I am 8 days post to a VY-plasty and fat transfer to my lips. I still cannot smile. Will I return to normal? (Photos)

Thank you for your question! To be honest with you, its hard to say without having done your procedure (the number of V-Y's performed, particular V-Y modifications, etc), or knowing exactly how much was advanced/how much fat was placed into the lips.  Another variable is whether the fat was injected in or placed as a dermal fat graft.  I, personally, like doing 3 V-Ys in the upper lip, and 2 in the lower lip (although sometimes I'll switch over to 1).  I also prefer dermal fat graft over injection as I find its much more predictable.  That being said, restriction in movement and a sensation of a "tight smile" is something that I tell all my patients to expect for around 3 weeks or so.  by week 4 the smile looks normal, but it will still feel a little funny.  If we are doing dermal fat graft, then it usually takes a little longer to regain that natural sensation.  I also tend to be a little more aggressive too as I will usually do V-Ys in cases where a lip lift can't be performed such as excessive tooth show with a shortened prolabium.  Long story short, swelling at this time is not uncommon.  I would discuss your concerns with your doc as they know exactly how much was advanced and how much fat/what kind of fat was placed.  Knowing these variables can help guide you a little more as far as what to expect in the coming weeks.  I hope some of this helps.

Yes, this can be typical. Swelling is typical after fat transfer/surgery and can last 3-6 months. I recommend prp to help improve final results. Icing the area, predisone, ibuoprofen and venus legacy treatments can help reduce swelling. See an expert. Best, Dr. Emer

technobae.    It is very early in your postop recovery period and lip surgery in particular, involves an enormous amount of swelling! Allow at least 2 weeks to pass before becoming concerned because not all the fat transferred may take and more swelling will resolve!  Visit your surgeon and voice your concerns.  Good luck!