What fiscal therapy do you recommend for facial paralysis after chin lipo? (Photo)

Question

I had chin and jawline lipo 3 1/2 weeks ago, I have lower right lip paralisis (only when I try to pull it down), Dr recomended Prednisone (15, 20 mg pills over 7 days). Is electrical stimulation And Radio frequency safe, Or should I just massage?

Eric M. Joseph, MD · Answer

Marginal mandibular nerve paralysis after neck liposuction, as demonstrated in your photo, is usually temporary and caused by stretching not cutting the nerve. I'm not sure if prednisone would help or not, and I'm not aware of any useful adjunct therapy other than tincture of time.Hope this helps, and keep us posted.Dr. Joseph

Stephen Weber MD, FACS · Answer

This is fortunately uncommon. The good news is that cutting of this nerve with liposuction cannula is uncommon. Most often the nerve has only been stretched and will begin to function (first a little and then continued improvement) within 3-12 months. Botox can be very effective on the opposite side to temporarily reduce the asymmetry. Time will tell but hopefully this will improve as that nerve heals. I hope this information is reassuring for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Ryan A. Stanton, MD · Answer

It is the marginal mandible nerve that rarely gets contused (bruised) after chin liposuction. It is essentially a waiting game of anywhere from 3 - 6 months until nerve function return completely. Occasionally Botox may be given into the normal side (depressor anguli oris muscle) to balance the effect. Glad to help.

Robert D. Wilcox, MD · Answer

Dear Sebastian0325,

The other doctors are correct regarding the nerve
which is not functioning well. That marginal mandibular nerve on the right side
causes the muscles of the right lower lip to pull downwards when smiling. Since
it is not functioning, you are seeing the asymmetric smile. If the surgeon
indeed only did liposuction with a cannula, we would assume that the nerve is
intact, and this is considered a neuropraxia which will resolve with time. I
think it is important, though, that you be certain that only liposuction with a
cannula was done. If there is a particularly long scar under the chin, it is
possible that cutting or dissecting with scissors was done, and that would be a
much more ominous situation in which the nerve would have been at risk of being
severed. If you find very small incisions of no more than a few millimeters,
you should feel comfortable that this was liposuction with a cannula only, and
you should have a good result but may have to wait it out several months.

I hope this is of help to you.

Sincerely,

Robert D. Wilcox, M.D.

Darryl J. Blinski, MD · Answer

Was your doctor a boarded PS? Has there been any minimal improvement in motion? Best to see neurologist ASAP...

What fiscal therapy do you recommend for facial paralysis after chin lipo? (Photo)

Answers (7)

Answer: Nerve Function

Answer: Nerve Function

Answer: What fiscal therapy do you recommend for facial paralysis after chin lipo?

Answer: What fiscal therapy do you recommend for facial paralysis after chin lipo?

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What fiscal therapy do you recommend for facial paralysis after chin lipo? (Photo)

Answers (7)

Answer: Nerve Function

Answer: Nerve Function

Answer: What fiscal therapy do you recommend for facial paralysis after chin lipo?

Answer: What fiscal therapy do you recommend for facial paralysis after chin lipo?

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Recommended reading

Everything you need to know about Chin Liposuction

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