Facelift may help appearance, but won't fix your TMJ problems
TMJ is short for Temporo-Mandibular Joint. If you are having pain or other trouble with your TMJ, the increased jaw tension or joint stress would not typically cause your face to sag. It is unclear to me what deformity you have now is due to the trauma you describe 31 years ago. Surgery to fix a deformity due to "medical reasons" (such as trauma or cancer) may be covered by insurance, but surgery to improve facial appearance alone would not be covered by insurance.
The one muscle that a SMAS-type facelift may tighten is the platysma muscle. The rest of the SMAS facelift does not tighten muscles, but rather tightens or lifts the tissue above the muscles. The facelift can help the sagging appearance of the neck, but would not be expected to relieve your TMJ problems. Even if your platysma muscle was contributing somehow to your TMJ problem, lifting it or tightening it would not necessarily help your symtoms.
Also, a facelift would not address your teeth grinding (bruxism). As a side note, Botox has been used for relieving jaw tension and helping with teeth grinding. I personally do not inject Botox for bruxism, so I do not know if that is covered by insurance. The best way to find out is check with your insurance provider.
Facelift will not help TMJ
TMJ issues are a constellation of problems that occur as a result of inflammation in the temporomandibular joint or inflammation in the tissue surrounding the joint. It is unlikely that the facial asymmetry you have is associated with TMJ though it could be associated with an earlier injury. A SMAS facelift does tighten the SMAS (a layer of tissue that interconnects the facial muscles that move the face). It does not tighten the jaw muscles enough to create a change in shape of the jaw.
SMAS lift will not help TMJ
A SMAS lift involves tightening the platysmal muscle in the posterior portion of the neck and the anterior portion of the neck. It also tightens the fascia layer along the high cheek area below the eye. A SMAS facelift has no bearing whatsoever on the temporomandibular joint or jaw line muscles. These are 2 completely separate issues. You should see a TMJ specialist, usually a dentist, who can properly address the TMJ pain that you are experiencing. For many examples, please see the link below to our facelift photo gallery
The SMAS lift repositions the underlying fat and to some degree the fine muscles beneath it to a more youthful position but does not result in tighter facial muscles. A SMAS facelift should not improvement yourTMJ problems.. Best bet is cosult with a TMJ specialist.
The SMAS lift actually does not tighten the facial muscles. The SMAS layer is superficial to the muscle layers and allows for a repositioning of facial fat. Performing a SMAS lift will not provide any improvement in TMJ problems. I would recommend that you follow up with a TMJ specialist.
Facelift will not improve TMJ
A facelift is for cosmetic purposes and would have no effect on the improvement of your temporomandibular joint problems. It would also not be covered by insurance as it has no functional component.
TMJ not helped by SMAS lift
I agree that there should be NO representation to you that lifting the deeper structures as is done in a face lift will benefit your TMJ. This delicate joint needs to be evaluated by an Oral Surgeon.
the answers are no, no , no and no way. the mimetic muscles (facial expression) are not related to the muscles of mastication (TMJ, chewing). cosmetic surgery is cosmetic. not functional. It is simply not covered. anyone who offers to do you a favor and "get it covered" is not donig you any favor. see you DDS/oral surgeon for tx of your TMJ. good luck
Thanks for the question about facelifting and TMJ. A facelift would, unfortunately, not help with your TMJ. The SMAS layer of the face, which is tightened in most current approaches to rejuvenating the face, has nothing to do with the temperomandibular joint.
You should seek out a dentist or oral surgeon to have your bruxism (teeth grinding) and TMJ evaluated. I have had very good success injecting the masseter muscles (bite muscles) with Botox in patients with severe teeth grinding who have failed other treatments such as bite guards.
Best of luck,
Their is no relationship between SMAS lifting and TMJ. Most causes of TMJ can be traced to excessive tension along the masseter muscle, as well as temporalis in select cases. A SMAS lift will not effect this dynamic.