Post Facetite Complications, will these subside or will I never be able to smile again? 8 days post op. (photos)

It appears that one of the branches of your facial nerve has sustained an injury. This is a known risk of facetite, albeit uncommon. Due to the mechanism with which this technology tightens skin (radiofrequency) it is VERY unlikely that this injury is permanent. Is likely that the nerve has sustained a temporary injury and needs to heal itself. The length of time to recovery will depend on what level the nerve sustained injury. 

Asymmetry is uncommon after facetite but can occur.  Possibilities include trauma from liposuction, placement of facetite device, and from the local anesthesia itself.  Weakness typically improves over time but seek help from your surgeon to assist you in your healing.  Best Anil Shah

The difference you see in your smile after your FaceTite and liposuction procedure is most likely due to irritation to one of the nerves involved with your smile.  This issue should resolve completely over time, but it could take several weeks.  Any irregularity you see on your cheeks should improve with more time as well.  It can take several months to see the full effect from the FaceTite and liposuction procedures.  There is really nothing for you to do at this point except allow more time for the healing to occur.  

It appears that a branch of your facial nerve is not functioning properly. I would return to your physician that performed this procedure to have them evaluate this and determine if they need to put you on steroids since they know exactly what they did with the device and liposuction. 

The FaceTite procedure is probably safer than a facelift because there is no sharp dissection of tissue with knives, cautery, and scissors. Therefore, it is highly unlikely that any nerves will be transected. That's not to say they wont be bruised! Neuropraxia is a vexing, but temporary complication that results from nerve bruising. In other words, the bridge is still there, but just congested with traffic for a while. The slowing of nerve signal transmission can last up to 6 months but usually disappears by 3. This is common with FaceTite and liposuction, affecting as many as 30% of patients to *some* extent. Fortunately, with NSAIDs and time, this is likely to resolve without additional intervention.

Thank you for your question and submitting your photos. I am sorry to hear about the complication you had from your procedure. I know it is difficult to go out in public with the facial asymmetry. Fortunately, this will resolve with time. The most likely cause for this is irritation of the nerve from the liposuction component of your treatment. The appearance of your asymmetry can be reduced by injecting a neuromodulator such as Dysport or Botox into the depressor anguli muscle on the effected side (right). This will temporarily weaken the muscle that pulls down the corner of the mouth such that it returns to a more normal position. By the time the neuromodulator wears off, your facial asymmetry will have resolved.I hope this was helpful - Dr. Moore.

I appreciate your concern and having to deal with a facial asymmetry.  First I would say to not worry....this will eventually resolve.  Given the procedures you reported, Face Tite and liposuction, the nerve is simply irritated by the procedure itself or the subsequent swelling.  The lack of nerve conduction is called neuropraxia which is producing your mouth asymmetry especially with smiling. Time is the solution and will likely resolve within 3-4 weeks but could take 3 months in rare situations.  As I am sure your doctor is aware but trust him/her when they say it will resolve in time.