is used. In most cases, this can be easily extracted. In experienced hands a nerve injury is very unlikely but may occur if the dissection is difficult. Thankfully, this is typically temporary and should resolve within a few months. During the recovery after a nerve injury, botox to the other side can help create symmetry until your other side recovers. See an expert.
Helpful