Marginal Mandibular Injury, Facelift

Question

I underwent a 2022 facelift (w/ fat transfer), neck lift (no lipo) by a LA triple board-certified plastic surgeon, resulting in a severe marginal mandibular injury. The drain removal on that side was excruciating. Treatments like botox, lymph massage, and hyperbaric have been unsuccessful. I’m 14-months out WITH nerve conduction but no depressor labii function. Nothing about the affected side of my face feels normal. I still experience swelling and slight numbness. Thoughts?

Gianfranco Frojo, MD · Answer

I would recommend seeing a surgeon certified by the American Board of Plastic Surgery (ideally with 6 years of integrated plastic surgery residency training and ALSO a 1 year aesthetic fellowship accredited by the Aesthetic Society). When it comes to facial nerve injuries, time is the most important factor. I would recommend immediately calling the UCLA or USC facial nerve clinic to try to obtain an appointment if possible.

Jacob Tower, MD · Answer

Hello, hope you are well. I would recommend that you see a facial nerve specialist if you haven't already. Though the prognosis for spontaneous return of function may be poor, other treatments are usually available to improve symmetry and function.
Best,Dr. Tower

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