Facelift Brow Lift Neck Lift? (photo)

Had about surgery April 17, 2013 my question is the problem with my left upper lip which I forgot to mention is I'm unable to lick anything off a spoon Pucker my upper lip. 2nd do the muscles tighten as they heal or not? Thank you to all the Doctors that responded. Very much appreciated. Jo

Doctor Answers 9

Upper lip weakness after facelift usually returns to normal

Thank you for your question.  The left upper lip weakness is due to dysfunction of the left buccal branch of the facial nerve.  It is not complete and should recover completely.

It is not uncommon for this to occur after a facelift.  Fortunately the buccal branch of the facial nerve has many interconnections and almost always recovers fully.  Recovery can take several months.  However if it persists ask your surgeon if he or she feels DC or direct current electrical stimulation will help you recovery.

Upper Lip

Upper lip weakness can happen after a facelift. Fortunately, most of these improve with time and go away. Based on your photo, you do have muscle movement although asymmetric ( dyskinesia). Give this a few months to heal. All the best.

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Weaknesses after facelifts

such as what you describe can and do happen.  Fortunately, you already demonstrate muscle movement and situation should improve over time back to normal.  Be patient.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Weakness of the lip after facelift surgery

Based on your description and photos you seem to be describing some weakness in the upper lip muscles which is likely due to an injury to a branch of the facial nerve during the SMAS elevation portion of the procedure.On your photo where you are smiling this nerve branch appears to be mostly functioning so it is likely the injury is only a bruise or a stretch injury and is not at the base of the nerve but further out toward the end. Fortunately these injuries usually do resolve in time . I would expect it to be fully recovered in 2 to 3 months.

Grady B. Core, MD
Birmingham Plastic Surgeon
4.6 out of 5 stars 12 reviews

Facelift Brow Lift Neck Lift?

Appears as a paresis of the maxillary branch of the facial nerve that will recover in a few more months. Call your surgeon to discuss

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Facelift, Browlift, Neck Lift Post OP

If you are having issues with your upper lip, you must have had some type of lip surgery at the same setting.  The procedures you mentioned would not have caused a stiff upper lip.  Follow up with your Plastic Surgeon and ask him if he used any Botox in your upper lip at the time of surgery.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 60 reviews

Unable to Lick Off a Spoon or Pucker Upper Lip After Facial Surgery

Numbness or muscle weakness following a #facelift is not uncommon.  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. 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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Lip Weakness After Facelift?

Dear Jo,

thank you for your question and photos.  Upper lip weakness can happen after a face lift.  If there is too much stretch on a nerve, it an temporarily disfunction.  This is temporarly and usually resolves completely.

Best wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 47 reviews

Upper Lip Weakness Post Facelift

It may just be that the muscles of the upper lip are weaker due to your procedures; with time, it should return back to normal or very close.  Be patient as you continue to heal and after the full recovery time you should be very pleased with your result. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 118 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.