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?
Answer: In most cases, lower lip paralysis after neck liposuction will resolve 3-4 months postoperatively. 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
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Answer: In most cases, lower lip paralysis after neck liposuction will resolve 3-4 months postoperatively. 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
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May 11, 2014
Answer: Lip paralysis after neck liposuction 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
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May 11, 2014
Answer: Lip paralysis after neck liposuction 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
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May 11, 2014
Answer: Paralysis after chin lipo 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.
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May 11, 2014
Answer: Paralysis after chin lipo 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.
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Answer: Direct current electrical stimulation for facial paralysis after chin light bowl Thank you for your question. You're still very early after your procedure. 6 weeks is an important time. Landmark for recovery of function after injury to the marginal mandibular nerve after chin liposuction.If it 6 weeks you have no return ask your plastic surgeon about the possibility of Direct Current Muscular stimulation which can help preserve muscle function while nerve regeneration occurs. And EMS direct-current electrical stimulator can be purchased by your physician through Med Labs in Goletta California.
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Answer: Direct current electrical stimulation for facial paralysis after chin light bowl Thank you for your question. You're still very early after your procedure. 6 weeks is an important time. Landmark for recovery of function after injury to the marginal mandibular nerve after chin liposuction.If it 6 weeks you have no return ask your plastic surgeon about the possibility of Direct Current Muscular stimulation which can help preserve muscle function while nerve regeneration occurs. And EMS direct-current electrical stimulator can be purchased by your physician through Med Labs in Goletta California.
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May 28, 2014
Answer: Nerve Function 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.
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May 28, 2014
Answer: Nerve Function 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.
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