Lip Deformity After Lower Facelift. No Problems with Facial Movements, No Loss of Sensation, Whats Going On? Will It Recover?

Hi, I have had lower facelift 15 days ago. The problem now is the disfigurement of lower lip, it goes too much on right side and becomes very lopsided. It doesnt look bad when i am not talking/eating but it becomes severly lopsided when i say certain words, like 'deformed, hope, want, do, not, no etc' or eat or lick the finger etc. it looks very bad, my face seems asymmetrical as well, with right side seems more firmer than the left side. doctor said there is no nerve damage?

Doctor Answers 7

Lip problems after lower facelift or necklift

Dear K76,

A little botox to the opposite side can make the lip more symmetric as it heals

Typically this issue is temporary and will resolve over time

From your description, it sounds like it is a mild weakness, which is great news because these tend to recover (Obviously I cannot be completely sure unless I saw you)

Make sure your plastic surgeon is aware and sees the same issue you do

Best regards,

Nima Shemirani

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews

Lip deformity after facelift

It seems that you may have a problem with your marginal mandibular nerve. This nerve can be at risk during facelift surgery. Speak with your surgeon and have him examine this closely. It can be a partial or complete injury. At 15 days, it is still quite early and it is likely that it will return. Your surgeon may have some insight as to whether something happened during the surgery. Good luck.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 116 reviews

Recovery After Lower Facelift

What you are describing sounds like weakness of the marginal mandibular nerve (a small segment of the facial nerve). It's very important that you re-visit your doctor again or seek second opinion from an experienced facial plastic surgeon to see what can be done to correct this problem.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.3 out of 5 stars 9 reviews

Facial Asymmetry after Facelift

   Facial asymmetry and asymmetry during animation is a reflection of facial nerve function.  Most of these are transient.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Problems with the lower lip following facelift

Hello, and sorry to hear about the negative side effects you are experiencing. 15 days is still very soon after your surgery, and you are early in the recovery period. It is not abnormal to still be experiencing recovery issues at this time.  Typically, drooping of the mouth is a side effect of temporary nerve damage. In general, most temporary nerve damage that occurs from a facelift will be resolve in anywhere from 6 months to a year. It may take longer for a complete recovery, but it depends on the patient and the circumstances of the issue. In regard to the asymmetry, we all heal differently and more tightness on one side is not anything to be worried about. Massage will help improve the tight feeling, but I would not recommend doing this until you can tolerate it. From here, I would recommend speaking with your surgeon further regarding any concerns, as he/she knows the extent of your procedure and exactly what was performed. He/she may also be able to recommendations on how you may relieve any discomfort. Thank you and I hope this helps! I wish you the best of luck with the remainder of your recovery.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Talking funny after face lift

Difference in lip appearance when speaking is due to abnormal muscle function. If this occurs after face lift surgery, it is usually due to part of facial nerve being traumatized. It most often is limited in nature and will improve over time. It is good news that at rest your lips look normal and only partial weakness when speaking. Continue to monitor it and discuss it with your surgeon.

Shahriar Mabourakh, MD, FACS
Sacramento Plastic Surgeon
4.9 out of 5 stars 208 reviews

Lip Deformity After Lower Facelift. No Problems with Facial Movements, No Loss of Sensation, Whats Going On? Will It Recover?

There are sensory and motor nerves in the face. Even if sensation is normal, you may have something going on with a motor nerve. If your surgeon attests to no nerve damage, the nerve was most likely not cut. Time will tell. It is quite possible that you will regain function in the near future. If you do not, nerve function tests are in order.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon
5.0 out of 5 stars 6 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.