Cannot Blink After Facelift

after face lift that i did 4 weeks ago my upper eye lid of the left eye donot blink what cause that and what to do thanks

Doctor Answers 17

Reduced blink after face lift

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Although it is hard to tell without examining you, what you are describing is possibly caused by injury to one of the branches of your facial nerve

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Can't blink after Face Lift

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 If you mean that you can't close your eye after your Face Lift, you should be seen by the plastic and cosmetic surgeon, ASAP, that performed your Face Lift for evaluation and possible precautioanry treatment against dry eye syndrome.  He may refer you to an opthalmolgist for evaluation.  The eyelid muscles are innervated by branches, of the facial nerve, that can be injured during a Face Lift...although this is relatively rare in the hands of anexperienced Face Lift surgeon.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Don't panic, 4 days after your facelift. But call your surgeon!

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He or she will want to know if you aren't blinking.  Temporary measures need to be taken NOW to protect your eye.  Later, it can be determined if you have a nerve bruise (palsy) or severance (paralysis).  But for now, get him on the line.  Taping it shut and lubricating gels are in order.

Ritu Chopra, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 34 reviews

Unable to blink

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If you are unable to blink your facial nerve may have been injured or bruised.  This may or may not get better with time. Often eye drops and eye lubricants are recommended along with possibly an eye shield until the condition improves.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Eye won't blink after face lift plastic surgery

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This may be due to mechanical or neurologic conditions. You should really seek the evaluation of your physician to determine the cause and institute measures to minimize the potential for exposure keratitis

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Failure of the eye to blink after Facelift could indicate nerve injury

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The Frontal Branch (also called Temporal Branch) and Zygomatic Branches of the Facial Nerve can be injured during a Facelift. These two nerve branches can provide innervation to the Orbicularis Muscles which are responsible for eye blinking.

Because there are multiple branches supplying the blinking muscles it is very unusual that all branches are injured and thus very unusual that eye blinking is disturbed.

Fortunately, because of this dual innervation, eye blinking difficulty after Facelift is usually temporary as other nerve branches can take over this function.

It is important to see your doctor. Eye blinking is necessary to prevent your eye from becoming too dry. He/she will likely prescribe a moisturizing ointment to keep the eye moist during recovery. This is very important. If function does not recover, there are procedures designed to help close the lid to keep the eye moist.

Cannot Blink After Facelift

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It would appear that you have an injury to a branch of your facial nerve. This often resolves itself on its own if the nerve is just bruised and not cut. However, you need to see an Ophthalmologist as soon as possible to prevent injury to your eye from drying out. I would also suggest you see your surgeon and talk with him/her about this.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 116 reviews

Facelift - upper eye

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You should see an Ophthalmologist (eye doctor) immediately because if you can't blink, your eye can dry and cause serious and permanent damage to your cornea.  You should also see your plastic surgeon to let him know what happened.  

Dr. Cat Begovic M.D.

Cannot Blink 4 Weeks after Facelift

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If you cannot close your eye 4 weks after surgey, request an immediate, thorough examination. I am most concerned about a severe, permanent injury to your eye. After evaluation and treatment, a diagnosis can be made.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Blinking After Facelift

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Inability to blink after Facelift is not a common or normal occurrence after Facelift.  The branches of the facial nerve responsible for blinking innervate the muscle in a very deep plane very close to the nose. Therefore, I am puzzled as to what happened. My recommendation is that you return to see your Surgeon for recommendations, reassurance, and possible solutions.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 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.