Overtightened smas after facelift? Smiling has become hard work out, even a little smile feels like lifting heavy Weight.

Without pictures it would be hard to determine the underlying cause/s of the problem.  However, the difficulty when smiling might be caused by long-term nerve damage, which is not supposed to happen in facelift surgery. Meanwhile, the flatness you're describing on the lateral side of your cheeks might be due to soft tissue atrophy or loss of facial fat.  Thus when you smile the upper cheeks bunch up--exaggerating the hollowedness around the area--it leads to the appearance of "Joker's smile."  This might be addressed by volumizers such as dermal fillers or fat graft. However, online consultation will not replace an in person discussion that will allow us, doctors, to examine the underlying anatomies and listen to what you really want to accomplish. A good place to start is your original plastic surgeon, although you may also seek for a second opinion.  Just make sure that you consult a board-certified plastic surgeon who performs facelift and its adjunct procedures on a regular basis. I hope that helps and good luck.

Thanks for the question.
This si not normal after a facelift. If you post photos of your frontal view at rest and smiling then it is possible to be more accurate. Please seek advice form your PS.
I hope this helps.

Dear memyself15-Thank you for your question.  I am sorry you are experiencing this.  It is a bit unusual to have these problems this far out from your lift.  You may want to have another visit with your surgeon to express your concerns.  Perhaps he/she will be able to shed some light on this and offer some solutions.Good luck to you.