Down-turned Mouth After Chin Implant and Liposuction

After a chin implant and liposuction, my mouth is pulled down and my smile has not fully returned (at Week 5). I can see how my smile may return, but I’m worried about my mouth having a decidedly turned down look for the rest of my life. What needs to loosen (or tighten) to return my mouth to its former shape?

Doctor Answers 3

Mouth asymmetry after chin implant

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this will likely resolve over the next 2-3 months (easier for other say than for you to live through).  If the asymmetry bother you a great deal sometime a small amount of Botox on the normal side will help the symmetry

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Should resolve after a few months

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The chin implant can be removed if needed. There is a possibility of having a temporary paralysis of the lower branch of the facial nerve called the marginal mandibular nerve. This can make the lower lip appear turned down, but usually is only unilateral, and is a one-sided crooked smile on animation. This usually resolves over the next several months. This is from a stretching or bruising of the nerve submental area and almost always returns on its own to normal functioning.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Visit your surgeon

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Hi Lilacs,

The procedure for chin implantation generally does not cause a downturned mouth. The lower lip and chin muscles may have some dysfunction in the shor term. This generally improves after a few months... and it can take months.

As it is hard to tell from your description what may be the cause of what you see in the mirror, the best thing to do (as always) is visit your surgeon for an examination, and reassurance.

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
4.3 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.