Struggling to open mouth since SMAS lip augmentation, 1.5 years post op - What could be causing this?

Question

I had a SMAS facelift and neck lift, and SMAS lip augmentation. I now cannot open my mouth as wide as I did previously and going to the dentist is really an ordeal . I also cannot drink from a straw any more. What has gone wrong . I had the surgery 18 months ago . I am 52 years old . I also had some face fat transfer and buccal fat removal.

Lucian Ion, FRCS · Answer

Thank you for your question.

What you are describing may be related to the combination of SMAS and scar tissue build-up in the upper lip, following your surgery.

The SMAS layer is generally strong enough to hold tension, but would not usually be as rigid as what you are describing. Scar tissue developed around it may reduce its flexibility.

Removing the SMAS from the upper lip is likely to be difficult. It may however be possible to divide the SMAS implant in one or several areas so that it allows expansion of the mouth but maintains the shape of the lips when relaxed.

It is preferable to discuss this with your surgeon who would knows exactly how they tend to create the tunnel for the lip augmentation.

Connie Hiers, MD, FACS · Answer

You may have had some nerve damage, especially with the buccal fat removal so that you cannot pucker your lips or open your mouth as wide. An examination is needed to be certain.

Struggling to open mouth since SMAS lip augmentation, 1.5 years post op - What could be causing this?

Answers (2)

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Struggling to open mouth since SMAS lip augmentation, 1.5 years post op - What could be causing this?

Answers (2)

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Recommended reading

Everything you need to know about SMAS Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.