Can the D.A.O nerve muscle get damaged during facelift and neck liposuction therefore causing a downward smile? (Photo)

I had neck liposuction and revised minilift with no results. In addition the Plastic Surgeon added fat to my acne scars which makes me look rounder older and additionally I look like I'm making a downward smile. I don't know if it's the fat that was added that causes my face to head south or muscle/nerve damage? I actually look older especially my smile. What can be done to correct this? Lipo to jowls? Or do I need muscle tightening of D.A.O?

Doctor Answers 2

Concern About Possible Nerve Damage

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

As with all #cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical #procedure and #revision, there are some risks of unhappy outcome or other complications which your surgeon should discuss with you during your consultation. Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A better photo is need to to understand how to address your concerns.  The DAO or depressor anguli oris is likely not at play.  If injured, it would cause elevation of the corner's of the mouth and not depression.  Once your are fully healed with full sensation, you would likely benefit from a comprehensive facelift.  

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.