Will this palsy subside and what can I do to facilitate? (Photos)

Question

I had a buccal fat pad reduction 2 months ago and still experiencing facial palsy and facial asymmetry at rest.

Nima Shemirani, MD · Answer

Dear sonzruz,The good news is that the buccal nerve has a lot of branches that can grow and cover the areas that were weakened with surgeryThe bad news is that it can take months (6-12).  I think also working out the area with the facial expressions (puffing cheeks, making a kissy face) can help work on the muscles to get your recovery to come sooner.  It is like physical therapy for the faceI wish you the best and hope the movement comes back sooner than laterBest,Dr. Nima

John Mesa, MD · Answer

Patients with questions and concerns about their buccal far removal complication healing process (eg. facial nerve palsy) should address those concerns with the surgeon that performed the operation, ideally during a follow up consultation.

Anil R. Shah, MD · Answer

Buccal fat removal takes place near the buccal nerves.  Buccal nerve can cause weakness similar to the pictures you have displayed.  It can take months for nerves to recover and based on photograph it is difficult to tell if there is a temporary or permanent injury.  Consider the use of  Acetyl-L-Carnitine, Nimodipine,  has shown to be helpful in regrowth.  If injury persists consider facial nerve testing with an ENT based background for further evaluation.  Best Dr. Anil Shah

Will this palsy subside and what can I do to facilitate? (Photos)

Answers (3)

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