Twitching in cheek 4 months post lower facelift, will the twitches or spasms be temporary?

When the skin is separated from the underlying tissues during surgery, small sensory #nerves are cut. Varying degrees of numbness will be present after surgery and will improve gradually as the nerves reconnect to the skin. This process can take from 2-6 months for face, neck and cheeks, and to 9-12 months for the forehead and scalp. Muscle weakness may also be present around the mouth especially if liposuction is used. This typically recovers fully in the months after surgery. 

As the nerves regenerate, the itching, burning, tingling and shooting #sensations will occur. Ice, moisturizers and gentle #massaging are helpful during this phase of the #healing process. Frequently there is a tight feeling in the neck, jawline and cheek after a facelift. During surgery, not only the skin but the underlying muscles are tightened to create a better and longer lasting result. Additionally, the #swelling will move downward in the first week and the neck will feel even tighter. Do not be alarmed: the sensation will decrease during the first month. Some degree of firmness or lumpiness under the skin is normal after surgery and will resolve with time. Local massage will speed resolution of this problem, which normally takes 2-4 months to disappear completely. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

the onset of twitches are probably do to nerves that may be reviving in the area of surgery. Occasionally inflammation in the region of dissolving sutures may be irritating muscles that are in the area.  If the the spasming muscle can be identified a small does of Botox may alleviate the twitch. By the time it wears off the muscle probably  will be back to normal. I suspect this is a temporary thing and will improve on its own as well.  



Best regard. Prashant Soni m.d.

It would be most reasonable to suspect that since the twitching began as your sensation returned, these two things are most likely related and should resolve with time. As to how long it will take to resolve, that is not possible to say. Botox can be used to ameliorate your twitches and should not interfere with the healing process.I would suggest to discuss this with your plastic surgeon. Best wishes.

It is very unusual to get muscle twitches after a facelift. The motor nerves are in a deeper level than the surgery requires.  Perhaps there is some irritation and this should resolve over time.  I would not recommend using Botox in the lower face for spasms as this is temporary and does not address the cause of the problem.  Perhaps massage will help relieve the scar tissue that might be causing the problem.