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

Marginal Mandibular Injury, Facelift

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Marginal Mandibular Injury, Facelift

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