I had chin lipo 2 wks ago. The right side of my mouth has been paralyzed since (asymmetry when I talk, smile, open mouth). Today, I received Botox to the other side to try and even things out. The PS prescribed Methylprednisolone 4 MG for 5 days, saying that decreasing the swelling may help heal the nerve faster. I would appreciate a second opinion on whether Methylprednisolone will make a difference? I would rather not take corticosteroids if the benefits are not likely to outweigh the risks.
September 8, 2014
Answer: Temporary Nerve Palsy Will Improve Thank you for your question and photo. The marginal mandibular nerve was bruised during the procedure...this is a known complication of this surgery. The good news is that the vast majority of these get better with time...even without doing anything. Your surgeon's botox treatment is absolutely the best thing to do to balance your facial muscles out until the nerve heals. Steroids are unlikely to speed up the process and they do have side effects. Botox, time and patience are the best treatments. Hang in there!
Helpful 1 person found this helpful
September 8, 2014
Answer: Temporary Nerve Palsy Will Improve Thank you for your question and photo. The marginal mandibular nerve was bruised during the procedure...this is a known complication of this surgery. The good news is that the vast majority of these get better with time...even without doing anything. Your surgeon's botox treatment is absolutely the best thing to do to balance your facial muscles out until the nerve heals. Steroids are unlikely to speed up the process and they do have side effects. Botox, time and patience are the best treatments. Hang in there!
Helpful 1 person found this helpful
December 5, 2017
Answer: Steroids for Facial Nerve Weakness after Neck Liposuction
Given that it has been only two weeks since your procedure, the use of oral steroids is a reasonable medical treatment to try and help decrease nerve swelling. No one can tell you how effective it will be and it would be standard therapy at this point right after surgery. The marginal mandibular branch of the facial nerve almost always recovers from being traumatized but its recovery will be slow given that it has no cross-innervations with any other branches of the facial nerve.
Helpful 2 people found this helpful
December 5, 2017
Answer: Steroids for Facial Nerve Weakness after Neck Liposuction
Given that it has been only two weeks since your procedure, the use of oral steroids is a reasonable medical treatment to try and help decrease nerve swelling. No one can tell you how effective it will be and it would be standard therapy at this point right after surgery. The marginal mandibular branch of the facial nerve almost always recovers from being traumatized but its recovery will be slow given that it has no cross-innervations with any other branches of the facial nerve.
Helpful 2 people found this helpful