4.5 weeks post deep plane FL, one side more swollen and not moving, and dry eyes. Very nervous, will it improve? (photo)

It is normal to have swelling after a deep plane facelift and it is very common for the two sides to be asymmetric during the healing process. While most of the time the majority of the swelling is resolved by four weeks, it isn't abnormal to still have some persist. The lack of movement in the lower lip is almost always due to strain on the marginal mandibular nerve, the nerve that controls the lower lip. Nerve weakness is a risk of the deep plane facelift procedure. The good news is that in almost every case the nerve returns to completely normal function, it can just take quite a while (sometimes a few months or more). You can try sleeping propped up on a few pillows or in a recliner, sometimes that can speed up the resolution of the swelling. I would also recommend sharing your concerns with your surgeon. They may be incline to give you a light dose of steroids to speed the resolution of the swelling as well. I hope this helped, good luck!! 

Thank you for your query and sorry to hear about your concerns.With a deep plane lift, the risk of bruising to the facial nerves is slightly higher as the surgery is performed at a deeper level. I am hopeful that everything should in time settle down nicely for you. But do keep in regular contact with your surgeon as he should be monitoring your progress.